Last week I gave a Care2x presentation (downloaded from sourceforge) to a
workgroup of the Department of Health which was meeting to develop
specifications for an anti-retroviral module for HIS.

A brief background: the National DOH has HIS specs which are generally used
as a template for each of the provinces to tender for HIS from commercial
vendors.  Most of the provinces has some form of HIS installed in their
larger hospitals - each province has gone their own way and there are
currently 5 vendors used in the 9 provinces.  As you can imagine, there are
huge inter-operability problems between the different provinces - most
vendors claim HL7 compatability; however currently no two provinces' HIS are
'talking to each other'.  There are moves afoot to establish a MPI - master
patient index, which should help this situation.

South Africa also has one of the largest HIV infected populations in the
world, as well as an AIDS dissident as President.  Fortunately in the last
few years he has stepped back from the AIDS debate and national government
are now planning an anti-retroviral (ARV) drug rollout, starting 1 Apr 2004.
There is also a national general election due in a few months time.

Kurt Brauchli from FOSSFA (Free and Opensource Foundation for Africa -
http://www.fossfa.org) has started a mailing list ([EMAIL PROTECTED])
for Care2x and also put a demo on http://www.fossfa.org/demo/care2x.  This
has only happened in the last few weeks so we're still finding our feet.

My presentation to the DOH found some support for Care2x.  If we can develop
an ARV module quickly for Care2x, we could find ourselves a lot more
support.  I believe that it is the way forward for software in Africa and
other developing parts of the world.  The question really to be answered is
who can develop the module - I think we should try to do it within the
FOSSFA group as I think we should not have to rely on Elpidio for all the
coding!  Are there any guidelines for coding modules?  It might save some
time for us, as well as for others later.

These are interesting times for Care2x - everyone is doing a great job!

Regards,

Mark Painter



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