TY - JOUR
T1 - Developing and deploying a community healthcare worker-driven, digitally- enabled integrated care system for municipalities in rural Nepal
AU - Citrin, David
AU - Thapa, Poshan
AU - Nirola, Isha
AU - Pandey, Sachit
AU - Kunwar, Lal Bahadur
AU - Tenpa, Jasmine
AU - Acharya, Bibhav
AU - Rayamazi, Hari
AU - Thapa, Aradhana
AU - Maru, Sheela
AU - Raut, Anant
AU - Poudel, Sanjaya
AU - Timilsina, Diwash
AU - Dhungana, Santosh Kumar
AU - Adhikari, Mukesh
AU - Khanal, Mukti Nath
AU - Pratap KC, Naresh
AU - Acharya, Bhim
AU - Karki, Khem Bahadur
AU - Singh, Dipendra Raman
AU - Bangura, Alex Harsha
AU - Wacksman, Jeremy
AU - Storisteanu, Daniel
AU - Halliday, Scott
AU - Schwarz, Ryan
AU - Schwarz, Dan
AU - Choudhury, Nandini
AU - Kumar, Anirudh
AU - Wu, Wan Ju
AU - Kalaunee, S. P.
AU - Chaudhari, Pushpa
AU - Maru, Duncan
N1 - Publisher Copyright:
© 2018 Elsevier Inc.
PY - 2018/9
Y1 - 2018/9
N2 - Integrating care at the home and facility level is a critical yet neglected function of healthcare delivery systems. There are few examples in practice or in the academic literature of affordable, digitally-enabled integrated care approaches embedded within healthcare delivery systems in low- and middle-income countries. Simultaneous advances in affordable digital technologies and community healthcare workers offer an opportunity to address this challenge. We describe the development of an integrated care system involving community healthcare worker networks that utilize a home-to-facility electronic health record platform for rural municipalities in Nepal. Key aspects of our approach of relevance to a global audience include: community healthcare workers continuously engaging with populations through household visits every three months; community healthcare workers using digital tools during the routine course of clinical care; individual and population-level data generated routinely being utilized for program improvement; and being responsive to privacy, security, and human rights concerns. We discuss implementation, lessons learned, challenges, and opportunities for future directions in integrated care delivery systems.
AB - Integrating care at the home and facility level is a critical yet neglected function of healthcare delivery systems. There are few examples in practice or in the academic literature of affordable, digitally-enabled integrated care approaches embedded within healthcare delivery systems in low- and middle-income countries. Simultaneous advances in affordable digital technologies and community healthcare workers offer an opportunity to address this challenge. We describe the development of an integrated care system involving community healthcare worker networks that utilize a home-to-facility electronic health record platform for rural municipalities in Nepal. Key aspects of our approach of relevance to a global audience include: community healthcare workers continuously engaging with populations through household visits every three months; community healthcare workers using digital tools during the routine course of clinical care; individual and population-level data generated routinely being utilized for program improvement; and being responsive to privacy, security, and human rights concerns. We discuss implementation, lessons learned, challenges, and opportunities for future directions in integrated care delivery systems.
KW - Biometric identification
KW - Community health workers
KW - Delivery of healthcare, integrated
KW - Electronic health records
KW - Health information systems
KW - Nepal
UR - https://www.scopus.com/pages/publications/85048557713
U2 - 10.1016/j.hjdsi.2018.05.002
DO - 10.1016/j.hjdsi.2018.05.002
M3 - Article
C2 - 29880283
AN - SCOPUS:85048557713
SN - 2213-0764
VL - 6
SP - 197
EP - 204
JO - Healthcare
JF - Healthcare
IS - 3
ER -