1. LESSONS FROM
DEPLOYING AN EMR
IN RURAL INDIA
Gurpreet Luthra - Community Lead (Bahmni)
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_zenx_

2. 2
www.bahmni.org

3. LOCATIONS IN INDIA
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4. LOCATIONS IN INDIA
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5. LOCATIONS IN INDIA
3
SEARCH

6. LOCATIONS IN INDIA
3
SEARCH
LBP Hemalkasa

7. JSS, BILASPUR
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http://www.tompietrasik.com/2013/01/07/jss-india-public-healthcare-film/

8. JSS, BILASPUR
5http://www.tompietrasik.com/2013/01/07/jss-india-public-healthcare-film/

9. • 30 Beds
• Two Operating Theatres
• Fully equipped Lab
• 300 patients for OPD
• 800,000 people from 2500 villages
• 150 - 200 health care workers
• 10 doctors
• 3 day waiting period!
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JSS, BILASPUR

10. JSS, BILASPUR
7http://www.tompietrasik.com/2013/01/07/jss-india-public-healthcare-film/
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11. CHALLENGES
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• On-site BAs
• Internet for Deployment?
• Agile without Showcases?
• Software as a bottleneck?
• What if the system breaks down?
Backup?
• UX Challenges
• Low Cost Devices
• Training people who have never
operated a computer

12. FIRST DEPLOYMENT AT JSS (JUNE-2013)
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13. THE STORY OF THE
SLOW MACHINE
A true story of an incident that occurred at JSS
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14. JSS, BILASPUR
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15. SEARCH, GADCHIROLI
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16. SEARCH, GADCHIROLI
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17. SEARCH, GADCHIROLI
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18. SEARCH, GADCHIROLI
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19. SEARCH, GADCHIROLI
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20. SEARCH, GADCHIROLI
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21. SEARCH, GADCHIROLI
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• Dr Abhay Bang and his wife
Dr Rani Bang
• Dec 1985
• 50% drop in Infant Mortality
Rate
• Masters in Public Health
from John Hopkins
University

22. SEARCH, GADCHIROLI
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• S.E.A.R.C.H: Society for Education, Action and Research in
Community Health
• 25,000 patients each year
• 20 bed indoor facility
• 450+ surgeries each year (special camps)

23. SEARCH, GADCHIROLI
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• Excel Based Registration
since 2011
• 65000 rows
• Research
• Study & Control Areas
• Surveys

24. SEARCH, GADCHIROLI (2 MONTH PRE-DEPLOYMENT)
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• Made Bahmni configurable (not just JSS!)
• Lots of Jasper Reports
• Patient Registration Card
• Migration Scripts
• Krishna font transformer

25. KRISHNA FONT
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Chitra
िचत्रा
fpRzk

26. KRISHNA FONT
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https://github.com/Bhamni/bahmni-java-utils/blob/master/font-transformer/src/test/java/org/bahmni/fonttransform/KrishnaFontTransformerTest.java

27. SEARCH - 20 DAY DEPLOYMENT
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29. 26
SEARCH - 20 DAY DEPLOYMENT

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SEARCH - DEPLOYMENT CHALLENGES
• Mobile !?
• Electricity !?
• Internet !?
• LAN !?
• Data Errors

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SEARCH - DEPLOYMENT CHALLENGES
• Krishna Font to Unicode Errors
• Linux !?
• Backups !?
• 32 bit machine?
• Remote Support?

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LEARNINGS
• Krishna Font to Unicode Errors
• Linux !?
• Backups !?
• 32 bit machine?
• Remote Support?
• Local YUM Repo
• Carry QA Database
• Scripts for one click Backup and Deploy
• Infra skills
• EasyNetMonitor
• Local Language support (non-trivial)
• Phased Rollouts (for validation)
• Carry everything! (keyboards, extension chords,
network cables, stickies, boards, etc)

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LEARNINGS
• Krishna Font to Unicode Errors
• Linux !?
• Backups !?
• 32 bit machine?
• Remote Support?
• Real System, Real Feedback
• Team Viewer
• Migrations on SSD / Vagrant
• Single view of system status
• Daily Dairy
• Local Stackoverflow??
• Training/Backup Laptop
• Games for Learning Computers
• Pay attention to Reports
• Need for Offline support

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A HAPPY DAY!
• Krishna Font to Unicode Errors
• Linux !?
• Backups !?
• 32 bit machine?
• Remote Support?

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RELATED LINKS
• https://www.thoughtworks.com/insights/blog/dr-prakash-amtes-
lok-biradari-brotherhood-people
• http://jssbilaspur.org
• http://www.searchgadchiroli.org/
• http://lokbiradariprakalp.org/
• https://www.thoughtworks.com/global-health

36. Join the community. Implement Bahmni.
Gurpreet Luthra
Community Lead (Bahmni)
@_zenx_
www.bahmni.org
THANK YOU