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Open source challenges for hospital information system (HIS) in developing countries: a pilot project in Mali.
Cheick-Oumar Bagayoko1, Jean-Charles Dufour, Saad Chaacho
1DER Santé Publique, Faculté de Médecine, Pharmacie et d'Odonto-Stomatologie, Bamako, Mali. cob281@yahoo.fr
BMC Medical Informatics and Decision Making
|April 20, 2010
Summary
Open Source health IT, like Mediboard, shows great potential for developing countries. This study in Mali found the system useful, easy to use, and increasing data reliability, supporting its expansion.
Area of Science:
- Health Informatics
- Open Source Software
- Developing Countries
Background:
- Increasing adoption of Open Source Software (OSS) in healthcare.
- Focus on the potential of OSS for developing nations.
- Experiment conducted at Centre Hospitalier Mere Enfant in Mali.
Purpose of the Study:
- To research the potential of OSS for developing countries.
- To evaluate the Mediboard hospital information system in a real-world setting.
Main Methods:
- Selected Mediboard OSS for hospital information system (HIS) evaluation.
- Compared Mediboard functionality against a comprehensive HIS at University Hospital "La Timone".
- Installed Mediboard on Linux servers for testing and full deployment; conducted end-user usability evaluation via questionnaires.
Main Results:
- Mediboard demonstrated potential for health IT in developing countries like Mali.
- Five key modules implemented: patient records, activity tracking, infrastructure, and billing (locally developed).
- High user acceptance: 77% found it useful, 85% easy to use, 100% noted increased data reliability; users encouraged expansion.
Conclusions:
- Study objectives met, demonstrating OSS viability in resource-limited settings.
- Recommendations and challenges for African contexts highlighted.
- Future work includes full billing module integration and wider hospital deployment.
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