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A comparative usability study of two touchscreen clinical workstations for use in low resource settings (2018)

Mtonga, Timothy [Verfasser] ; Abaye, Menna [Verfasser] ; Rosko, Samuel Charles [Verfasser] ; [et al.]

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UID:

(DE-101)122786535X

Format: Online-Ressource

ISSN: 2197-6902

Content: Abstract: Cost of implementation is one of the biggest barriers to scale up and sustainability of electronic medical record systems in low resource settings. Several approaches can be used to overcome this barrier. In this comparative usability study, we assess whether a lower cost 10-inch touchscreen clinical workstation (TCW) is a suitable alternative to a 14-inch TCW that has been widely deployed in Malawi. A total of 27 participants performed a patient registration task using three different TCWs, a 14-inch device and two 10-inch devices. One of the 10-inch devices used the same size of interface controls as the 14-inch TCW with reduced space between buttons, and the 10-inch device used a modified interface with controls shrunk down to accommodate the smaller screen size. We measured task completion times and error rates as metrics for assessing performance with each workstation. We also captured user perceptions using a usability survey and an exit survey. We compared the mean task comp.... https://jhia-online.org/index.php/jhia/article/view/209

In: volume:5

In: number:2

In: day:10

In: month:12

In: year:2018

In: Journal of health informatics in Africa, Hamburg : Koegni eHealth, Innovation for Development e.V. Germany, 31.12.2013-, 5, Heft 2 (10.12.2018), 2197-6902

Language: English

DOI: 10.12856/JHIA-2018-v5-i2-209

URN: urn:nbn:de:101:1-2021022209102193697720

URL: https://doi.org/10.12856/JHIA-2018-v5-i2-209

URL: https://nbn-resolving.org/urn:nbn:de:101:1-2021022209102193697720

URL: https://d-nb.info/122786535X/34

URL: https://jhia-online.org/index.php/jhia/article/view/209/139

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A Conceptual Model for Adaptation of eHealth Standards by Low and Middle-Income Countries (2018)

Alunyu, Andrew Egwar [Verfasser] ; Nabukenya, Josephine [Verfasser]

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UID:

(DE-101)122786552X

Format: Online-Ressource

ISSN: 2197-6902

Content: Abstract: Background and Purpose: Electronic health (ehealth) is the use of information and communication technology to support healthcare. It is used to driving efforts to achieve sustainable development goals (SDGs) particularly “good health and well-being for all”. Nonetheless, just like other technologies, ehealth has rapidly gained ground in low and middle-income countries (LMICs) although with scanty government intervention. In fact, governments in LMICs have only lately developed ehealth strategies. Much as ehealth offers the promise for improved and affordable healthcare and service delivery, its success is still dependent on the specifications (standards) to support interoperability and information exchange. Regrettably, standardization efforts in LMICs are greatly curtailed by resource constraints. Methods: We reviewed literature on ehealth standardisation in LMICs using four African countries as our case studies. The objective of the study was to explore the challenges of ehealth .... https://jhia-online.org/index.php/jhia/article/view/199

In: volume:5

In: number:2

In: day:24

In: month:11

In: year:2018

In: Journal of health informatics in Africa, Hamburg : Koegni eHealth, Innovation for Development e.V. Germany, 31.12.2013-, 5, Heft 2 (24.11.2018), 2197-6902

Language: English

DOI: 10.12856/JHIA-2018-v5-i2-199

URN: urn:nbn:de:101:1-2021022209105867827920

URL: https://doi.org/10.12856/JHIA-2018-v5-i2-199

URL: https://nbn-resolving.org/urn:nbn:de:101:1-2021022209105867827920

URL: https://d-nb.info/122786552X/34

URL: https://jhia-online.org/index.php/jhia/article/view/199/144

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A Cross-case Analysis of the Effects of EMR Deployment on Antenatal Care Services in Rural Health Centres in Malawi (2014)

Chawani, Marlen Stacey [Verfasser]

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UID:

(DE-101)1227866720

Format: Online-Ressource

ISSN: 2197-6902

Content: Abstract: Background and Purpose: The use of Electronic Medical Records in developing countries is considered important for monitoring and facilitating the achievement of health-related Millennium Development Goals. Many studies have analysed the effects of EMRs in supporting care provision in hospitals, mostly with a focus on HIV/AIDS services. However, there are limited studies on EMR use for maternal health services in small primary care facilities in rural settings. This paper aims to address this gap by presenting findings from evaluation of two EMR systems implemented to support Antenatal care in two rural health centres in Malawi. Methods: This study was undertaken as part of an Action Research project exploring the use of EMRs in Malawi. The paper presents a qualitative analysis of the effects of EMRs on Antenatal care services in two rural health centres. Data was collected through interviewing end-users and pregnant women, participant observation of health services, and analysis of.... https://jhia-online.org/index.php/jhia/article/view/89

In: volume:2

In: number:1

In: day:29

In: month:12

In: year:2014

In: Journal of health informatics in Africa, Hamburg : Koegni eHealth, Innovation for Development e.V. Germany, 31.12.2013-, 2, Heft 1 (29.12.2014), 2197-6902

Language: English

DOI: 10.12856/JHIA-2014-v2-i1-89

URN: urn:nbn:de:101:1-2021022209150338627265

URL: https://doi.org/10.12856/JHIA-2014-v2-i1-89

URL: https://nbn-resolving.org/urn:nbn:de:101:1-2021022209150338627265

URL: https://d-nb.info/1227866720/34

URL: https://jhia-online.org/index.php/jhia/article/view/89/70

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A Dynamic Capability Perspective to Understanding the Typology of Big Data Capabilities. Evidence from a Ghanaian Health Insurance Firm (2017)

Marfo, John Serbe [Verfasser]

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UID:

(DE-101)1227865864

Format: Online-Ressource

ISSN: 2197-6902

Content: Abstract: Big data has become a key competitive advantage tool for firms. Big data is disrupting several markets by causing firm to rethink and change their traditional way of handling and using data within and outside. This makes big data possess dynamic capabilities. Given that only few predominantly big technology firms have been able to fully adopt big data to obtain benefits. This research grounded in the theoretical lens of dynamic capabilities examines the constituents or typology of big data capabilities that are needed by firms to adopt big data. The research proposes a hierarchical model for the typology of big data capabilities which is made up technological capabilities, human skills capabilities and organisational capabilities as the core capabilities of big data capabilities. Beyond the second order capabilities, first-order capabilities and resource base or zero-order capabilities are proposed. An investigation of a health insurance firm implementing big data in Ghana is used.... https://jhia-online.org/index.php/jhia/article/view/183

In: volume:4

In: number:1

In: day:05

In: month:11

In: year:2017

In: Journal of health informatics in Africa, Hamburg : Koegni eHealth, Innovation for Development e.V. Germany, 31.12.2013-, 4, Heft 1 (05.11.2017), 2197-6902

Language: English

DOI: 10.12856/JHIA-2017-v4-i1-183

URN: urn:nbn:de:101:1-2021022209120515875539

URL: https://doi.org/10.12856/JHIA-2017-v4-i1-183

URL: https://nbn-resolving.org/urn:nbn:de:101:1-2021022209120515875539

URL: https://d-nb.info/1227865864/34

URL: https://jhia-online.org/index.php/jhia/article/view/183/113

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A Fraud Detection System for Health Insurance in Nigeria (2020)

Yange, Terungwa Simon [Verfasser]

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UID:

(DE-101)1227865074

Format: Online-Ressource

ISSN: 2197-6902

Content: Abstract: Background and Purpose: This research developed a Fraud Detection System for National Health Insurance Scheme (NHIS) in Nigeria. This was with a view to addressing the fraudulent activities of some stakeholders in NHIS; as many researches have proven that the lack of appropriate tools to do this has negatively affected service providers as well as the beneficiaries of this Scheme. Methods: In order to achieve the aim of this research, an inspection of organizational documents, direct observation and collection of existing data from NHIS accredited health facilities and Health Maintenance Organizations in Nigeria were carried out. The system was designed using Unified Modelling Language (UML) tools. The implementation of the system was done using MongoDB as the big data storage mechanism for the input, Comma Separated Values (CSV) files as a storage facility for the intermediate results generated during processing and MySQL as the storage mechanism for the final output, Apache MapR.... https://jhia-online.org/index.php/jhia/article/view/256

In: volume:6

In: number:2

In: day:22

In: month:02

In: year:2020

In: Journal of health informatics in Africa, Hamburg : Koegni eHealth, Innovation for Development e.V. Germany, 31.12.2013-, 6, Heft 2 (22.02.2020), 2197-6902

Language: English

DOI: 10.12856/JHIA-2019-v6-i2-256

URN: urn:nbn:de:101:1-2021022209091515075152

URL: https://doi.org/10.12856/JHIA-2019-v6-i2-256

URL: https://nbn-resolving.org/urn:nbn:de:101:1-2021022209091515075152

URL: https://d-nb.info/1227865074/34

URL: https://jhia-online.org/index.php/jhia/article/view/256/159

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A LMIC-First Manifesto to Developing Electronic Medical Record Systems (2021)

Neumann, Christian [Verfasser] ; Dunbar, Elizabeth L. [Verfasser] ; Espino, Jeremy U. [Verfasser] ; [et al.]

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UID:

(DE-101)123616184X

Format: Online-Ressource

ISSN: 2197-6902

Content: Abstract: The inability to quickly design, develop electronic medical record (EMR) systems and deploy new clinical guidelines remain bottlenecks to successful scale up and continued use in low- and middle-income countries (LMIC). Significant gaps persist in EMR designs for LMIC settings. These gaps result from failure to understand how the environments, models and processes of delivering healthcare in LMICs are fundamentally different from high income countries. Additionally, EMRs are often planned in top-down fashion, driven by an implementers or external funder’s vision. EMR systems for LMICs model those used in the global north, requiring heavy text data entry, complex data models, and heavyweight hardware to support. We outline a “LMIC-First” approach to designing EMR systems intended for LMICs. This approach considers the EMR system, its environment and how these interact when the system is implemented by following six themes to EMR design. https://jhia-online.org/index.php/jhia/article/view/300

In: volume:7

In: number:2

In: day:12

In: month:06

In: year:2021

In: Journal of health informatics in Africa, Hamburg : Koegni eHealth, Innovation for Development e.V. Germany, 31.12.2013-, 7, Heft 2 (12.06.2021), 2197-6902

Language: English

DOI: 10.12856/JHIA-2020-v7-i2-300

URN: urn:nbn:de:101:1-2021062812230982776890

URL: https://doi.org/10.12856/JHIA-2020-v7-i2-300

URL: https://nbn-resolving.org/urn:nbn:de:101:1-2021062812230982776890

URL: https://d-nb.info/123616184X/34

URL: https://jhia-online.org/index.php/jhia/article/view/300/173

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A Proof of Concept of the Contribution of Tele-auscultation in the Screening of Heart Disease: A Cross Sectional Study (2021)

Goethe Doualla, Fred-Cyrille [Verfasser] ; Bediang, Georges [Verfasser] ; Nganou-Gnindjio , Chris [Verfasser] ; [et al.]

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UID:

(DE-101)1236161890

Format: Online-Ressource

ISSN: 2197-6902

Content: Abstract: Background and purpose: Cardiovascular diseases are the leading cause of death worldwide, accounting for 31% of all deaths in 2016. Echocardiography is the reference screening tool, but its widespread use in developing countries is limited by its high cost. The objective of this study was to evaluate auscultation of heart sounds using an electronic stethoscope coupled with tele-transmission and remote interpretation by a distant physician as a less expensive alternative. Methods: This was a descriptive cross-sectional study. Participants meeting inclusion criteria were examined face-to-face by a cardiologist (A) using a traditional stethoscope and following a well-defined protocol. Heart sounds were then recorded by a health professional using an electronic stethoscope. A part of these digital auscultation records were randomly selected and evaluated by cardiologist (A) and remotely (via a telemedicine platform) by cardiologist (B), then rated as normal or abnormal. Diagnostic find.... https://jhia-online.org/index.php/jhia/article/view/263

In: volume:7

In: number:2

In: year:2021

In: Journal of health informatics in Africa, Hamburg : Koegni eHealth, Innovation for Development e.V. Germany, 31.12.2013-, 7, Heft 2 (2021), 2197-6902

Language: English

DOI: 10.12856/JHIA-2020-v7-i2-263

URN: urn:nbn:de:101:1-2021062812233543043815

URL: https://doi.org/10.12856/JHIA-2020-v7-i2-263

URL: https://nbn-resolving.org/urn:nbn:de:101:1-2021062812233543043815

URL: https://d-nb.info/1236161890/34

URL: https://jhia-online.org/index.php/jhia/article/view/263/174

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A Proposed Framework for Hypertension in Mauritius (2018)

Sooklall, Raginee [Verfasser] ; Tengnah, Muhammad Ali Javed [Verfasser] ; Nagowah, Soulakshmee Devi [Verfasser]

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UID:

(DE-101)1227865627

Format: Online-Ressource

ISSN: 2197-6902

Content: Abstract: Non communicable diseases like Hypertension, also known as high blood pressure, is considered to be one of the biggest contributors to the global death rate. According to the latest data published in May 2014 by the World Health Organisation (WHO), death rate by hypertension has reached up to 6.39%, whereby age adjusted death rate is 38.18% per 100,000 of population, ranking Mauritius twelfth in the world among the countries having a high percentage of cause of death by hypertension. This paper analyses existing mobile applications and frameworks used for managing hypertension and proposes a new framework for Mauritius. According to the European Society of Hypertension (ESH), the use of electronic blood devices for blood pressure measurement such as ambulatory blood pressure monitors and smartphone applications have reinforced blood pressure monitoring and diagnosis. The framework therefore comprises of a smart mobile application which takes readings of systolic and diastolic blood.... https://jhia-online.org/index.php/jhia/article/view/195

In: volume:5

In: number:1

In: day:09

In: month:12

In: year:2018

In: Journal of health informatics in Africa, Hamburg : Koegni eHealth, Innovation for Development e.V. Germany, 31.12.2013-, 5, Heft 1 (09.12.2018), 2197-6902

Language: English

DOI: 10.12856/JHIA-2018-v5-i1-195

URN: urn:nbn:de:101:1-2021022209111406293661

URL: https://doi.org/10.12856/JHIA-2018-v5-i1-195

URL: https://nbn-resolving.org/urn:nbn:de:101:1-2021022209111406293661

URL: https://d-nb.info/1227865627/34

URL: https://jhia-online.org/index.php/jhia/article/view/195/137

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A Review of Ghana’s E-health Strategy (2013)

Afagbedzi, Seth Kwaku [Verfasser] ; Obuobi, H. [Verfasser] ; Aryeetey, R. [Verfasser] ; [et al.]

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UID:

(DE-101)1227867565

Format: Online-Ressource

ISSN: 2197-6902

Content: Abstract: Background and Purpose: Ghana has been faced with weak health systems leading to preponderance of communicable diseases, under-nutrition, and poor reproductive health resulting in difficulties in meeting some of the targets of the MDGs. There are also increasing incidence of non-communicable and chronic diseases, and severe inequities in access to health services resulting in large disparities in health outcomes across the country. In light of these, the Ministry of Health and Ghana Health Service in 2007 developed a National Health Policy which has three broad objectives. These are: (a) To ensure that people live long, healthy and productive lives and reproduce without an increased risk of death. (b) To reduce the excessive risk and burden of morbidity, mortality and disability, especially in the poor and marginalized groups (c) To reduce inequalities in access to health, reproduction and nutrition services. However, achieving these objectives require a change in the way heal.... https://jhia-online.org/index.php/jhia/article/view/52

In: volume:1

In: number:1

In: day:18

In: month:09

In: year:2013

In: Journal of health informatics in Africa, Hamburg : Koegni eHealth, Innovation for Development e.V. Germany, 31.12.2013-, 1, Heft 1 (18.09.2013), 2197-6902

Language: English

DOI: 10.12856/JHIA-2013-v1-i1-52

URN: urn:nbn:de:101:1-2021022209180315221606

URL: https://doi.org/10.12856/JHIA-2013-v1-i1-52

URL: https://nbn-resolving.org/urn:nbn:de:101:1-2021022209180315221606

URL: https://d-nb.info/1227867565/34

URL: https://jhia-online.org/index.php/jhia/article/view/52/50

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A scalable low-cost multi-hospital tele-radiology architecture in Kenya (2018)

Mwogi, Thomas [Verfasser] ; Nyameino, Job [Verfasser] ; Tylleskar, Thorkild [Verfasser] ; [et al.]

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UID:

(DE-101)1227865406

Format: Online-Ressource

ISSN: 2197-6902

Content: Abstract: In LMIC, radiology image studies are transported across distant geographical locations in an attempt at seeking radiologist’s reporting services. This often leads to delayed care, poor patient outcomes and negative monetary implications. The landscape is rapidly changing with improved internet connectivity and availability of advanced radiology equipment. Tele-radiology holds great promise in solving this problem. We describe a tele-radiology architecture that uses the global virtual radiology service model, its implementation, success, challenges and its promise with wide adoption. Implementation involved several policy, stakeholder, security and workflow integration considerations. Over a 1-year period of implementation from January to December 2017, 80 X-rays (CR studies), 150 MRIs and 1,335 CT Scans were processed and delivered for reporting within a period of three (3 ±1.4) minutes. There was image size variability depending on modality. The total cost of implementation of the.... https://jhia-online.org/index.php/jhia/article/view/207

In: volume:5

In: number:2

In: day:10

In: month:12

In: year:2018

In: Journal of health informatics in Africa, Hamburg : Koegni eHealth, Innovation for Development e.V. Germany, 31.12.2013-, 5, Heft 2 (10.12.2018), 2197-6902

Language: English

DOI: 10.12856/JHIA-2018-v5-i2-207

URN: urn:nbn:de:101:1-2021022209103243334283

URL: https://doi.org/10.12856/JHIA-2018-v5-i2-207

URL: https://nbn-resolving.org/urn:nbn:de:101:1-2021022209103243334283

URL: https://d-nb.info/1227865406/34

URL: https://jhia-online.org/index.php/jhia/article/view/207/142

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