The importance of Health Informatics in Kenya – Cirugía Solidaria and GNU Health

The team from Cirugía Solidaria has completed another successful medical and surgical campaign in the African continent, using GNU Health.

The team from Cirugía Solidaria has completed another successful campaign in the African continent.

Health professionals from Maragua hospital and Cirugía Solidaria with GNU Health Hospital Management System training session

The project took place in the hospital of Maragua, in Muranga county, Kenya. Dr. Victor López, from Cirugía Solidaria, describes the experiences during the seven day mission:

“In our latest project in Maragua, Kenya, we had 406 patient evaluations, and 142 of these patients underwent surgery. Some relevant information on the surgical procedures were 32 pediatric surgeries, 22 goiter, 11 cervical masses and 13 oncological surgeries. In addition, we detected 36 patients with cancer that were referred to the Kenya National Cancer Registry for treatment and followup.”

The mission checklist: In these type of projects, there are quite a bit of preparation that starts at home, in Spain, before taking the airplane to the final destination. In addition to the medical and surgical infrastructure, since the partnership with GNU Solidario, medical informatics components are now part of every mission from Cirugía Solidaria. For instance, the GNUHealth Hospital Management system instance is created, with the functionality and localization to meet the health institution needs and country needs. Network routers, laptops, batteries, backup devices…. everything has do be tested thoroughly in different contexts, because once you arrive to destination, there might not be Internet available.

Surgical training: In addition to the medical assistance and surgical procedures, Cirugía Solidaria also takes the Dr López noted, in addition, 11 health professionals have participated in training sessions related to surgery.

The role of GNUHealth: Dr. López went on highlighting the importance of GNUHealth. We want to highlight the GNU Health Hospital Management System in the our medical and surgical assistance. We have recorded all the patients, the evaluations and the details of the surgical procedures. In addition, we have addressed notes and details so we can followup when we return to the center. Moreover, GNU Health has been managed 100% by the health professionals from Kenya, they’ve have felt fully integrated in the initiative, being now part of the team. We are very grateful to the GNUHealth community for the enormous task they do to improve the assistance in countries and places that need it most.

We’d like to remark the importance of Dr. Lopez statement “GNU Health has been managed 100% by the health professionals from Kenya“. This is key, because not only the mission is very valuable to help those that need it most (medical and surgical), but it also generates local capacity and sustainable projects, for the betterment of our societies.

We are very grateful to Cirugía Solidaria and excited to keep on working side-by-side in upcoming projects, building local capacity and delivering a much needed universal healthcare. By looking at the statistics from the latest campaign, those numbers reflect lives that have been saved by anonymous heroes that leave their daily work aside to assist the underprivileged anywhere around the world.

Finally, some technical details for those of us who understand that Free/Libre software and open science are key for freedom, privacy and equity in healthcare: GNUHealth instance was installed on a Debian GNU/Linux 12 server, with GNU Health Hospital Information Management System component 4.2, Tryton 6.0 and PostgreSQL 15. Our gratitude to these fabulous pieces of software, that make GH a reality today.

Leading Public Mental Health Hospital in Argentina embraces GNU Health

Hospital Escuela de Salud Mental chooses GNUHealth to improve their resources, clinical records and patient management

The World Health Organization defines health as a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.

Unfortunately, this definition is far from being a reality in our societies. Instead of embracing the system of health, we live in the system of disease, ruled by a reactive, reductionist and unsustainable model of healthcare. The beautiful noble art and science of medicine is ill. Financial institutions and giant technological corporations are removing the human factor from medicine, transforming people and patients into clients. They are reducing the non-negotiable human right to healthcare to a privilege of a few.

Coming back to the formal definition of health, in the current system of disease very little is taken into account from the social and mental well-being . Today, many people with mental health conditions not only have to deal with the physiopathological aspects of the disorder, but also with the stigma, exclusion and invisibilization from the society.

But there is hope. Medicine is a social science, and GNUHealth is a social project with some technology behind. That feeling of optimism and hope has been reinforced in last week trip to Argentina and their people. In the end, medicine is about people interacting and taking care of people. Is about people before patients. I know them well, because I did my medical career in Argentina.

Group picture with health professionals from HESM, UNER, Government officials and GNU Solidario at the entrance of the leading Public Mental Health Hospital in Entre Ríos, Argentina

The Mental Health Hospital has chosen GNUHealth to improve the management of the institution resources, as well as to provide the best medical care for their community, both in outpatient and inpatient settings. Being able to properly identify every person who needs attention, and knowing the socio-sanitary, medical and clinical history in real time will make a big difference in the care of the individual.

The implementation of GNUHealth in this health institution will be lead by Prof. Dr. Fernando Sassetti and the department of public health studies of the University of Entre Ríos in the context of the GNU Health Alliance of Academic and Research Institutions agreement signed with GNU Solidario.

Health is an equilibrium of the inseparable and interconnected physical, social, mental and spiritual domains. Medicine is about taking into consideration and maintaining this body-mind-spirit-environment balance. This holistic approach to medicine is encoded in the genome of every nurse, psychologist, social worker and doctor from the Mental Health Hospital and the Primary care centers I got to know during these years in Entre Ríos, Argentina.

Links / References

Un software Libre para mejorar las políticas de salud: https://www.eldiario.com.ar/253548-un-software-para-mejorar-las-politicas-de-salud/

Hospital Escuela de Salud Mental : http://www.hesm.gob.ar/

Audiovisual institucional Hospital Escuela de Salud Mental: https://www.youtube.com/watch?v=Jx08WyfKRIE&t=12s

GNU Health: https://www.gnuhealth.org