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The following are a selection of projects that will be worked on during the semester:
- To complete a literature review of health information systems and maternal health in Zimbabwe and other developing countries.
- To get a better understanding of the available health information systems available and feasible for Zimbabwe.
- Develop a blue print on how to implement openMRS at an urban municipal clinic in Zimbabwe
Recent advances in technology have allowed a connection between standard medical technology and cellular telephones. Ultrasound represents one example of a simple imaging technique used in developed countries across a wide array of surgical fields that has recently been transformed for use on cellphones. This technology is relatively cheap to maintain, easy to use, and dependable. The goal of this project is to explore and evaluate the potential role of emerging cellphone ultrasound technologies in bridging the health care gaps inherent to low resource settings, both domestic and international.
- To understand some of the barriers in implementing advanced imaging technologies, (such as CT, MRI, mammography) in a low resource setting, including but not limited to problems of cost, logistics, skilled human resources and maintenance.
- To explore the benefits and limitations of using cellphone ultrasound technology to overcome some of the barriers to care encountered in low resource settings.
The project has two agendas. The first is a public health analysis whilst the second is the design and testing of a technical prototype: The Public Health Agenda
- Analyzing the needs and requirements of post-operative decision support and data-collection for patients, community health workers, doctors and research teams
- Describe the role of a smart-phone based application system in this context
- Identify barriers and how these barriers could be addressed
- Intervention SWOT-analysis (Strengths and Weaknesses – Opportunities and Threats)
- Identify how data-entry can be made valuable for the person entering the data
- Defining the implementation and how to document the implementation process
- Define how to measure performance and impact
The Engineering Agenda
- Technical prototype of an information system. The Sana platform will be available.
- Development of a series of apps with post-operative forms
- Test outcome and compare to public health agenda
The student’s role is to first identify a surgical area of need in a LMIC that could benefit from an mHealth intervention. You may choose any country, however we would recommend Uganda, Liberia or Rwanda as the lead Project Manager Dr Lars Hagander will be stationed in these countries for a significant part of the course. There may also be opportunities to directly speak with surgeons and staff on the ground.
You will then need to provide a background history to your area of need and detail your proposed intervention. The next component will be to assess the potential barriers to implementation and means by which to overcome these, before detailing the implementation strategy. Most importantly, you will need to identify how you are going to assess the impact of your implementation. Data collection is challenging but absolutely vital at any level of health reform.
- Understanding the challenges to healthcare in Malawi
- Analyzing Malawi DB front-end: Basic project understanding and development/identification of the technical skills necessary to analyze and visualize the data.
- Evaluating the back-end: Identifying gaps and problems with the data collection or DB and compiling a list of recommendations.
- Visualizing the data gaps and prototype the proposed technical solution. Identify usability or user interface factors.
mHealth Informatics Coordinator, Partners in Health
Maternal Newborn and Child Health (MNCH)
Prepare selected MNCH best practices for re-use while contributing to the development of a platform and processes for use of standard interface terminologies.
- Map selected MNCH best practices to the dictionary
- Develop core dataset and link to WHO Indicators
- Select and design delivery platform (paper, mobile, OpenMRS, etc.)
- Design relevant reports, tools, processes to support delivery of the tool
- Package for reuse
Our Mission is to:
- Broaden access to quality healthcare: bringing care to the rural and the poor
- Drive quality improvements: applying best-practices garnered by leading organizations and schools
- Build local capacity: training the next generation of global health informaticians, through sharing knowledge and venues such as this course
The Sana Clinical Repository is a tool to assist the adoption and sharing of clinical knowledge and best practices. This project will begin to bring together the developed tools and protocols from the various Sana projects and other reputable sources to build a database of knowledge that can be easily adapted and included with future Sana implementations or other technology solutions.
We will survey existing implementations across a range of global locations and disease protocols and extract the transferable design elements and design a schema to capture and share this knowledge.
- Analyze and categorize global health priorities and existing standards and practices (WHO, IHI, Sana)
- Identify high level indicators for evaluation
- Develop an informatics schema to capture and translate specific protocols and quality metrics
- Architect technology specifications
Technical expertise is not required.