Project

Title: Development, implementation, and evaluation of sustainable eHealth-based solutions for achieving health care relatedMillennium Development Goals in Cameroon is conceptualized and leaded by Koegni-eHealth

Under the umbrella of the Cameroon Diaspora Network – Germany (CDN.G), professional organizations of the Cameroonian Diaspora in Germany (Koegni-eHealth Innovation for Development, Cameroonian Forum for Medical and Paramedical Sciences – CAMFOMEDICS and Arzt Hilft!) in collaboration with the Cameroonian Society for Health Informatics (CAHIS) have set up a highly specialized collaborative platform for addressing health challenges in Cameroon. This competence network is aimed at contributing to the achievement of related Millennium Development Goals in Cameroon as stated in the article entitled “Information and Communication Technology and the improvement of healthcare in less developed countries” published in the first CDN.G Magazine (Ref. Magazin Nr 1/2010, available at www.cdn-g.org).

Acknowledgement

  • The project entitled “Development, implementation, and evaluation of sustainable eHealth-based solutions for achieving health care related Millennium Development Goals in Cameroon” has received grants from:
    • The Centre for International Migration and Development (CIM) of the German International Cooperation (GIZ)
    • The World Francophone Numeric University.
  • The project is conceptualized, developed and implemented under the leadership of the Cameroon Diaspora Network-Germany by the Koegni-eHealth Innovation for Development in collaboration with the Germano-Cameroonian Forum for Medical and Paramedical Sciences, Arzt Hilft!, and the Cameroonian Society for Health Informatics.
  • Special thanks to Jembi Health System, South Africa for assisting in the implementation and the demonstration of the open platform electronic medical record system “OpenMRS” during the 7th Health Informatics in Africa conference 2011 and 3rd Cameroonian Days of Medical Informatics in Yaounde.

Solution approach

Simplified and abstract illustrations of solutions conceptualized, developed, and implemented are highlightedon the cover page of the magazine and below. Figure 1 shows the integrated use of standard-based ehealth-components (EPR, DSS, telemedicine) in the local care delivery, Figure 2 the current or future (mid-term) applications and services offered at the point of care in the pilot centers or through the virtual environment in Germany (Koegni-eHealth) and Figure 3 the infrastructural environment of the Koegni-eHealth initiative platform.

It is worth mentioning that solutions were developed according to international standards and current best practice guidelines with particular focus on the security, safety, confidentiality and ethical considerations in line with local laws, regulations or policies.

Abstracted view Concept model

Figure 1 shows the integrated use of standard-based ehealth-components (EPR, DSS, telemedicine) in the local care delivery,

Current application and services of Koegni-eHealth

Figure 2 the current or future (mid-term) applications and services offered at the point of care in the pilot centers or through the virtual environment in Germany (Koegni-eHealth) and

Koegni eHealth Platform

Figure 3 the infrastructural environment of the Koegni-eHealth initiative platform.

Target groups

Strategic level: Decision makers at the Ministry of Health, strategic facilities for critical diseases like AIDS, tuberculosis, maternal and childhood diseases, stroke, cardiovascular diseases, epilepsy, cancer, diabetes and its complications.

This level is locally leaded by the Cameroonian Society for Health Informatics.

Operational level: Hospital staff – doctors, midwives, nurses, social workers, laboratory personnel, pharmacists or assistant, computer specialists, medical / computer science students and apart from these, patients and their relatives.

Operative partners in Cameroon: Douala General Hospital, District Hospital Mfou, and Ad Lucem Hospital Bandjoun.

Network

Funders:

  • CIM (Centre for International Migration and Development)
  • UNFM (Université Numérique Francophone Mondiale – World Francophone Numeric University)

Partners:

  • ARZT hilft! e.V. is a charity based in Berlin. The organisation is first and foremost committed to sustainable improvements in health in developing regions through various humanitarian actions.
  • CAMFOMEDICS (Germano-Cameroonian Forum for Medical and Paramedical Sciences)
  • CDN.G (Cameroon Diaspora Network-Germany)
  • SOCIM (Société Camerounaise d’Informatique Médeical – Cameroonian Society for Medical Informatics)
  • Hôpital Ad Lucem de Bandjoun
  • Hôpital General de Douala
  • Hôpital de disctrict de Mfou

Technologies

  • Electronic Patient Record (OpenMRS)
  • eLearning (Moodle)
  • Project management (Dotproject)
  • ECMS (Enterprise Content Management Systems)
  • Issue tracker (Eventum)
  • Pictures archiving program and dicom viewer (dcm4chee)

Background

The health system in Cameroon has to deal with several health problems which increasingly affect the economically active population (e.g. AIDS,Multidrug-resistant tuberculosis, increasing rate of cardiovascular or other chronic diseases)in addition to maternal and infantilehealth problems.

In order to carry out strategic planning, decision-makers need reliable data which are not readily available. In addition, a drastic shortage of professionals is an obstacle to accessing good, adequate and just health care, both in urban, sub-urban and rural areas. Thus, the few available clinicians, patients (and their relations) as well as other active players of the health system need support throughout the care process. Experience gathered on AIDS and tuberculosis in other developing countries has proved that where properly implemented, innovative, locally appropriate cost-effective ehealth-components such as telemedicine, electronic patient record (EPR), decision support systems (DSS) amongst others, can lead to considerable improvement in the care process.

For this reason, an interdisciplinary and experimented team of professionals from the Cameroon Diaspora in Germany implemented an innovative, scientifically validated eHealth-concept in Cameroon with the aim of sustainably improving the current situation and contributing to bridging the gap that results from lack of professionals. This concept was developed for Sub-Saharan-Africa by a member of the Cameroonian Diaspora in his research work with the aim of addressing the following Millennium Development Goals (MDGs):

  • Reduce the proportion of the world population suffering from extreme poverty and hunger by half (MDG 1)
  • Reduce child mortality (MDG 4)
  • Improve maternal health (MDG 5)
  • Fight HIV / AIDS, malaria and other communicable diseases (MDG 6)
  • Build global partnerships for development (MDG 8).

 

Current Project

The eHealth initiative of the Cameroon Diaspora Network Germany – Development, implementation, and evaluation of sustainable eHealth-based solutions for achieving health care related Millennium Development Goals in Cameroon is conceptualized and leaded by Koegni-eHealth.

Under the umbrella of the Cameroon Diaspora Network – Germany (CDN.G), professional organizations of the Cameroonian Diaspora in Germany (Koegni-eHealth Innovation for Development, Cameroonian Forum for Medical and Paramedical Sciences – CAMFOMEDICS and Arzt Hilft!) in collaboration with the Cameroonian Society for Health Informatics (CAHIS) have set up a highly specialized collaborative platform for addressing health challenges in Cameroon. This competence network is aimed at contributing to the achievement of related Millennium Development Goals in Cameroon as stated in the article entitled “Information and Communication Technology and the improvement of healthcare in less developed countries” published in the first CDN.G Magazine (Ref. Magazin Nr 1/2010, available at www.cdn-g.org).

Team

An interdisciplinary and experimented team of professionals is leading the activities of the organization:

Chief Executive Officer

Dr. Ghislain Kouematchoua Tchuitcheu

Chief Medical Officer

Alain Nguento, MD

Senior Consultant Neuroradiology

Dr. Steffen Reissberg, MD

Senior Consultant Gynaecologist and obstetric

Dr. Judith Kouematchoua Tchuitcheu, MD

Senior Consultant Ophtamology

Dr. Jean Oscar Kono Kono, MD

Senior Consultant Oncology

Dr. Ivo Azeh, MD

Senior Consultant Public Health

Dipl. Biol. Wendy Awa, MPH

Biostatistician and Public Health researcher

Dr. Georges Tsague Nguefack

Senior Consultant Medical Imaging

Dr. -Ing. Patrick Ndjiki-Nya

Project management

Dipl. -Ing. Annick Sandra Njanda

Health Informatics consultant

Dipl. Med. Inf. Marie-Noel Ngouomgo

Chief Information Officers

Dr. -Ing. Ulrich Kemloh
Dipl. -Ing. Gilles Kom Kenmegne
Dipl. -Ing. Xavier Scolard

Developpers and System administrator

Yvan Tchantcho
Patrick Tchakoute
Freddy Konan
Msc. Mergole Kuate

Advisory Board:

Prof. Walinjom Muna

Honorary President, Cameroonian Society for Health Informatics
Faculty of Medicine and Biomedical Sciences
University of Yaounde 1 – Cameroon

Prof. Otto Rienhoff

Director, Department of Medical Informatics
Georg-August University Goettingen – Germany

Prof. Vincent Djientcheu

President, Cameroonian Society for Health Informatics
Faculty of Medicine and Biomedical Sciences University of Yaounde 1 – Cameroon

Dr. Line Kleinebreil

Vice President World Francophone Numeric University