I also recommend talking to Baobab Health in Malawi (www.baobabhealth.org).  
They implement a point of care clinical decision making system that also acts 
as a personal health record.  They've done a lot of great work on hardware and 
connectivity solutions that work in low-resource environments.  See 
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2919419/

  
-----Original Message-----
From: change-bounces at change.washington.edu 
[mailto:[email protected]] On Behalf Of Yaw Anokwa
Sent: Saturday, January 28, 2012 2:17 AM
To: Walter H. Curioso
Cc: change
Subject: Re: [change] Personal Health Records in Resource-constraint settings

Walter,

Take a look at Dimagi's work on SmartCare (Zambia's national EMR/HMIS). I think 
this is more in-line with what a classic PHR is.
SmartCare patients carry a SIM card like device that stores all the patient's 
records. I'm pretty sure someone from Dimagi is on this list, so maybe they'll 
chime in.
http://www.dimagi.com/smartcare/
http://www.jhpiego.org/en/content/zambia-leads-way-smartcare-electronic-health-records-system-benefit-both-providers-and-patie

Martin Were's work on clinical decision support might also be a good place to 
look. AMPATH in Kenya has been considering the use of the printed summaries as 
a personal health record for patients. I've been working on a mobile version of 
the system for providers, but there is no technical reason why patients 
couldn't eventually use the mobile client (ditto with the rest of the mobile 
OpenMRS work that's going on).

Changing course to make clinical decision support work in an HIV clinic in 
Kenya (IJMI 2010)
http://www.ncbi.nlm.nih.gov/pubmed/20089444

Design of a phone-based clinical decision support system for resource-limited 
settings (ICTD 2012) 
http://cs.washington.edu/homes/yanokwa/publications/2011_ICTD_DecisionSupport_Paper.pdf
http://www.youtube.com/watch?v=skV25YchXlE

Hope that helps,

Yaw

On Fri, Jan 27, 2012 at 12:20, Walter H. Curioso <wcurioso at uw.edu> wrote:
> Dear all,
> I?d like to know if you have experience with succesful implementations 
> of personal health records in resource-constraint settings/developing 
> countries. Any information (laws, regulations, evaluation papers, etc) 
> or national plans will be appreciated.
>
> All the best,
> Walter
> =-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=
> Walter H. Curioso Vilchez, M.D., M.P.H.,Ph.D.c General Director 
> General Office of Statistics and Informatics Ministry of Health - Peru
>
> Biomedical and Health Informatics
> School of Medicine
> University of Washington
> Box 357240 Seattle, WA 98195
>
> Web: http://faculty.washington.edu/wcurioso/
> Twitter: @waltercurioso
>
>
>
>
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>

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