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Uganda Essay

Decent Essays
1. What is the nature of OpenMRS and why was it developed? Why were US universities, US National Institute of Health (NIH) and US donors involved in developing this system? 2. What were the impacts of using OpenMRS in ISS Clinic? How did the healthcare system improve? 3. What were the problems encountered in using OpenMRS? Discuss the battle of forms and why there were disagreements about what forms to use. Make a distinction between research vs. clinical objectives, US researcher vs. local objectives. 4. Why the OpenMRS project is in danger of failure? Why did the clinicians at ISS clinic say that “we didn’t ask for it. It is your problem”? Why MOH and US researchers are at odds about the value of OpenMRS? 5. What…show more content…
The data also allowed them to analyze patient trends and reduce the instance of drug stock outs. They could also use the data base to generate random samples for new research studies. 3. The problem with the Open MRS system is that not everyone in the clinic was on board. Clinic workers generally thought of the system as more for the US researchers. Clinicians did not have much access to the system either as their primary tool was still paper forms. Another bump in the road was the Ministry of Health standardizing all forms for HIV clinics meant that ISS needed to redo their system to match the new forms, which also were lacking room the for the additional data needed for UCSF and MGH research. The Ministry of Health in Uganda was concerned with making the reporting of HIV treatment standard for all patients across all the different health platforms, public or private. For the US researchers they wanted to include additional data for their various studies. Both the clinic and the researchers goal was to better and more efficiently treat the AIDS epidemic, however for the researchers they also needed to report back to their grant funders and publish studies in order to keep the program running. 4. The OpenMRS system was in danger of failure in 2010 because there was not enough financial support to cover the operational cost of the program. Funding was being stretched thinner and thinner and one of the clinics big grants was about to expire. The
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