implementing health mgt information systems in lesotho n.
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Implementing Health Mgt. Information Systems in Lesotho

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Implementing Health Mgt. Information Systems in Lesotho. Background on PIH Lesotho. Partners in Health – Boston-based NGO working on public health in seven countries Founded in Haiti in 1987 Started work in Lesotho 2006

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background on pih lesotho
Background on PIH Lesotho
  • Partners in Health – Boston-based NGO working on public health in seven countries
  • Founded in Haiti in 1987
  • Started work in Lesotho 2006
  • Works with the MOH to provide access to HIV, TB treatment and primary care

Work in 6 rural health clinics and MDR-TB clinic in Botsabelo

  • Most sites are 6-10 hours drive, 1 site not accessible by road
  • Work with Mission Aviation Fellowship (MAF) and Lesotho Flying Doctors Services (LFDS) to access sites by air
pih lesotho goals for a hmis
PIH-Lesotho Goals for a HMIS
  • Monitor cohorts of patients for trends and analysis
  • Track progress of individual patients
  • Automated reporting
  • Procurement
challenges to implementation
Challenges to Implementation
  • No/limited power at sites
  • Communications difficult
  • Transportation to sites is difficult
  • Patient files must remain onsite
initial solutions
Initial Solutions
  • Develop a long-term solution to power and Internet while simultaneously collecting patient data in the short term
  • Take digital photos of patient data for data entry in Maseru
long term solutions
Long term solutions
  • Solar/generator power for clinics
  • VSAT for Internet connectivity
  • Clinic based data entry
  • Web-based MedicalRecords System
openmrs medical records system
OpenMRS Medical Records System
  • Free open source medical records system
  • Developed by Regenstrief Institute and Harvard Medical School through Partners in Health
  • Goal is to create a customizable medical records systems platform
  • Free to download
  • Compatible with Linux for a completely free software model
  • Data is encrypted and secure
  • More info at
key outcomes of implementing openmrs in lesotho
Key outcomes of implementing OpenMRS in Lesotho
  • Over 5,600 patients monitored in the EMR
  • Ability to quickly identify cohorts for follow-up by community health workers
  • Aggregate program-wide reporting
  • Drug ordering
what does it cost
What does it cost?
  • Biggest outlays are for power and Internet
  • For an offline clinic with power, initial costs are very low ($600 for a low-power desktop computer)
  • For multiple sites with synchronized data, Internet connection is necessary