- Futures Group is an independent, privately owned global health organization founded in 1971 and headquartered in Washington, DC. It has 467 staff working in over 30 countries. - It has developed a suite of open-source health IT solutions called IQSolutions, including an electronic medical record called IQCare, to support health programs in developing countries lacking reliable technology infrastructure. - The health informatics team consists of 25 local programmers across offices in Kenya, South Africa, and India who design and develop the tools using freely available, reusable components that can function offline or with intermittent connectivity.

1. Bobby Jefferson, Senior Health
Informatics Advisor

2. Company Statistics
• Independent, privately owned, for-profit
• Founded in 1971
• Headquartered in Washington, DC USA
• 467 staff worldwide
• Operating in 30+ countries
• Largest country presence, by staff count
– USA
– India
– Afghanistan
– Kenya
– South Africa
– Tanzania

3. Global Organizational Structure
Futures Group Global, LLC
Chris LeGrand, MS
Chief Executive Officer
Business Development
Operations
Program Ops
Facilities Mgmt Ed Abel, MPA
Senior Vice President &
IT Support Chief Operating Officer Human Resources Organizational Dev
Knowledge Svcs Benefits
Corp Communications Recruiting
Finance & Administration Employee Relations
F&A
Financial Mgmt Timothy Schur
Chief Financial Officer
Tax & Compliance
Contracts
Pricing
Technical
Farley R. Cleghorn, MD, MPH
Senior Vice President &
Chief Technical Officer
Center for Policy & Center for Health
Advocacy Systems & Solutions
Sarah Clark, PhD Shannon Hader, MD, MPH
Vice President Vice President

4. Health Informatics Portfolio
Nigeria, Kenya, Uganda, Tanzania, Rwanda, Zambia, South Africa, Haiti
Guyana, Ethiopia , 10 Countries, 244 Hospital Facilities + 112 Satellites
Clinics , 535 Antenatal Care - PMTCT sites
Rural, remote, faith based mission hospitals “serving poorest of poor”
No power, intermittent power, No IT staff, No internet, Sparse mobile coverage
Nurses, Clinicians, Adherence Counselors, need health data, M&E program
data in knowledge repository
Lack of referrals or linkage to existing technology systems
Cost effectiveness and sustainability -- no funds for proprietary licenses, or
yearly maintenance fees

6. Futures Group
eHealth mHealth approach
creative common approach Use of freely available,
reusable, tools, “coded in country”
Offline Solutions, Disconnected model
Reusable software and technology across
countries and programs
Programmers and IT staff in country
Low costs, Inexpensive $250-$350 Netbooks
Solar mobile phones, SMS

7. Health IT Solutions
Collectively referred to as IQSolutions
1. Electronic medical records
1. IQCare - Reviewed by CDC, WHO, USAID
2. IQChart - French language
2. Visual Dashboards
3. Monitoring & Evaluation Electronic reporting
4. GIS and GPS related IQGeo
5. Mobile Phone solution (SMS technology)
6. SQL Training, Virus Remediation Training

8. Futures Health Informatics Team
• 3 Regional Software Development Offices (Kenya -7, South Africa-6, India-
12) 25 local IT Programmers , Coded in-country, local support,
• Agile methodology, Designing System Architecture, Apps Development,
ICT4Development
• Training of software programmers for sustainability and transition
• Kenya HMIS prime EMR, Data Warehouse, DHIS 2.0, Mobile phone
• Subcontract with ICAP Columbia University and Elizabeth Glazier Paediatric
Foundation for IT and Programming support
• DOD HIV AIDS Program DHAPP – accomplished EMR SQL training, virus
remediation training in Lesotho Military hospital
• DOD Walter Reed – MOU to support 28 Hospitals in Kenya with EMR
Niche area:
• HIV, TB, Orphans Vulnerable Children , (OVC), Most At Risk Population
(MARPS), Maternal Child Health (MNH)
• In-country local software development, Infrastructure support , training,
EMR, knowledge transfer to Ministry of Health, First line support, technical
help desk for regional and rural sites in 10 countries

9. Futures Health Informatics Team

13. Web Browser interface IQCare is available
to all computers connected on the hospital
network. No need to install or reinstall to
client computers -Scalable

14. Physician conducts consultation with data already in IQCare

15. Lab scientist retrieves ordered tests from IQCare, conducts
tests and enters results into database

16. Universal registration form

18. Interoperability
District Indicators,
Donors DHIS v2.0 software,
OGAC, CDC, HRSA, USAID Next Gen
MOH National Reports Indicators (NGI),
Intel, (Kenya , Uganda, Nigeria,) HIV/QUAL, HEALQUAL
Netbooks, low cost,
low power
SDMX-HD
Laboratory Partners
HL7 v2.5 OpenELIS
Pharmacy , Supply Chain Bika Labs
EMR System
Management Sciences Health, TherapyEdge
ARV dispensing tool (ADT)
IQCare
, (Facility Level)
Other EMR (OpenMRS,Baobab
Careware Migration )
mHealth
Clinical/Medical Partners
School of Medicine, Faith Based Orgs
Mennonite Christian Charities
In-country CHAK, IMA Financial Mgmt Partners
Community Mobile health solutions
Health Indicators Pastel Software,
Dimagi, mHealth Alliance,
Tableau Dashboard
Immunization, Well Baby, WHO -3ILPMS CMMB
Integrated HIV, TB, PMTCT

19. IQCare 3.0 Beyond HIV
• TB Forms
• Immunization
• Well Baby Indicators
• Integrated HIV, TB, PMTCT
• Malaria
• MOH, NACA, NASCOP Forms

21. From: Duncan C. Kirui @Walter Reed Program
Sent: Tuesday, August 09, 2011 11:24 AM
Subject: Appreciation IQCare
This is to sincerely thank you for having come to our users’ training that was held at Baraton from 1st – 5th August 2011. We had a successful
meeting attended by 60 users from South Rift, Kisumu West and KDoD. From their feedback, they liked the IQCare because of its
robustness, ease of use and especially the way it captures our forms. We shall be having more of this especially refresher courses in future
after we have rolled out IQCare. As of now we are confident on the system and ready to implement the system. We shall also be calling you
once in a while especially during data migration, one site visit and commissioning of IQCare System on one site.
Duncan Kirui
SRV-IT Officer

22. IQSMS – Mobile Phone Reporting by Health Workers

24. M&E Electronic Reporting System
Solar Power Cell phones
Orphans Vulnerable Children
PDA device
(OVC), Most At Risk
Population (MARPS),
Maternal Child Health (MNH)
Ms Access Database
Excel
PMTCT MONTHLY REPORT
PMTCT Antenatal Clinic (ANC) Monthly
Excel Only Summary Form Web Internet
118 Desktop
ANC 01. New ANC clients this month 8
ANC 02. Previously known to be HIV
positive 17
ANC 03. Total number tasted 574
ANC 04. Number of new client had HIV test
at ANC 277
ANC 05. Tested HIV-Positive 37
ANC 06. Post-test counseled for positive
and negative 574
ANC 07. Number of partners tested for HIV 16
ANC 08. Tested HIV-Positive 4

25. Site Capacity Dashboard

26. Futures Group
Southern Sudan
Rwanda Intra Health International
ICAP Columbia University 44 sites
Intra Health International 17 sites
Elizabeth Glaser EGPAF 16 sites
Kenya
Family Health Inter FHI 45 sites
Catholic Relief Services - 32
Catholic Relief Services 13 sites
Pathfinder International
Gertrude Children Hospital
DOD Walter Reed - 28
Nigeria
Uganda
Mennonite Christian Charities Catholic Relief Services
Catholic Relief Services John Snow International
Rakai Health Services Vaccine Research
“After successful assessment, the IQ Care system developed and supported by the Futures
Group and Catholic Relief Services came up top in terms of overall features (technical and non
technical) and also in terms of largest number of installations “
WHO sponsored EMR Assessment Report ,
Kenya May 2009

27. ICT for Development – Best PC Security Practices

28. IQHealth KIT
• Ecosystem Provider: Futures
Group International
• How Used:
– Rural Clinic, Hospital, Mobile
Field Worker
– AIDS PMTCT, Malaria
• Countries: Nigeria, Kenya,
Uganda, Tanzania, Rwanda,
Zambia, South Africa, Haiti ,
Guyana, Ethiopia (Total: 244
ART sites 112, Satellites 532,
PMTCT sites)
28

29. Futures Group
Thank You
Bobby Jefferson bjefferson @ futuresgroup
Lanette Burrows lburrows @ futuresgroup
Futures SI Advisor in-country
www.futuresgroup.com
www.iqstrategy.net