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Aimé Patrice Koumamba, Gaetan Moukoumbi Lipenguet, Raymond Ondzigue Mbenga

    Sante Publique (Vandoeuvre-Les-Nancy, France)
    |January 29, 2021
    PubMed
    Summary
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    Gabon

    Area of Science:

    • Public Health
    • Health Informatics
    • Information Systems Management

    Background:

    • Gabon, with World Bank support, aimed to improve its health information system.
    • An audit was necessary to assess the existing system's reality and tools.

    Purpose of the Study:

    • To conduct a comprehensive audit of Gabon's health information system.
    • To identify organizational and technical challenges within the current system.

    Main Methods:

    • Employed qualitative and quantitative approaches over two periods (2016, 2018).
    • Utilized participative workshops, surveys of healthcare workers, and analysis of policy documents and SWOT.
    • Collected data from 171 workshop participants and 770 surveyed healthcare professionals across 150 establishments in 10 regions.

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    Main Results:

    • Identified critical issues: lack of a legal framework, weak data management, siloed systems, non-interoperable applications, and a low 30% completeness rate.
    • Despite challenges, 70% of surveyed professionals favored a new system.
    • Existing assets include computing equipment and adequate internet coverage, with 31.5% of facilities cabled.

    Conclusions:

    • The audit revealed significant organizational and technical deficiencies in Gabon's health information system.
    • Findings provide a foundation for implementing a new, improved health information system.