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Ministry of Health

Ministry of Health. eHealth activities Gilbert UWAYEZU (Health Informatics Specialist ) Gilbert.uwayezu@moh.gov.rw April 2013. Rwanda Health Enterprise Architecture framework. RHEA-Individual medical records. Individual records systems. EMR 200 Health Centers operational

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Ministry of Health

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  1. Ministry of Health eHealth activities Gilbert UWAYEZU (Health Informatics Specialist ) Gilbert.uwayezu@moh.gov.rw April 2013

  2. Rwanda Health Enterprise Architecture framework

  3. RHEA-Individual medical records

  4. Individual records systems • EMR • 200 Health Centers operational • All health centers with HIV services at the end of next year • 15 Hospitals by end of 2013 • ?? sites in year 2013-depend on infrastructure • RapidSMS • 1 CHW/village in 29 districts trained (one remaining) • 21 districts now reporting using RapidSMS

  5. RHEA-Routine aggregate/M&E reporting systems

  6. Routine aggregate reporting systems • HMIS • Fully functional for data entry since Jan 2012 – over 500 health facilities reporting every month. • Data managers and M&E officers trained in all Districts and health Centers • Mutuelleindicator reporting now built into R-HMIS • SISCom in transition to R-HMIS platform

  7. Sample- Data entry screen

  8. Routine aggregate reporting systems • mUbuzima • 2 CHWs/village trained in 29 districts • 29 districts reporting using mUbuzima since April 2012 • TRACnet • Fully functional nationwide • eIDSR • System functional in 8 districts • National roll out to be completed October 2012

  9. RHEA-Health Resource Systems

  10. Health resource systems • CBHI “Mutuelle” Membership/Ubudehe • Web-based mutuelle membership module is functional – linked to Ubudehe categorization database • Request for Proposals issued for development of mobile-phone module to maintain and authenticate membership and ubudehe data in villages without internet or computers

  11. CBHI Membership village status screen

  12. Health resource systems • Human Resource Information System • All Health Sector HR data entered • To be updated regularly • Payroll and leave management modules to be developed • Laboratory Information System (NRL): Implementation in progress • LMIS: Tender process ongoing • Blood bank Information System: Functional in 3/5 sites. Plan is to centrally host the system

  13. Health resource systems • Resource tracking: System functional, new recruitment done, need to move the system to a sustainable technology • DHSST: data is available for use for district planning. Data collection done annually • Facility financial management system

  14. Health resource systems • Professional council membership • Functional requirement completed for a consolidated membership database for nursing, medical and pharmacist councils • Short-term solution of Access database has been developed to enable councils to print membership cards and certificates and track payment status • Plan is to integrate into iHRIS

  15. RHEA-Health Information Exchange

  16. Rwanda Interoperability/Health Information Exchange layer

  17. Rwanda Interoperability/Health Information Exchange layer R-HMIS

  18. RHEA-registries

  19. Registries • Facility registry (Completed) • Professional/provider registry (August 2012) • Client registry (September 2012-development)

  20. RHEA-Terminology service (coding)

  21. RHEA- Shared Health Record

  22. ICT INFRASTRUCTURE -Equipment-Networks-Connectivity-Hosting

  23. Challenges • Sustainability of software • Human Resource (especially for Open Source) • Licensing costs where applicable • High cost of infrastructure • LAN and equipment • Connectivity • Hosting (hosting policy)

  24. THANK YOU

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