Wednesday, September 25, 2019

SCALING UP IMPLEMENTATION AND USAGE OF EMR IN MIGORI COUNTY


Name: Zachariah Onteri Mitaki
Registration No.:  W82/89454/2016
Fellowship: Health Informatics
Institutional Affiliation: Migori County Health Department

ABSTRACT
Adopting new practices in health on a large scale requires systematic approaches to planning, implementation, and follow-up; and often calls for profound and lasting changes in health systems. Any systematic approach must include addressing the policy dimensions of scaling up. Without attention to the policies that underlie health systems and health services, the scale-up of promising pilot projects is not likely to succeed and be sustained.
The health sector in Kenya is one of the most funded programmes with multiple stakeholders and partners participating in the endeavour of ensuring a healthy nation. The National government, county governments and donors are working to fight many diseases, including HIV/AIDS, and to make improvements in a number of health areas. As Programs and associated projects to support HIV/AIDS grow, accountability for funding and results reported is becoming increasingly important. The proposed scaling up project of sites using Kenya EMR seeks to aid the Migori County Health Department in the collection, tabulation, and interpretation of data and information in an organized manner to provide a broad picture of the services rendered and to guide management decisions. Upon implementation, the EMR system should support monitoring, supervision, evaluation, operations research, resource allocation, and performance appraisals.
The need for the EMR was identified after keen analysis of the OCA report which identified the need for ICT based reporting; and with consultation with the PLP mentor who emphasized of the need for quality data for the purposes of decision making.
This project seeks to provide continuous information on HIV activities. It also aims to assess how appropriately and adequately each programmatic component is being implemented, administered, and managed. This will help inform policy decisions towards achieving the UNAIDS 90-90-90.
According to the OCA report, the Migori County Health department had low capacity in health informatics. ICT infrastructure was inadequate, no ICT based reporting and there was minimal ICT human resources and training. This project aims to bridge the gap by implementing a system that helps in the availability of ICT based reporting.

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