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HOW TO IMPROVE HEALTH DATA MANAGEMENT IN
SOME OF THE MOST CHALLENGING ENVIRONMENTS
C O N N E C T E D E L E C T R O N I C R...
CURRENT SITUATION
Paper is used for registers and medical files.
Paper is used for multiple reports.
Archiving can be problematic.
Information is a key component for health
management.
INFORMATION
HEALTHCARE
FOR PATIENTS
HOSPITAL
MANAGEMENT
DATA FOR
EPI...
CHALLENGING ENVIRONMENT
Many challenges are shaping the solution.
LIMITED FINANCIAL
RESOURCES
1 4
3
CONSTRAINTS 52
6
Many challenges are shaping the solution.
LIMITED FINANCIAL
RESOURCES
1 4
2
3 6
UNSTABLE POWER SUPPLY CONSTRAINTS 5
Many challenges are shaping the solution.
LIMITED FINANCIAL
RESOURCES
1 4
2
3 6POOR INTERNET
CONNECTIVITY
UNSTABLE POWER S...
Many challenges are shaping the solution.
LIMITED FINANCIAL
RESOURCES
1 4
2
3 6POOR INTERNET
CONNECTIVITY
UNSTABLE POWER S...
Many challenges are shaping the solution.
LIMITED FINANCIAL
RESOURCES
1 4
2
3 6POOR INTERNET
CONNECTIVITY
UNSTABLE POWER S...
Many challenges are shaping the solution.
LIMITED FINANCIAL
RESOURCES
1 4
2
3 6POOR INTERNET
CONNECTIVITY
UNSTABLE POWER S...
EMPOWERING HOSPITALS IN REMOTE
LOCATIONS WITH CERHIS
Android devices working in a network. They replace paper
registers with the same but optimized content.
B Y A E D E S
LIMITED FINANCIAL
RESOURCES
1 4
2
3 6POOR INTERNET
CONNECTIVITY
UNSTABLE POWER SUPPLY
END USERS UNFAMILIAR
WITH ICT
LOW AV...
The Android app collects administrative and
medical data.
The Android app collects administrative and
medical data.
USE OF COUCHBASE
Architecture of the system
N1QL
CLIENT SERVER
Sync
Gateway
Lite
REST API
REPLICATION
USERS
METADATA
DATA
USERS
METADATA
DA...
Couchbase offers useful solutions.
Free and open source version
Couchbase offers useful solutions.
Free and open source version
Enabling offline mode
Couchbase offers useful solutions.
Free and open source version
Enabling offline mode
Reliable intranet setup
Couchbase offers useful solutions.
Free and open source version
Enabling offline mode
Reliable intranet setup
Light hardwa...
Couchbase offers useful solutions.
Free and open source version
Enabling offline mode
Reliable intranet setup
Light hardwa...
These solutions help us handle some of our
constraints.
LIMITED FINANCIAL
RESOURCES
1 4
2
3 6POOR INTERNET
CONNECTIVITY
UN...
MORE THAN JUST A SOFTWARE
Hardware material is used to protect and
recharge the system.
Server &
network
Android devices,
storage, protection
& char...
The monitoring system warns technicians
about failures or dysfunctions of the system.
Hospital 1
Hospital 2
Server
The monitoring system warns technicians
about failures or dysfunctions of the system.
Hospital 1
Hospital 2
Server
AND MORE THAN HARDWARE
We work and share knowledge with local
partners. The configuration is done together.
Local partners also take care of installation,
training and maintenance.
NEXT STEPS
Hospitals are requesting additional features.
Hospitals are requesting additional features.
BILLING MODULE
Hospitals are requesting additional features.
BILLING MODULE
MANAGING
PHARMACY
Hospitals are requesting additional features.
BILLING MODULE
MANAGING
PHARMACY
MEDICAL DIAGNOSTIC
ASSISTANCE
Hospitals are requesting additional features.
BILLING MODULE
MANAGING
PHARMACY
MEDICAL DIAGNOSTIC
ASSISTANCE
APPOINTMENT
S...
We also want to improve technical aspects.
We also want to improve technical aspects.
REMOVING SINGLE
POINT OF FAILURES
We also want to improve technical aspects.
REMOVING SINGLE
POINT OF FAILURES
MAKING DEPLOYMENT &
MAINTENANCE EASIER
We also want to improve technical aspects.
REMOVING SINGLE
POINT OF FAILURES
DIMENSIONING THE
SYSTEM MORE PRECISELY
MAKING...
We also want to improve technical aspects.
REMOVING SINGLE
POINT OF FAILURES
DIMENSIONING THE
SYSTEM MORE PRECISELY
IMPLEM...
Currently the system is
being implemented in
DRC and Burundi.
Currently the system is
being implemented in
DRC and Burundi.
In the next few months
deployment will be done
in other coun...
Contact : Loïc Vaes – lvaes@aedes.be
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Bringing health data and cutting edge health services to the most challenging of environments – Sub-Saharan Africa – Connect Silicon Valley 2017

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Speaker: Loïc Vaes, AEDES Public Health Consultancy

How do you create an intuitive and robust hospital information system designed to respond effectively to the needs of health structures in challenging environments like sub-Saharan Africa. Data is recorded on connected Android devices instead of being copied in multiple paper registers scattered throughout the hospital. Information that was fragmented and difficult to exploit is thus available for efficient use by the healthcare team and for the production of national health indicators.

Published in: Technology
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Bringing health data and cutting edge health services to the most challenging of environments – Sub-Saharan Africa – Connect Silicon Valley 2017

  1. 1. HOW TO IMPROVE HEALTH DATA MANAGEMENT IN SOME OF THE MOST CHALLENGING ENVIRONMENTS C O N N E C T E D E L E C T R O N I C R E C O R D S H O S P I TA L I N F O R M AT I O N S Y S T E M
  2. 2. CURRENT SITUATION
  3. 3. Paper is used for registers and medical files.
  4. 4. Paper is used for multiple reports.
  5. 5. Archiving can be problematic.
  6. 6. Information is a key component for health management. INFORMATION HEALTHCARE FOR PATIENTS HOSPITAL MANAGEMENT DATA FOR EPIDEMICS NATIONAL HEALTH INFORMATION SYSTEMS
  7. 7. CHALLENGING ENVIRONMENT
  8. 8. Many challenges are shaping the solution. LIMITED FINANCIAL RESOURCES 1 4 3 CONSTRAINTS 52 6
  9. 9. Many challenges are shaping the solution. LIMITED FINANCIAL RESOURCES 1 4 2 3 6 UNSTABLE POWER SUPPLY CONSTRAINTS 5
  10. 10. Many challenges are shaping the solution. LIMITED FINANCIAL RESOURCES 1 4 2 3 6POOR INTERNET CONNECTIVITY UNSTABLE POWER SUPPLY CONSTRAINTS 5
  11. 11. Many challenges are shaping the solution. LIMITED FINANCIAL RESOURCES 1 4 2 3 6POOR INTERNET CONNECTIVITY UNSTABLE POWER SUPPLY END USERS UNFAMILIAR WITH ICT CONSTRAINTS 5
  12. 12. Many challenges are shaping the solution. LIMITED FINANCIAL RESOURCES 1 4 2 3 6POOR INTERNET CONNECTIVITY UNSTABLE POWER SUPPLY END USERS UNFAMILIAR WITH ICT LOW AVAILABILITY OF QUALIFIED TECHNICIANS CONSTRAINTS 5
  13. 13. Many challenges are shaping the solution. LIMITED FINANCIAL RESOURCES 1 4 2 3 6POOR INTERNET CONNECTIVITY UNSTABLE POWER SUPPLY END USERS UNFAMILIAR WITH ICT LOW AVAILABILITY OF QUALIFIED TECHNICIANS LARGE AND DIVERSE QUANTITY OF DATA TO BE COLLECTED CONSTRAINTS 5
  14. 14. EMPOWERING HOSPITALS IN REMOTE LOCATIONS WITH CERHIS
  15. 15. Android devices working in a network. They replace paper registers with the same but optimized content. B Y A E D E S
  16. 16. LIMITED FINANCIAL RESOURCES 1 4 2 3 6POOR INTERNET CONNECTIVITY UNSTABLE POWER SUPPLY END USERS UNFAMILIAR WITH ICT LOW AVAILABILITY OF QUALIFIED TECHNICIANS LARGE AND DIVERSE QUANTITY OF DATA TO BE COLLECTED CONSTRAINTS 5 Android tablets and a local network help address part of our challenges.
  17. 17. The Android app collects administrative and medical data.
  18. 18. The Android app collects administrative and medical data.
  19. 19. USE OF COUCHBASE
  20. 20. Architecture of the system N1QL CLIENT SERVER Sync Gateway Lite REST API REPLICATION USERS METADATA DATA USERS METADATA DATA STATS
  21. 21. Couchbase offers useful solutions. Free and open source version
  22. 22. Couchbase offers useful solutions. Free and open source version Enabling offline mode
  23. 23. Couchbase offers useful solutions. Free and open source version Enabling offline mode Reliable intranet setup
  24. 24. Couchbase offers useful solutions. Free and open source version Enabling offline mode Reliable intranet setup Light hardware, with horizontal scaling
  25. 25. Couchbase offers useful solutions. Free and open source version Enabling offline mode Reliable intranet setup Light hardware, with horizontal scaling DB adapted to our data model
  26. 26. These solutions help us handle some of our constraints. LIMITED FINANCIAL RESOURCES 1 4 2 3 6POOR INTERNET CONNECTIVITY UNSTABLE POWER SUPPLY END USERS UNFAMILIAR WITH ICT LOW AVAILABILITY OF QUALIFIED TECHNICIANS LARGE AND DIVERSE QUANTITY OF DATA TO BE COLLECTED CONSTRAINTS 5
  27. 27. MORE THAN JUST A SOFTWARE
  28. 28. Hardware material is used to protect and recharge the system. Server & network Android devices, storage, protection & charging Batteries and / or and / or
  29. 29. The monitoring system warns technicians about failures or dysfunctions of the system. Hospital 1 Hospital 2 Server
  30. 30. The monitoring system warns technicians about failures or dysfunctions of the system. Hospital 1 Hospital 2 Server
  31. 31. AND MORE THAN HARDWARE
  32. 32. We work and share knowledge with local partners. The configuration is done together.
  33. 33. Local partners also take care of installation, training and maintenance.
  34. 34. NEXT STEPS
  35. 35. Hospitals are requesting additional features.
  36. 36. Hospitals are requesting additional features. BILLING MODULE
  37. 37. Hospitals are requesting additional features. BILLING MODULE MANAGING PHARMACY
  38. 38. Hospitals are requesting additional features. BILLING MODULE MANAGING PHARMACY MEDICAL DIAGNOSTIC ASSISTANCE
  39. 39. Hospitals are requesting additional features. BILLING MODULE MANAGING PHARMACY MEDICAL DIAGNOSTIC ASSISTANCE APPOINTMENT SCHEDULING
  40. 40. We also want to improve technical aspects.
  41. 41. We also want to improve technical aspects. REMOVING SINGLE POINT OF FAILURES
  42. 42. We also want to improve technical aspects. REMOVING SINGLE POINT OF FAILURES MAKING DEPLOYMENT & MAINTENANCE EASIER
  43. 43. We also want to improve technical aspects. REMOVING SINGLE POINT OF FAILURES DIMENSIONING THE SYSTEM MORE PRECISELY MAKING DEPLOYMENT & MAINTENANCE EASIER
  44. 44. We also want to improve technical aspects. REMOVING SINGLE POINT OF FAILURES DIMENSIONING THE SYSTEM MORE PRECISELY IMPLEMENTING NEW MECHANISMS MAKING DEPLOYMENT & MAINTENANCE EASIER
  45. 45. Currently the system is being implemented in DRC and Burundi.
  46. 46. Currently the system is being implemented in DRC and Burundi. In the next few months deployment will be done in other countries.
  47. 47. Contact : Loïc Vaes – lvaes@aedes.be

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