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114
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March 2006 - present
Publications
Publications (114)
The study aimed to evaluate the formats and completeness of the current paper-based referral system and assess user needs for designing an electronic referral system. Conducted in eight public health facilities in Kigali city, the mixed methods approach identified seven different referral letter formats, with the external transfer form averaging 58...
Background
A clinical decision support system (CDSS) based on the logic and philosophy of clinical pathways is critical for managing the quality of health care and for standardizing care processes. Using such a system at a point-of-care setting is becoming more frequent these days. However, in a low-resource setting (LRS), such systems are frequent...
Abstract. A number of international studies have reported that HIV+ mothers under ART on average deliver babies that have low birth weight (LBW), are smaller (LBH) and are more often premature [1,2,3,4,5,6,7,8,9]. These 3 elements are well known risk factors for neonatal mortality. In our study we wanted to assess the actual status of such supposed...
Integrated computerization of HC is valuable and feasible. It (1) enabled the effective management of information flows (administrative, medical, financial, pharmacy, laboratory…), (2) offered diagnostic and therapeutic knowledge support (CBCP - SPT), and (3) automated generation of aggregated health information reports. Automated extraction of NHI...
Digitized Complaint Based Clinical Pathways (CBCP) contribute to rationalizing curative consultation and treatment in Health Centers (HC) and reduce therapeutic uncertainties, justifying their generalization in HC and
encouraging the removal of the paper-based version of clinical algorithms.
Background
Clinical pathways are one of the main tools to manage the health care’s quality and concerned with the standardization of care processes. They have been used to help frontline healthcare workers by presenting summarized evidence and generating clinical workflows involving a series of tasks performed by various people within and between w...
BACKGROUND
A clinical decision support system (CDSS) based on the logic and philosophy of clinical pathways is critical for managing the quality of health care and for standardizing care processes. Using such a system at a point-of-care setting is becoming more frequent these days. However, in a low-resource setting (LRS), such systems are frequent...
Background
Referral systems support the mobility of patients to ensure they receive adequate healthcare services from the appropriate provider. The major triggers for referrals are limited resources and skills at the lower level of care. An electronic referral system has the potential to considerably improve communication between primary care provi...
Background
Patient referral is a process in which a healthcare provider decides to seek assistance due to the limitations of available skills, resources and services offered locally. Paper-based referrals predominantly used in low-income countries hardly follow any procedure. This causes a major gap in communication, coordination, and continuity of...
Background
In low-resource settings, patient referral to a hospital is an essential part of the primary health care system. However, there is a paucity of study to explore the challenges and quality of referral coordination and communication.
Objective
The purpose of this research was to analyze the existing paper-based referral registration logbo...
Decision support clinical pathways are used to improve the performance of the health-care management system. An effective clinical pathway (CP) helps to know the optimal treatment route that patients will follow. The extent of the CP goes from the first contact in the health-center (or hospital) to the completion of the treatment until the patient...
Though a clinical pathway is one of the tools used to guide evidence-based healthcare, promoting the practice of evidence-based decisions on healthcare services is incredibly challenging in low resource settings (LRS). This paper proposed a novel approach for designing an automated and dynamic generation of clinical pathways (CPs) in LRS through a...
Background
Patient referral is a process in which a healthcare provider decides to seek assistance at a higher level of care. Paper-based referrals predominantly used in low-income countries hardly follow any procedures. This causes a major gap in communication, coordination, and continuity of care between primary and specialized levels, leading to...
Clinical pathways(CP) aim to link evidence topractice for standardizing and managing the quality of healthcare services. However, putting evidence into practice is challenging in health systems with limited resources where limited digitalization represents one of the main hurdles.This study aims atinvestigating the need for designing automated and...
To describe the dynamics and forecast the main parameters of the COVID-19 pandemic, the time series of daily cases in the World Health Organization African Region (WHOAR) from February 26th to December 29th, 2020 was analyzed. Estimates for expected values of parameters characterizing an epidemic (size of the epidemic, turning point, maximum value...
To describe the dynamics and forecast the main parameters of the COVID19 pandemic, the time series of daily cases in the World Health Organization African Region (WHOAR) from February 26th to December 29th, 2020 was analyzed. Estimates for expected values of parameters characterizing an epidemic (size of the epidemic, turning point, maximum value o...
Un Plan National de Développement de l'Informatique de Santé, deuxième génération (PNDIS II) a été développé, visant l'implémentation de la stratégie santé numérique de la RDC durant la période 2020-2024. Le PNDIS II est essentiellement un sous-plan du Plan National de Développement Sanitaire (PNDS) et se concentre sur l'utilisation de la numérisat...
Le Gouvernement du Burundi, à travers le MSPLS, a élaboré un Plan National de Développement Sanitaire qui couvre la période de 2019 à 2023 (PNDS III 2019-2023) visant l’amélioration de la santé de ses populations. La réalisation de ce plan demande l'implémentation, entre autres, d'un système d’information performant, capable de mettre à la disposit...
Since the eighties, case mix evaluation methods based on diagnosis-related groups (DRG) were gradually introduced in developed countries. These methods of assessing the costs of diseases to measure the productivity of the hospital have been introduced in management softwares that are not accessible to low-income countries. In this study, the author...
This research (Poster and Demonstration) in progress paper addresses to: (I). Introduce an automated clinical pathway, (II). Assist the organization of the care processes (by generating the pathway or plan of care) for simple treatment or referral service, and (II). Deliver optimal care by: (I). Reducing delay, (II). Minimizing cost, and (III). Imp...
An overview of what has been realized in the past 3 years for the Belgian e-Health strategy through the framework contract with VUB
Strategies to get health professionals on board when implementing e-health tools in health facilities
The development of a national e-health strategy for the Burundian MoH
Formation dans le cadre du Certificat en Informatique de Santé Appliquée à l'Université Lumière du Burundi
Formation dans le cadre du Certificat en Informatique de Santé Appliquée à l'Université Lumière du Burundi
Formation dans le cadre du Certificat en Informatique de Santé Appliquée à l'Université Lumière du Burundi
Formation dans le cadre du Certificat en Informatique de Santé Appliquée à l'Université Lumière du Burundi
Formation dans le cadre du Certificat en Informatique de Santé Appliquée à l'Université Lumière du Burundi
Formation dans le cadre du Certificat en Informatique de Santé Appliquée à l'Université Lumière du Burundi
Formation dans le cadre du Certificat en Informatique de Santé Appliquée à l'Université Lumière du Burundi
Formation dans le cadre du Certificat en Informatique de Santé Appliquée à l'Université Lumière du Burundi
Going digital in health development programs - the Belgian D4D strategy
Formation dans le cadre du Certificat en Informatique de Santé Appliquée à l'Université Lumière du Burundi
Formation dans le cadre du Certificat en Informatique de Santé Appliquée à l'Université Lumière du Burundi
Formation dans le cadre du Certificat en Informatique de Santé Appliquée à l'Université Lumière du Burundi
Formation dans le cadre du Certificat d'Informatique de Santé Appliquée à l'Université Lumière du Burundi
Conséquences techniques et humaines du partage de données de santé numériques
Workshop about the OpenClinic GA open source hospital information management system as a global good
Using ICT-tools to improve clinical competences and assist medical education in low resource settings
End user training on Ikirezi diagnostic and therapeutic clinical decision support tools
Using e-Health and more specifically the OpenClinic GA hospital information management system for improving the quality of care in sub-Saharan hospitals
Our aim is to bring a machine learning based clinical decision support instrument to assist the maternity care services in a limited resource setting (LRS)
In order to reach the objective of making the OpenClinic GA open source hospital information management system a broadly backed sustainable collaborative project, a community needs to be created around it. Since not much was found in scientific literature about creating, growing and maintaining open source communities, we searched the internet to l...
Functionalities of the OpenClinic GA open source hospital information management system (in Spanish)
Assessment of the Peruvian e-Health environment for implementing digital hospital information management solutions
Benefits and challenges of e-health systems interoperability (in Spanish)
Training on interfacing the OpenClinic GA hospital information management system with DHIS2 in Mali
Workshop on interfacing the OpenClinic GA hospital information management system with DHIS2 in Burundi
Introduction: Since 2012, electronic hospital information management systems (HIMS) have progressively found their way to Burundian health facilities. Private clinics and the military hospital in Bujumbura have been amongst the earliest adopters. Since 2014, the Ministry of Public Health and Fight against AIDS (MSPLS) with the aid of the Belgian Te...
Introduction: Drug prescription errors, such as ignoring relative or absolute drug contra-indications (DCI), often result in harm to patients. Exposure to a potential drug–drug interaction (PDDI) already happens in the case of the prescription or administration of two or more drugs that can interact, even if no harm ensues. Such interactions involv...
Contexte : le MS du Bénin est aujourd’hui confronté à un nombre de défis majeurs pour la mise en place d’une gestion efficiente et effective de ses ressources matérielles : (i) il n’existe pas d’inventaire global fiable du patrimoine, (ii) les données fragmentaires existantes sont peu exploitables par manque de standardisation, (iii) le rapportage...
UHC (Universal Health Coverage) is at the center of the Sustainable Development Agenda. In this study, the authors made an evaluation of the indicators allowing quantification of the impact of health coverage schemes on patients, applied in 4 sub-Saharan Africa countries: Rwanda, Burundi, the DRC (Democratic Republic of Congo) and Mali. After an an...
We made this presentation at the MedInfo 2017 Congress. It is a 6-year study to evaluate patient health service coverage in 8 hospitals of Burundi. We used data from OpenClinic GA, a hospital information management system, used in these hospitals.
Vision paper about new extensible nomenclature
The Universal Health Coverage (UHC) is at the center of the 2030 Sustainable Development Goals agenda. In this study, the authors made an evaluation of the patient health coverage indicators in eight Burundian hospitals from 2011 to 2016. The relevant UHC indicators were calculated on the basis of patient administrative and health insurance data, c...
Introduction
Dans le cadre de la mise en œuvre de la couverture maladie universelle (CMU) au Sénégal, plusieurs acteurs devront échanger des informations par rapport aux soins de santé fournis aux patients. Il s’agit grosso modo des (i) prestataires de soins, (ii) les pharmacies, (iii) les organismes assureurs privés et publics, (iv) l’Agence de la...
Background: Chronic diseases are an increasingly important cause of death in sub-Saharan Africa. This study explores to what extent secondary use of clinical information originating from diagnostic devices and hospital information systems can help to provide evidence related to the burden of diabetes and hypertension in DR Congo, Rwanda and Burundi...
Introduction
OpenClinic GA is a Hospital Information System (HIS) which is popular in Africa, where it has been adopted in several countries ranging from Senegal and Mali to Rwanda, Burundi, DR Congo, Tanzania, Ethiopia and others. One of the reasons of its success, besides the reliability and adaptability of the software, is related to it being op...
Introduction
Since 2012, electronic hospital information management systems (HIMS) have progressively found their way to Burundian health facilities. Private clinics and the military hospital in Bujumbura have been amongst the earliest adopters. Since 2014, the Ministry of Public Health and Fight against AIDS (MSPLS) with the aid of the Belgian Tec...
Background
In Burundi, the Ministry of Public Health and Fight against AIDS initiated in 2012 with the support of the Belgian Technical Cooperation, a pilot project for implementing an electronic hospital information management solution in a number of public health facilities. The aim was to improve the overall hospital management and hence the qua...
The Universal Health Coverage (UHC) is at the center of the 2030 Sustainable Development Goals agenda. In this study, the authors made an evaluation of the patient health coverage indicators in eight Burundian hospitals from 2011 to 2016. The relevant UHC indicators were calculated on the basis of patient administrative and health insurance data, c...
Clinical coding is a requirement to provide valuable data for billing, epidemiology and health care resource allocation. In sub-Saharan Africa, we observe a growing awareness of the need for coding of clinical data, not only in health insurances, but also in governments and the hospitals. Presently, coding systems in sub-Saharan Africa are often us...
Background and purpose: The Ministry of Health (MoH) of Burundi initiated in 2014 the development of a national e-health enterprise architecture aiming to reclaim its leadership in this field and to better align existing and future ICT implementations in the health domain with the strategic options defined by the National Plan for Health Developmen...
Background and Purpose: The Universal Health Coverage (UHC) is an important point in the 2030 agenda for Sustainable Development Goals (SDGs). In this study, the authors assess indicators allowing health services coverage monitoring in the context of UHC. Methods: The study has been conducted in 4 Malian health facilities between 2013 and 2016. The...
Contexte : le MS du Bénin est aujourd’hui confronté à un nombre de défis majeurs pour la mise en place d’une gestion efficiente et effective de ses ressources matérielles : (i) il n’existe pas d’inventaire global fiable du patrimoine, (ii) les données fragmentaires existantes sont peu exploitables par manque de standardisation, (iii) le rapportage...
Clinical coding is a requirement to provide valuable data for billing, epidemiology and health care resource allocation. In sub-Saharan Africa, we observe a growing awareness of the need for coding of clinical data, not only in health insurances, but also in governments and the hospitals. Presently, coding systems in sub-Saharan Africa are often us...
Standards in medicine are essential to enable communication between healthcare providers. These standards can be used either for exchanging information, or for coding and documenting the health status of a patient. In this position paper we focus on the latter, namely terminology standards. However the multidisciplinary field of medicine makes use...
In order to better align existing and future ICT implementations in the health domain with the strategic options defined by the National Plan for Health Development, the Ministry of Health (MoH) of Burundi initiated in 2014 the development of a national e-health enterprise architecture based on the TOGAF methodology. A first part of the development...
In this retrospective study, the authors monitored the patient health coverage in 6 Rwandan hospitals in the period between 2011 and 2014. Among the 6 hospitals, 2 are third level hospitals, 2 district hospitals and 2 private hospitals. Patient insurance and financial data were extracted and analyzed from OpenClinic GA, an open source hospital info...
From 2007 through 2014, the authors participated in the implementation of open source hospital information systems (HIS) in 19 hospitals in Rwanda, Burundi, DR Congo, Congo-Brazzaville, Gabon, and Mali. Most of these implementations were successful, but some failed. At the end of a seven-year implementation effort, a number of risk factors, facilit...
Since 2011, the Regional e-Health Center of Excellence in Rwanda (REHCE) has run an MSc in Health Informatics programme (MSc HI). A programme review was commissioned in February 2014 after 2 cohorts of students completed the postgraduate certificate and diploma courses and most students had started preparatory activity for their master dissertation...
Le Gouvernement du Burundi s’est engagé dans la mise en œuvre du Plan National de Développement Sanitaire (PNDS II 2011-2015) pour l’amélioration de la santé des populations. L'implémentation et le suivi de ce plan nécessitent un système d’information performant, capable de mettre à la disposition des décideurs, des responsables de santé, des parte...
Background and purpose: In order to reclaim its leadership and to better align existing and future ICT implementations in the health domain with the strategic options defined by the National Plan for Health Development, the Ministry of Health (MoH) of the DRC initiated early 2014 the development of a national e-health enterprise architecture. Durin...
The 9 th HELINA (HEaLth INformatics in Africa) conference was organized from 7 to 11 March 2015 in Accra, Ghana. HELINA is the pan-African health informatics organization which has a tradition of organizing this event that goes back to 1993. The conference is focusing on health informatics needs, development, education and strategy on the African c...
Contexte et objectif: Conscient des avantages qu’offrent les NTIC dans la gestion de l’information des structures de soins, le Ministère de santé publique de la RD Congo a choisi de se doter d’un Plan National de Développement Informatique de Santé (PNDIS). Ce plan devra lui permettre de récupérer son leadership dans le domaine de l’informatique et...
La République Démocratique du Congo (RDC) a`décidé depuis 2010 d’adopter une loi sur l’assurance maladie universelle en institutionnalisant une Agence Nationale d’Assurance Maladie (ANAM) et les Mutuelles de Santé (MS) créées au niveau de chaque zone de santé. Un Programme National de Promotion de Mutuelles de Santé (PNPMS) a été mis en place et qu...
Standards in medicine are essential to enable communication between healthcare providers. These standards
can be used either for exchanging information, or for coding and documenting the health status of a patient.
In this position paper we focus on the latter, namely terminology standards. However, the multidisciplinary
field of medicine makes use...
In this retrospective study, the authors monitored the patient health coverage in 6 Rwandan hospitals in the period between 2011 and 2014. Among the 6 hospitals, 2 are third level hospitals, 2 district hospitals and 2 private hospitals. Patient insurance and financial data were extracted and analyzed from OpenClinic GA, an open source hospital info...
Une Architecture Entreprise e-Santé pour le Ministère de la Santé Publique de la République Démocratique du Congo
An e-Health Enterprise Architecture for the Ministry of Health of the Democratic Republic of the Congo
The objective of this study is to assess the quality of the teleconsultations performed by the Telehealth Network of Minas Gerais (TNMG) and the impact of focused interventions to improve the quality. The first phase consisted of the analysis of the teleconsultations performed from 12/12/2012 to 12/01/2013 (n=440). Questions and answers were classi...
Chronic diseases are an increasingly important cause of death in sub-Saharan Africa. This study explores to what extent secondary use of clinical information originating from diagnostic devices and hospital information systems can help to provide evidence related to the burden of diabetes and hypertension in central Africa.
The reference hospitals...
MSc Health Informatics curriculium review for the Regional e-Health Center of Excellence at the University of Rwanda
Objectives: this study evaluates the usability of Data Envelopment Analysis (DEA) for analyzing the technical efficiency before and after hospital information system (HIS) implementation for a set of 8 Central African hospitals (6 Rwandan, 2 Burundian; 6 public and 2 private).
Methods: DEA is a method that uses linear programming techniques to pro...
Background and Purpose: The health sector in many developing countries, especially in sub-Saharan Africa, suffers since a long time from poor health information collection and analysis systems. This study evaluates the results of 3 projects financed by the Migration for Development in Africa-Great Lakes (MIDA GL) program in 3 Rwandan hospitals: Kig...
This research explores to what extent Information and Communication Technology (ICT)-based information management methods can help to improve efficiency and effectiveness of health services in sub-Saharan hospitals and how clinical information can be made available for secondary use enabling non-redundant reporting of health- and care performance i...
This study evaluates a method for measuring the differences in terms of care consumption and health outcomes between insured and non-insured patients admitted to the University Teaching Hospital of Kigali in the period from January 2009 till September 2012. The studied method relies on secondary use of financial, clinical and health-insurance data...
