MIT Solve

Solution Overview

Solution Name:

FSJ Solutions

One-line solution summary:

Personal digital health records for the rural population with the ability to be shared with clinics and health organisations.

Pitch your solution.

Healthcare management of areas and individuals is limited by the lack of data in order to provide timely care of the individual and coordinate healthcare resources from the healthcare providers. Collection of data is typically done on paper, cumbersome to collect, delays in analysis and collected information is not available to the individual patient.

We are proposing a paradigm shift where health records are built on individuals health records and by consent allow healthcare provides draw information and further populate. Health records in the form of tagged information with e.g. Nationalid and cellphone number as the access key.

Western world typical relies on central data banks, but with citizen based health records, digitization can be accelerated in e.g. Africa and not have to wait for a centralized approach or for hospitals to deploy EMR systems. The solution will also cater for migration as their health care information follows them

What specific problem are you solving?

Collection of data and maintenance of healthcare data and Patient journal remains a challenge and good data could help provide better decisions on the individual level, but for health management of rural areas.

Maintaining a patient journal also represents a challenges as the health care organizations lack infrastructure and/or some populations migrate, which challenges the ability to maintain a patient journal

Lack of data doesn't allow for disease management of the individual e.g. cancer, HIV as data is not maintained and disease progression can't be tracked

Organizations like InPact (https://www.inpactuganda.org/) require data gathering tools, but we take it a step further and maintain the collected data as a health record for the individual for further treatment if required.

Healthcare initiatives, like HIV information, Malaria updates, family planning can be target to specific groups of people based on the healthcare data that is persisted in our solution.

Tools like REDcap (https://www.project-redcap.org...) are often used however the collected data is lost as the scope of the project has run it's course, so with our solution the data will be persisted.

What is your solution?

The solutions is built on Open Source technologies and maintains a database to contain healthcare data. Data can be accessed by the patients unique identifier and data sets, e.g. doctors notes, medical device data e.g. blood pressure and patient reported data can be added.

Defined functions on the system will allow updates and sharing of information to stakeholders e.g.

1) Register a citizen with Master data related to the patient including KYC information determine the method of authentication. Profile can also be populated with DOB, height,

2) Access to data or reporting can be achieved over the internet or USSD (GSM phone) by the citizen or healthcare patients upon patient's consent.

3) Prescription of medicine can be logged and authorized pharmacists can access the prescription (upon patient's consent) and dispense with subsequent update.

4) Notes from Doctors or nurses can be added to the health record after interaction via web or USSD interface

5) Centralized institutions, e.g. cancer specialists can access patient records and update records under e.g. a treatment

6) Update medical records with test results or measurements, e.g. BPM, blood pressure, weight, etc.

7) Data can be aggregate to provide e.g. health management reports.

Who does your solution serve, and in what ways will the solution impact their lives?

Organisations like Inpact ( https://www.inpactuganda.org/w... ) employ a community-led development model and strategic partnership

approach to address the complex realities and needs of children, youth,
women, marginalized communities and special interest groups. Specifically in the health area they focus on Reproductive, Maternal, Newborn and Child Health (RMNCH), WASH, HIV Prevention, Nutrition, Mental Health and lately Covid-19.

With a solution like our proposed solution, data can be persisted of indivduals, commmunities and more granular to help coordinate targeted efforts in particular areas of focus, whether it is HIV or communicable diseases like ebola or Covid-19.

The individual with appropriate consent will be able to maintain a health care record that can be kept updated and shared to receive timely healthcare information and care.

Which dimension of the Challenge does your solution most closely address?

Equip last-mile primary healthcare providers with the necessary tools and knowledge to detect disease outbreaks quickly and respond to them effectively.

Explain how the problem you are addressing, the solution you have designed, and the population you are serving align with the Challenge.

In working closely with inPact ( https://www.inpactuganda.org/ ) we will be receiving requirements directly from an NGO, who is on the ground and can help feed requirements along with priorities. InPact and FSJ started working together at the outbreak of Covid-19 and analyzed the need for digitization of information collection for near real time situational analysis.

The requirements will be broaden to also cover other communicable diseases and diseases in general.

The solution will help enable a consistent collection of data in near real time and maintain a historic view

In what city, town, or region is your solution team headquartered?

Hillerød, Denmark

What is your solution’s stage of development?

Prototype: A venture or organization building and testing its product, service, or business model.

Explain why you selected this stage of development for your solution.

FSJ has experience from Europe with the development and deployment of a Remote Patient Monitoring (www.levvel.health), which is CE marked and has 6500 patients who are either chronically ill (e.g. CHF, Diabetes) or Cancer patients taking chemo, Covid long haul patients or complicated pregnancies.

The team would like to leverage the experience from that application, but design it for Africa in terms of available infrastructure and specific needs for Africa.

The business model will also have to change and therefore will be an open source project, where the solution can be supported locally and

Who is the Team Lead for your solution?

Frederik Søndergaard-Jensen