Implémentation de l'application OpenMRS ® pour le réseau de lutte contre la drépanocytose à Madagascar : Un modèle de contribution scientifique pour des enquêtes nationales dans les pays francophones en voie de développement

Abstract : Sickle Cell Disease is a real public health problem in Madagascar. Wandering diagnosis and inadequate treatment induce irreversible complications and may cause death in certain circumstances. The objective of this scientific contribution is to improve the process of care and follow up of patients with sickle cell disease in Madagascar. Methods: After a study of needs and technical analysis, the works consist to implement OpenMRS software, originally developed by the Regenstrief Institute -Indiana University for the fight against HIV-AIDS, and to adapt completely to sickle cell disease. Topics include the AS and SS sickle cell patients. The clinical course of the patient is defined to facilitate the monitoring and support network in case of difficulty. A cohort analysis module input data strengthens the epidemiological and clinical research to establish the national map of SS and AS patients. Results: Using 3G+ connection, the application is used by Doctors referents of SOLIMAD © program that connects five regions with high prevalence in sickle cell disease. Results of screening and Patients diagnosed SS are saved in the electronic medical record system. The national therapeutic guideline is used as a reference for updating the clinical protocol. Discussion and conclusion: Despite some factors limiting the deployment of OpenMRS, it has allowed us to define an innovative information system for the Sickle Cell Program in Madagascar. A challenge launched by the NGO LCDMFrance, who has promoted this collaborative tool that will serve as a model for other clinical and health care network in the French-speaking developing countries.
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Submitted on : Wednesday, November 12, 2014 - 3:47:36 PM
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Herizo Andriambololoniaina, Rado Randriamboavonjy, Andry Ratovohery, Monique Razafinimanana, Pascale Jeannot, et al.. Implémentation de l'application OpenMRS ® pour le réseau de lutte contre la drépanocytose à Madagascar : Un modèle de contribution scientifique pour des enquêtes nationales dans les pays francophones en voie de développement. Pré-symposium francophone à MEDINFO 2013, Aug 2013, Copenhague, Danemark. ⟨hal-01082101⟩

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