ArticleBMC medical informatics and decision making2010
Open source challenges for hospital information system (HIS) in developing countries: a pilot project in Mali.
Article in BMC medical informatics and decision making, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Usability evaluation of a DHIS2-based electronic information management system for environmental, occupational health and food safety in Sri Lanka.BMJ health & care informatics · 2025Article
- Contextual Barriers to Implementing Open-Source Electronic Health Record Systems for Low- and Lower-Middle-Income Countries: Scoping Review.Journal of medical Internet research · 2024Article
- Current status of digital health interventions in the health system in Burkina Faso.BMC medical informatics and decision making · 2024Article
- Implementing Clinical Information Systems in Sub-Saharan Africa: Report and Lessons Learned From the MatLook Project in Cameroon.JMIR medical informatics · 2023Article
- Novel educational adjuncts for the World Health Organization Basic Emergency Care Course: A prospective cohort study.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2020Article
- Facilitators, best practices and barriers to integrating family planning data in Uganda's health management information system.BMC health services research · 2019Article
- Short-term adoption rates for a web-based portal within the intranet of a hospital information system.BMJ health & care informatics · 2019Article
- Design and validity of a questionnaire to assess national eHealth architecture (NEHA): a study protocol.BMJ open · 2018Article
- Management of information within emergencies departments in developing countries: analysis at the National Emergency Department in Benin.The Pan African medical journal · 2016Article
- Some correlates of electronic health information management system success in nigerian teaching hospitals.Biomedical informatics insights · 2015Article
- The RAFT Telemedicine Network: Lessons Learnt and Perspectives from a Decade of Educational and Clinical Services in Low- and Middle-Incomes Countries.Frontiers in public health · 2014Review
- Technological innovations in the development of cardiovascular clinical information systems.Journal of medical systems · 2012Article
- Use of Electronic Health Records in sub-Saharan Africa: Progress and challenges.Journal of medicine in the tropics · 2012Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWe are currently witnessing a significant increase in use of Open Source tools in the field of health. Our study aims to research the potential of these software packages for developing countries. Our experiment was conducted at the Centre Hospitalier Mere Enfant in Mali.
methodsAfter reviewing several Open Source tools in the field of hospital information systems, Mediboard software was chosen for our study. To ensure the completeness of Mediboard in relation to the functionality required for a hospital information system, its features were compared to those of a well-defined comprehensive record management tool set up at the University Hospital "La Timone" of Marseilles in France. It was then installed on two Linux servers: a first server for testing and validation of different modules, and a second one for the deployed full implementation. After several months of use, we have evaluated the usability aspects of the system including feedback from end-users through a questionnaire.
resultsInitial results showed the potential of Open Source in the field of health IT for developing countries like Mali.Five main modules have been fully implemented: patient administrative and medical records management of hospital activities, tracking of practitioners' activities, infrastructure management and the billing system. This last component of the system has been fully developed by the local Mali team.The evaluation showed that the system is broadly accepted by all the users who participated in the study. 77% of the participants found the system useful; 85% found it easy; 100% of them believe the system increases the reliability of data. The same proportion encourages the continuation of the experiment and its expansion throughout the hospital.
conclusionsIn light of the results, we can conclude that the objective of our study was reached. However, it is important to take into account the recommendations and the challenges discussed here to avoid several potential pitfalls specific to the context of Africa.Our future work will target the full integration of the billing module in Mediboard and an expanded implementation throughout the hospital.
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