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• W4366140000 abstract "<sec> <title>BACKGROUND</title> The Yaoundé Central Hospital (YCH), located in the capital of Cameroon, is one of the leading referral hospitals in Cameroon. The hospital has several departments, including the Department of Gynecology-Obstetrics (Maternity). This clinical department faced numerous clinical information management problems: lack of quality and reliable clinical information, lack of access to this information and poor use of this information. </sec> <sec> <title>OBJECTIVE</title> To improve the management of clinical information produced at the Maternity of YCH and to describe the challenges, success factors and lessons learned during its implementation and use. </sec> <sec> <title>METHODS</title> Based on an open-source hospital information system (HIS), this intervention implemented a Clinical Information System (CIS) at the Maternity of YCH and was carried out using the HERMES model—the first part aimed to cover outpatient consultations, billing and cash management of the Maternity. HUG and several outcomes supported this project had to be measured at the end. The outcomes assessed were: project management, technical and organizational aspects, leadership, change management, user training and the use of the system. </sec> <sec> <title>RESULTS</title> The first part of the project was completed, and the CIS was deployed in the Maternity of YCH. The main technical activities were adapting the open-source HIS to manage outpatient consultations and developing integrated billing and cash management software. In addition to technical aspects, we implemented several other activities. They consisted of the implementation of the appropriate project governance or management, the improvement of the organizational processes in the Maternity, the promotion of the local digital health leadership and the performance of change management and the implementation of the training and support of users. Despite barriers encountered during the project, the six-month evaluation showed that the CIS was effectively used during the first six months. </sec> <sec> <title>CONCLUSIONS</title> Implementation of HIS or CIS is feasible in a resource-limited setting such as Cameroon. Good practices implemented this CIS at the YCH maternity. This project registered successes but also many challenges. Beyond project management and technical and financial aspects, the other main problems of implementing health or hospital information systems in Africa lie in digital health leadership, governance and change management. This digital health leadership, governance, and change management should: prioritize data as a tool for improving productivity and managing health institutions; promote a data culture among health professionals to support the change of mindset and the acquisition of information management skills. Moreover, in countries with a highly centralized political system like ours, a high-level strategic and political anchor for such projects is often necessary to guarantee their success. </sec> <sec> <title>CLINICALTRIAL</title> <p /> </sec>" @default.
• W4366140000 created "2023-04-19" @default.
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• W4366140000 date "2023-04-17" @default.
• W4366140000 modified "2023-10-17" @default.
• W4366140000 title "Implementing clinical information systems in sub-Saharan Africa: Report and Lessons Learned from the MatLook Project in Cameroon (Preprint)" @default.
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• W4366140000 doi "https://doi.org/10.2196/preprints.48256" @default.
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