3.10 Health Systems and e-Health Projects Health Management Information Systems (HMIS), developed on Windows platform, the system was developed using most common, simple programming language on a common desktop database platform using Ms Access with district level systems on standalone. Plan to use web based DHIS2 version for District Data with support from Oslo University and Malawi College of Medicine who were contracted to modify the open source code for Malawi. The system was developed with support of Technical Assistance through donor financial aid. The Malawi government sustains the day to day running of the system. Other health systems have been developed by Baobab Health Trust, a Malawian NGO focused on providing technology solutions for healthcare challenges in Malawi. The Trust works with the Ministry of Health to design and utilise medical informatics to replace traditional paper based systems. Solutions assist healthcare workers with registering patients and aggregating essential medical data for improved healthcare management to facilitate efficient patient care. Projects include setting up a 24 hour toll free hotline, accessed by clients seeking health advice about their pregnancy or care of young children and a booking system for ante and post natal care using SMS Technology. The College of Medicine is undertaking research related to magnetic resonance imaging in Malaria research to support common neurological disorders and improving clinical services for patients receiving care at the teaching hospital. Complex scans are sent to Michigan State University over VSAT for further investigation. The MRI Scan is also serving neighbouring countries such as Zambia and Mozambique to detect issues related to malaria and brain disease, spinal cord, heart and great vessel, head and neck diseases etc. 3.11 Software System /Applications Development Initiatives 3.11.1 Integrated Financial Management Information System (IFMIS) 31

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