gmeltdown

Today I had this nice opportunity to partially attend a PEPFAR partners meeting at the Safari Park Hotel. I shall not assume it is obvious that  PEPFAR  stands for (United States) President's Emergency Plan for AIDS Relief. Kenya is said to be one of the countries with the biggest allocation of PEPFAR grants, largely through USAID and CDC . Every year, billions of Kenya Shillings are handled as grants from PEPFAR within the country, so much so that it is almost a sub-economy in itself. PEPFAR, essentially the philanthropy of the American People appears so immense in the health sector that the aid should ideally overflow to the ICT sector through eHealth. For more on related development dynamics see my earlier post on who really are our genuine development partners . Over time, PEPFAR leadership may have discovered that it is not possible to practice philanthropy in the air - it has to be in someone's jurisdiction -  who needs to care that they Americans ...

Last week I had this great opportunity to be a participant at the fifth annual OpenMRS implementers meeting in Cape Town. The meeting brought together implementers, developers and the leadership of OpenMRS. The meeting was of the  'unconference' style and being relatively less experienced with OpenMRS,  I found myself simply following through the intense sessions, soaking up a lot of knowledge and insights. There were many lessons and great experiences including ideas on how to actualize the dream in my earlier post on adopting OpenMRS in Kenya . I shall try and describe three of them in this post - based on my personal synthesis. Lesson 1: Clinical Systems Not Reporting Systems During one of the evening discussions with Dr. Alvin Marcelo and a few others round a dinner table, I had this bulb light somewhere in my mind that ' Really, medical record systems need not be seen as reporting tools '. In fact, to some health care practitioners, that the medical records sys...