Than Htike Aung

Benefits for Patients
1. Continuous Access to Care
High Availability (HA) ensures that the HIS stays online even if a server, database, or network component fails. Patients experience fewer delays during registration, consultations, lab tests, and pharmacy services.
2. Faster Service Delivery
With system uptime close to 100%, clinicians can access…[Read more]

When we began implementing OpenMRS for the ART program, the primary challenge was not the software itself but the substantial volume of legacy data. Years of ART records were dispersed across paper files and outdated registers, and staff were concerned that transitioning to OpenMRS would further increase their heavy daily workload. Without…[Read more]

I have also experienced an incident related to both Confidentiality and Availability. Our team once set up a test server for internal development. Because it was not considered part of the “main production system,” it was configured quickly and unfortunately left with default login credentials and an open port accessible from the internet. No one…[Read more]

I would like to continue with the discussion from previous section. To support open, honest, and respectful communication in the team, I focus on three key approaches:
1. Promote Clear and Open Dialogue
I encourage team members to speak up early when they have ideas, questions, or concerns. Instead of waiting until issues grow, we clarify…[Read more]

Dear Sirithep,

I would like to know how to apply technology to improve data collection and analysis for this surveillance system. As it is respiratory virus, less human interaction is important for the safety. I also would to know how evaluation indicators can be collected and monitor with less manual effeort.

Thank you.

Dear Ma Hteik Htar Tin,

Using two different platforms for data collection and combining into one is labour intensive especially when there is no automation process and requires regular data monitoring. I would like to suggest that using one platform or automated combination process will improve effective data utilization of this system.
Thank you.

Hi Ma Wah,

Thanks for the missing point. I arranged the slides and might be left out. For the indicators, I didn’t put details in the presentation due to time constraint. We will get those indicators from the following sources:
1. System logs from SIDES
2. Desk review of data from SIDES and paper-based records
3. Interview questions from…[Read more]

When I was assigned to lead the implementation of electronic medical record (EMR) system for our health program, I inherited a team composed of two very different professional groups: public health and clinical staff who deeply understood patient workflows, and IT developers who specialized in system customization and integration. While both sides…[Read more]

PM Lee Hsien Loong (Singapore)
On February 8, 2020, as Singapore raised its risk level (DORSCON) to Orange, Prime Minister Lee Hsien Loong delivered an address designed to be a stabilizing force. His speech was a textbook execution of crisis communication, prioritizing credibility and promoting action.

He understood the urgency of the moment,…[Read more]

Here are top 3 themes I think Myanmar still needs improvement in order of importance.
1. Technology (Theme 3)
Myanmar still faces gaps in digital infrastructure and data interoperability. Majority of health facilities still rely on paper-based systems, with limited Electronic Health Record (EHR) adoption. Fragmented data systems between public,…[Read more]

Could you list the disease outbreaks that have been declared as the Public Health Emergency of International Concern (PHEIC)?
1. 2009 Novel influenza A (H1N1) pandemic: Declared on 25 April 2009; the first PHEIC under the International Health Regulations (2005).
2. 2014 polio eradication: Declared on 5 May 2014; remains ongoing due to continued…[Read more]

1.) Which single design limitation most threatens valid estimates of sensitivity and representativeness? How would you address it within six weeks?
The most significant design limitation that threatens valid estimates of both sensitivity and representativeness in the AEFI surveillance system is the exclusion of private health facilities and some…[Read more]

Verification and preparation
1. Establish the existence of an outbreak: IT systems like automated surveillance and real-time dashboards help detect unusual increases in cases and trigger early alerts.

2. Verify the diagnosis: Laboratory Information Management Systems (LIMS) and teleconsultation tools enable accurate and rapid confirmation of the…[Read more]

One of the digital technologies highlighted in Budd et al. (2020) that I find particularly significant is the use of Bluetooth-enabled COVID-19 contact-tracing applications. While the article discusses a variety of approaches, I will focus on the joint Google–Apple framework, which was rolled out in April and May 2020.

COVID-19 spreads p…[Read more]

One of the digital technologies highlighted in Budd et al. (2020) that I find particularly significant is the use of Bluetooth-enabled COVID-19 contact-tracing applications. While the article discusses a variety of approaches, I will focus on the joint Google–Apple framework, which was rolled out in April and May 2020.

COVID-19 spreads p…[Read more]

Thanks for asking. ART treatment data is predictable easily. Moreover, they follow ART management guideline. Therefore, 90% of patients have similar treatment history. Based on this, expected treatment history (visit date, drug regimen, etc) are predicted by the computer using machine learning and human only needs to verify using physical paper…[Read more]

Should you give the data out?

No. Sharing identifiable data without consent will violate confidentiality and could cause misuse or harm to patients.

How do you not violate any of the General Principles of Informatics Ethics

Principle of Information Privacy and Disposition: Individuals have the right to control their own health information and…[Read more]

1. How can surveillance help to detect and control the disease?

Surveillance can identify unusual increases in dengue-like illnesses, track seasonality, hotspots and high-risk populations for early detection of outbreak.
So that, it can trigger timely vector control interventions (such as fogging, larvicide application and community clean-up),…[Read more]

I agree with you that failure to comply with standard will have many consequences in the future.