EHRs for Low Resource Settings

SmartCare a CDC Zambia initiated nationally scalable EHR system is designed specifically for low resource and disconnected settings. Dimagi a company headquartered in Cambridge Massachusetts is worked with the Zambian Ministry of Health, the Center for Disease Control and Prevention (CDC), Elizabeth Glaser Pediatric AIDS Foundation Center for Infectious Disease Research in Zambia, Tulane University Technical Assistance Project Ethiopia (TUTAPE), and other groups to develop the SmartCare Platform.

SmartCare supports longitudinal record-keeping for a variety of health issues such as HIV/AIDS treatments, TB care, VCT, and antenatal care. The system provides clinical decision support, touchscreen interaction, off-line data synchronization, and data portability via the use of smart cards. Additionally, the system provides complex data access through a large catalog of reports containing early warning indicators, treatment failure lists, and individual patient summaries.

SmartCare currently holds over 250,000 patient records and is used in 459 clinics in all 72 districts in Zambia making it the largest system of its kind in Africa. Dimagi in supporting the SmartCare technology is partnering with NGOs, health management officials, providers to merge and access data in a secure manner and to allow data to be aggregated without the need for a central server or network connection.

Right now, Dimagi is working with TUTAPE to implement SmartCare technology in Ethiopia. Dimagi has supported TUTAPE through remote development support and provides in-country training and development. The Ethiopian version of SmartCare is in the pilot stage and expected to be widely deployed in the upcoming year.

For more information, call 1-617-649-2214.