The Malawi Ministry of Health and Population requires accurate data reports from its HIV clinics so that it can forecast and plan for health care delivery in Malawi. Unfortunately, as HIV clinics are growing, so too are paper-based patient records. This increases the workload for healthcare staff because they must physically review each record to collect this data.

Baobab is addressing this challenge by generating electronic reports from its sites, thus reducing the burden on hospital staff. Simply put BHT is revolutionizing the use of technology in developing-world healthcare environments.

So far BHT has demonstrated its ability to apply medical informatics principles in resource-poor environments through both hardware and software innovations. Specifically, Baobab has developed low-cost and long-lasting power backup systems, touchscreen-based user interfaces designed for users with limited technology experience, and low-cost information appliances that are significantly more robust in harsh environments that are traditional computers.

Baobab Health develops applications using open standard web technology and releases the applications using open source licenses for the benefit of others.

We ensure user-friendly modules and hardware are involved. We also conduct user testing scenarios to make sure the hardware is functioning properly and that the software modules are in line with the user specifications. This involves establishing a workflow that fits with the system to be deployed as well as the existing health facility workflow.t

Baobab Health maintains a 24/7 Call centre that responds to all technical problems that users encounter. The staff at the Call centre ensures that all sites are up and running they do this by making follow-ups. log all outstanding issues remotely access the system to check on system usage and performance.

 

Project Name Brief Scope Coverage Strategic Partner (s) Donor
1. Antenatal Care (ANC)

To collect medical data for pregnant women in line with the MoH protocol; improve PMTCT management and health care delivery and enhance patient data collection and data availability to the health worker. The system not only supports clinical decisions but also enhances the continuum of patient care and Anti-retro-viral Therapy (ART)­ modules.

25 health facilities across the country Department of HIV and AIDS, Reproductive Health Directorate. CDC
2 Chronic Care Clinic- NCDs (CCC) To collect, manage and monitor all patient data which will center on of four commonly diagnosed and pre – selected chronic diseases namely; Diabetes, Hypertension ,Asthma and Epilepsy. 5 health facilities; Kamuzu Central Hospital,Area 25 Health Clinic , Kasungu District Hospital ,Mzuzu Central Hospital, Zomba Central Hospital and Queen Elizabeth Central Hospital. World Diabetes Foundation (WDF) Ministry of Health (MoH), Diabetes Association of Malawi (DAM) World Diabetes Foundation (WDF)
3 HIV Testing Services (HTS) To enhance the management of HIV testing and counseling services through the HTC EMR. The module covers HTC supplies Inventory management (test-kits etc.), Client’s registration, Counseling and testing protocol, and referral for treatment for HIV positive clients. Successfully piloted at Lighthouse,Martin Preuss Center(Bwaila) ,Mitundu Health Center and Dedza District Hospital. Now extending to 18 health facilities. Centers for Diseases Control and Prevention (CDC),

Ministry of Health

(MoH) Lighthouse Trust

Baobab Health Trust

CDC
4 ART Stock Management To enhance the management of ART products which remain a critical component in management of HIV and AIDS by supporting ART stock management activities including the ART products Inventory management, monitoring the stock levels of the ART products All health facilities which have ART system

(>120)

CDC, CMED, DHA CDC
5 Laboratory Information Management Systems

To improve the management, storage and reporting of laboratory data while the same time enhance laboratory processes and timely availability of reports. The module also seeks to improve the availability of HIV and AIDS related indicators such as (EID and Viral Load)

All central hospitals and Thyolo District Hospital with high chances of expansion. CDC, CHAI, URC, KCH, LIN, Riders for Health, PIH, System One. University of Pittsburgh

Baobab Health Trust

 CDC
6 Civil Registration and Vital Statistics

Establish electronic Death and Birth registration modules for capturing civil and vital statistics across the country. in Malawi.

All the 28 districts. Systems installed at all district hospitals and District Commissioners office.

MoH

NRB

Local Government

BHT

 CDC
7 Electronic Village Register (EVR) Implement a robust power and network solution to capture vital statistics in the 83 villages in TA Mtema and optimize to enhance data use in community health facilities through integration of applications at community health facilities with Zam’mudzi Mwathu registration project. 83 Villages and 5 Health facilities in the areas of T/A Mtema. International Union Against Tuberculosis and Lung Disease (The Union) International Union Against Tuberculosis and Lung Disease (The Union)
8 Electronic Integrated Disease Surveillance and Response (eIDSR) To strengthen national monitoring and surveillance programmatic activities and reporting on infectious, communicable, community and cross border disease cases in Malawi. The project will develop and implement a Border Fever Triaging system at KIA and Chileka International Airports. A community level mobile application solution for collecting and reporting symptomatic and symptomatic data on suspected disease cases will also be developed 60 Health facilities with OPD

184 Communities

2 International Airports

Epidemiology Unit

CHSU

Luke International- Norway

WHO

NAC
9 National ART System To improve the management, treatment, monitoring and prevention of HIV and AIDS and contribute towards achieving UNAIDS 90-90-90 goals for eradicating the HIV epidemic. 121 Health facilities across the country CDC, DHA CDC
10 Malaria Surveillance System

This project addresses the lack of complete, accurate and timely data available for monitoring of malaria by deploying electronic medical record systems. This allows for recording of confirmed Malaria diagnoses and dispensations of drugs (including Malaria drugs). A central reporting dashboard module installed at National Malaria Control Programme (NMCP) provides visibility of malaria treatment; supply chain and timeliness of data from facilities.

Mchinji District Hospital, Mulanje District Hospital, Queen Elizabeth Central Hospital, and the National Malaria Control Programme.

National Malaria Control Programme

Ministry of Health

President’s Malaria Initiative

Baobab Health Trust

Centers for Disease Control and Prevention

11 KUUNIKA

The project seeks to enable health data systems generate complete, accurate and timely HIV related health data across central, zonal, district, facility while strengthening the government of Malawi data governance structure and use of the data by various players in the health sector.

26 health facilities

MW Government

Lighthouse Trust (LHT) prime, Baobab Health Trust (BHT), Luke International – Norway (LIN) and International Training and Education Center for Health (l-TECH).

Bill and Melinda Gates

12 WDF14-398 NCDs (Diabetes, Hypertension, Asthma & Epilepsy Control) Project. To contribute towards the health of Malawians by enhancing the national capacity for implementation of Diabetes, Hypertension, Asthma and Epilepsy prevention and management strategies. 33 Health facilities in the north and 45 in the central region. MoH, DAM, DCT, KCN

World Diabetes Foundation (WDF), Denmark

13

VMMC

To collect medical data for circumcision in line with the MOH protocol; improve circumcision procedure management and follow-up tracking; and enhance data made available to the healthcare provider. The system will support clinical decisions and enhance the continuum of client care. Pilot at 1 health facility (Kamuzu Barracks)

Department of HIV and AIDS.

DoD

14

A National HIV Case Based Surveillance System

The goal of the project is to develop and implement the technology for collection and reporting of individual HIV case data with an HIV CBS system pilot, in order to evaluate barriers to further roll-out to the remainder of the country, and to obtain preliminary information on the number of HIV infected clients who are initiated on ART, retained, and their clinical outcomes

Centers for Diseases Control and Prevention (CDC)

13

Military eHealth Information Network

Strengthening the capacity of the MDF to collect and use surveillance data and manage MDF HIV/AIDS programs by expanding HIV surveillance programs and strengthening laboratory support for surveillance, diagnosis, treatment, disease monitoring and HIV screening for controlling the epidemic among HIV positive service personnel.

Kamuzu Barracks, Cobbe Barracks, and Moyale Barracks. Department of HIV & AIDS

Department of Defense

Malawi Defense Force

Baobab Health Trust

DoD HIV and AIDS Prevention Program (DHAPP)

14

Daeyang Luke Hospital

Electronic Billing System

The project has been implemented at DLH initially focusing on outpatient services payments. However, once all issues have been resolved inpatient payments using the same shall be commenced. DLH University of Pittsburgh, Baobab, Daeyang Luke Hospital

University of Pittsburgh

15

National HIV Case Based Surveillance – Pilot

To strengthen national HIV/Aids monitoring and surveillance programmatic activities and reporting by developing and implementing an individual patient level / longitudinal national database for people living with HIV/Aids in Malawi.

The project is expected to support the achievement of the PEPFAR and 90 90 90 goals by enabling the Malawi Ministry of healthy to monitor trends on HIV/Aids epidemic and the associated outcomes from Ant-Retro Viral Treatment on patients as they progress into the clinical cascade to inform continuity of care

4 health facilities  which have ART,HTS,LIMS,ANC and CRVS systems

CDC

I -TECH

WHO

DHA

CDC through

I-TECH

16

ARGUS – Pilot

To strengthen national monitoring and surveillance programmatic activities and reporting on specific epidemiological diseases/conditions in Malawi

The project is expected to Developing and implementing an Outpatient Department SMS based mobile application solution collecting weekly and / or monthly aggregate data on 13 epidemiology diseases/ conditions .The application will be used by HSAs from 184 health facilities 13 diseases under coverage are Poliomyelitis (AFP),Acute haemorrhagic fever syndrome, Adverse event following immunization,Cholera, Maternal Death ,Diarrhea with blood,Measles, Meningitis, Rabies Neonatal tetanus,Plaque, Yellow and Typhoid Fever

U

WHO,

UNICEF,

Luke International Norway,

Epidemiology Unit -CHISU

13 districts with a total of 184 sites

13 districts with a total of 184 sites

WHO,

UNICEF,

Luke International Norway,

Epidemiology Unit -CHISU

WHO

UNICEF