Kevin Zam

Thanks Ko Aung for sharing the ADKAR model of OpenMRS system.

Thanks Ma Wah for sharing another system!

Using the same HMIS (DHIS-2) of Myanmar Public Health;
1. Awareness: Many staff are used to paper-based reporting and lack understanding of DHIS2 benefits. Communication meetings, orientation, and demonstrations were needed to explain why the change wass ncessary emphasizing improved data-driven decision-making.

2. Desire: Resistance arose from…[Read more]

Thanks Ma Wah for your sharing.

Please give an example of a system in your organization (either successful or fail). What are main factors that make the system successful or failure (Data, Cost, Operation, Design, and People)?
I would like to analyse the HMIS (DHIS2) of government for partially successful factors.
Data : even though the coverage was not all, HMIS could cover…[Read more]

Thanks for your sharing Ma Wah for comprehensive Malaria Reporting Platform.

One example of the decision support system for almost all organization I worked for, is checklist marking scale of recruitment. When we recruit a candidate, we transparently use predefined checklist of position we want with marking scale and during interview, we add or substract marks according to candidate’s answers.
The factors influencing the…[Read more]

Thanks for your discussion Ko Aung.

Thanks for your discussion Ama Wah.

If the hospital in a country do not use the ICD Standard, we need to ask if they are using other Standard first. If no standard is used, each hospital will write diseases differently making it hard to collect, compile, and compare in the national health information system which will cause obstacles in insurance claims, research, policy planning…[Read more]

Dear Ma Wah,
Thanks for your comprehensive and excellent response.
During my work in MSF, we, MD, had to fill up the FUCHIA forms which take around 3 to 5 minutes by hands on paper excluding the patient consultation and examination time (which altogether last around 15 to 30 mins per patients). However, the MD did not fill the EHR to system and…[Read more]

According to the article by Muhiyaddin R, et al., the six main problems causing Physicians’ Burnout are EHRs’ documentation and related tasks such as note taking and electronic communication in EHRs, EHRs’ poor design, workload, work overtime, inbox alerts, and alert fatigue.
Yes, I’ve heard similar complaints. Many health officers say that u…[Read more]

Dear Sayar Aung,
I can read your msg on LINE but my LINE app had some issues to reply anyone. You can reach me @ +959448001552 on viber, whatsapp or zamliankham@gmail.com for the group assignment.
I also agree with you on EMR being the first world’s problem. In developed countries, I heard that so many clinical and laboratory tests are carried out…[Read more]

Hi Ma Hteik,
According to my understanding, weekly health information data is collected by Kobo Collect and visualized in Power BI for the senior management to analyze and respond in your eHealth project. Quite an interesting project to implement in resource limited setting such as Myanmar!

Hi Ama Wah,
Quite an interesting chatbot and app! Transition from LINE chatbot to mobile app? might be costly. However, the app serve as EMR too and it is a good point even though data privacy and security might be concerned in case of phone theft.

As a Sci-fi movie fan, I like the following definition.
eHealth means the ability to dial a doctor from home and the interconnectedness of all of our medical details—it’s the future we were promised from sci-fi!

Thanks for sharing your experiences. I agree with the fact that the need of Big Data Analysis of COVID19 change the landscape of Myanmar Health Information System.

Can you give an example of data that you think it could be considered as “Big Data”? What are the characteristics of the data that fit into 5Vs, or 7Vs, or 10Vs of Big data characteristics?
I had worked in Health System Strengthening project of Chin State in Myanamar. Considering the data I collected that time as “Big Data”, the characeristics of…[Read more]

Thanks for sharing the challenges and difficulties of Open MRS for ART in detail. However, I think that system cover only a limited ART centers in Myanmar compared to the whole nation, right?