Scalable and Comprehensive Health Information System Solutions for Low Resource Settings

Johan Ivar Sæbø, Health Metrics Network
Jorn Braa, University of Oslo
Andrew Kanter, Columbia University
Chris Seebregts, University of KwaZulu-Natal
Neal Lesh, D-Tree International
Bob Jolliffe, University of Oslo
Edem Kossi, University of Oslo
Dykki Settle, Intrahealth


In this paper we address the problem of how to integrate health information systems in low-income African countries within which technical infrastructure and human resources vary wildly. We describe a set of tools to meet the needs of different service areas including managing aggregate indicators, patient level record systems, and mobile tools for community outreach. We present an architecture that allows us to provide services at each level of the health system (national, regional, facility and community) and provide different configurations of the tools as appropriate for the individual area. Finally, we present a planned, collaborative implementation of this approach in Sierra Leone.