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Bafia District Hospital (Cameroon) Electronic Medical Record (EMR) GNU Health Deployment

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Bafia District Hospital (Cameroon) Electronic Medical Record (EMR) GNU Health Deployment Bafia District Hospital (Cameroon) Electronic Medical Record (EMR) GNU Health Deployment EMILIEN FOUDA Agenda 01 Background 02 Objectives 03 EMR Implementation Steps 04 Data Analysis end (Feb-April 2018) 05 The impact of GNU Health in the improvment of Health Situation at Bafia District Hospital 03/12/2018 EMR Deployment in Bafia District Hospital in Cameroon 2 Background CAMEROON IS A COUNTRY IN CENTRAL AFRICA SURFACE AREA : 475 650 KM² REGIONS: TEN (10) NUMBER OF DEPARTMENTS : 58 NUMBER OF LOCAL COUNCILS 360 NUMBER OF DISTRICT HOSPITAL FUNCTIONNAL: 201 TOTAL POPULATION (2018): 24 863 337 habitants. 03/12/2018 | Title of the presentation 3 Background Bafia District Hospital (HDB) is located in the center region of Cameroon, precisely in the Mbam- Inoubou division where is the major health facility (reference hospital) and covers a population of 200,000; It situated along side the road linking Yaounde to Bafoussam which are two main cities. The Yaounde to Bafoussam road is one of the highly accidental in the country, and most of the time people injured are transferred to Bafia District Hospital. 03/12/2018 | Title of the presentation 4 Background The Bafia District Hospital covers a population of 164 000 inhabitants including 19 other health center. This center receives outpatient 1200 to 1500 per month. The capacity of in patients is 186 beds. 03/12/2018 | Title of the presentation 5 Background HUMAN RESOURCES The Bafia District Hospital have 18 services with 186 beds. The Hospital has 118 staff in all categories (60 medical and health staff and 48 support staff, including: - 13 medical doctors; - 18 state-certified nurses; - 35 nursing assistants; - 16 medical and sanitary technicians (laboratory technicians) - 26 surface technician support staff, security guards, drivers, administrative staff) 03/12/2018 | Title of the presentation 6 Background EPIDEMIOLOGY CONDITIONS The principal pathologies frequently from inpatients are as follows: ---------------------------------------------------------------------- Severe anaemia; Malaria; Obstetrical complications ; Complicated and complex surgical problems; Neonatal infections issues ; Prematurity bird ; Immuno- depreciency problems; Patients diagnosed tuberculosis; Hypertensives and diabetic patients; Road accidents patients 03/12/2018 | Title of the presentation 7 Objectives SUPPORT PROGRAMME BY WHO SINCE 2016 SUPPORT PROGRAMME BY WHO SINCE 2016 Goal: Reinforce and improve the general health situation at Bafia district hospital Objectives: Upgrade the mother to child health care; Improve health quality care of patients ; Develop health management informations system ; 03/12/2018 | Title of the presentation 8 Objectives OBJECTIVES OF GNU HEALTH IN THE BAFIA DISTRICT HOSPITAL 1. Improving the quality of patient care 2. Improving the management of the hospital 3. Improvement of health prevention 4. Improvement of health statistics 5. Improving the capacity and productivity of the hospital's health staff. 03/12/2018 EMR Deployment in Bafia District Hospital in Cameroon 9 Objectives . For now, mostly aggregated data (by health district) are collected in the country with the DHIS2 platform; the data are aggregated using various paper based registers, this have an impact for data quality metrics such as completeness and timeliness . Taking the opportunity of the project « Strengthening the use of data for malaria decision making and action in the African Region », the country office WHO in Cameroon decided to strengthen the health information of one of the pilot district by deploying a complete Electronic Medical Records solution : GNU Health 03/12/2018 EMR Deployment in Bafia District Hospital in Cameroon 10 EMR Implementation Steps PROPOSAL FOR A MODEL FOR GNU HEALTH IN BAFIA DISTRICT HOSPITAL 03/12/2018 | Title of the presentation 11 EMR IMPLEMENTATION STEPS 03/12/2018 EMR Deployment in Bafia District Hospital in Cameroon 12 DATA ANALYSIS, END OF FEB-APRIL, 2018 (1/3) 03/12/2018 EMR Deployment in Bafia District Hospital in Cameroon 13 DATA ANALYSIS, END OF FEB-APRIL, 2018 (2/3) 03/12/2018 EMR Deployment in Bafia District Hospital in Cameroon 14 DATA ANALYSIS END FEB-APRIL 2018 (3/3) 03/12/2018 EMR Deployment in Bafia District Hospital in Cameroon 15 The impact of GNU Health in the improvment of Health Situation at Bafia District Hospital Management and finances Witnesses an improved record of revenue in hospital (+50%) ; Finances transparency; Monthly comparaison of expenditure and income from various health services. On data management and health More detailed and precise Epidemiological profile; Better management of stock for laboratory; Laboratory results of patients on time; Data coherence for various services. 03/12/2018 | Title of the presentation 16 CHALLENGES Strengthen capacity of local administrator of the system ; Automate Reporting using the MoH « Monthly report form »; Develop the Interoperability with National DHIS2; Find a solution for permanent Electricity in Bafia district hospital 03/12/2018 | Title of the presentation 17 RECOMMENDATIONS Adapt the GNU health database according to the context of each country; Seminary workshops to improve the skills of those managing the database system in my hospital; Autonomous database system in the various districts hospitals which is linked to a principal server; Create a functionnal help desk available for every country; 03/12/2018 | Title of the presentation 18 PHOTOS PUZZLE 03/12/2018 EMR Deployment in Bafia District Hospital in Cameroon 19 Thanks FOR YOUR ATTENTION 03/12/2018 | Title of the presentation 20.
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