Towards an effective eHealth in Kenya:

Evolving role of Public Health Partnerships in

the Tele-Health Revolution

Steven Wanyee, MSc

I-TECH

• International Training and Education Centre for Health• I-TECH – a collaboration between the University of

Washington and University of California, San Francisco• I-TECH Kenya established in 2009• Providing support for the Health Information Systems

activities in Kenya – including EMR and LIS Implementations

• Technical Assistance / Support with the aim of building in-country capacity– Strengthening capacity of MOH and partners to collect, manage

exchange and use health data

I-TECH SCOPE OF WORK

• Development of HIS standards and guidelines

• EMR system implementations and upgrade

• Laboratory Information System implementations

• Capacity building and training

I-TECH SCOPE OF WORK

• Standards-based Interoperability of health information systems

• Collaborative Development of a gender-based violence information system (

• National Unique Patient Identifiers (NUPI) - +ve patient ID for Continuity of Care

• Data Quality and Patient Monitoring– RDQA, data use initiatives

REGIONS OF OPERATIONS

Central North Rift Nyanza Western

Kiambu Baringo Homa bay Bungoma

Nyeri West Pokot Kisii Busia

Murang’a Nandi Kisumu Kakamega

Kirinyanga Trans Nzoia Migori Vihiga

Nyandarua Turkana Nyamira

Uasin Gishu Siaya

Elgeyo Marakwet

HIGH HIV BURDEN

COUNTIES

KENYAEMR IMPLEMENTATION PROGRESS

We were mandated to implement 300 EMRs by September 2014 The BIG question is, will these 341 EMR implementations result to Improved patient care, improved quality, improved reporting etc?

KENYAEMR IMPLEMENTATIONS ACROSS REGIONS (N=341)

http://demo.kenyaemr.org:8080/openmrs/login.htm

KenyaLISe - http://54.191.189.60:8080/KenyaOpenElis/LoginPage.do

KenyaLISb - https://54.201.196.142/blis-kenya/htdocs/login.php?prompt

How to get Involved

• Local professional Association – KeHIAwww.kehia.orgOpen source Electronic Medical Records System

– OpenMRS Kenya Community - https://talk.openmrs.org/c/local/kenya

• Open source Lab Information SystemI-TECH Kenya

After EMR & LIS implementations, After training and mentorship on system use & navigations, After

legacy data migration …….…………........ WHAT NEXT?

WHAT NEXT………………………………….Institutionalization of capacity through continued OJTs and mentorshipsData quality assurance, data quality controlMeaningful use of dataImproved reportingImproved patient care & management

COLLABORATING WITH OTHER MOH AND PARNERS

– EMR & LIS Readiness Assessments – Data reconstruction – Data migration– Security upgrades– Regional TWG meeting– Routine Data Quality Assessments– Mentorships and capacity institutionalization

ALL THESE ARE KEY BUILDING BLOCKS FOR THE REVOLUTION

+KEY BACKBONE…

HIE Architecture

Interop-Detail

Interop-High Level

Revolution with IMPACT!

Revolutions are great, but;1.Need sound & solid leadership with a PLAN2.Need awareness, inclusivity & Responsiveness3.Need learning and adaptation

THANKS