Ousmane Ly - Academia.edu (original) (raw)

Papers by Ousmane Ly

ICT has the potential to improve the quality and efficiency of cooperation and development effort... more ICT has the potential to improve the quality and efficiency of cooperation and development efforts. However, there is a risk that ICT-enabled development projects will worsen the digital divide between urban and rural areas. It is therefore crucial to involve rural areas early in these development efforts, to make sure that their specific needs are addressed. Experiences in the field of health and healthcare have shown the potential of multilateral co-operation, the involvement of the periphery and the importance of supporting local contents development. Obviously, one of the challenges is to find sustainable ways to promote the ICT development of remote, rural communities. It is likely that specific solutions will be needed in different cultural and social contexts, but that replicable concepts will be identified. The proposed project, the “e-well”, based on a pilot implementation in rural Mali, will enable a reciprocal learning from parallel experiences of ICT-enabled multi-sectoral, integrated development plans, in several villages from different settings in Western Africa.

An increasing number of open source projects over the past decade have found their way to the hea... more An increasing number of open source projects over the past decade have found their way to the health sector, particularly in developing countries.Some of the more than 1,500 applications which have already been published in the public domain were particularly successful, others died a quiet death. FOSS means more than free software: for many projects it also involves a completely new approach to novel software development methods to be embedded in even new business models. Since a few years, open source applications became available for the full management of medical records and some of them have grown into complete integrated hospital information management systems. This article tries to give an overview of important potential advantages, disadvantages and challenges for medical FOSS applications with special interest in the electronic medical record.

EKS, 2003

Key aspects of the “e-well”-project concern the evaluation of the impact and sustainability of in... more Key aspects of the “e-well”-project concern the evaluation of the impact and sustainability of integrated, multi-sectoral approaches to the development of rural areas in the least advanced countries. The development approaches include, but are note limited to, the usage of multi-purpose tele-centres and the formalisation and publication of local, collective knowledge. Aim is also a reduction of the Digital Divide, particularly obvious in rural areas of developing countries. Focus is on sustainability by fostering simultaneous development activities in multiple sectors (education, health, economy, culture) based on the assessment of local needs.

Revue Malienne de Science et de Technologie, Dec 29, 2019

Journal of health informatics, 2017

Background and Purpose : The Universal Health Coverage (UHC) is an important point in the 2030 ag... more Background and Purpose : The Universal Health Coverage (UHC) is an important point in the 2030 agenda for Sustainable Development Goals (SDGs). In this study, the authors assess indicators allowing health services coverage monitoring in the context of UHC. Methods : The study has been conducted in 4 Malian health facilities between 2013 and 2016. The most relevant UHC indicators are calculated on the basis of patient’s administrative and health insurance data, collected via an Open Source Health Management Information System (HMIS) deployed in more than fifty sub-Saharan health facilities, OpenClinic GA . Results : The results show that the patient health services coverage (PHSC) rate is 2.4% for outpatients and 18.2% for inpatients. This rate is high in the third reference hospitals where the social health insurance AMO ( Assurance Maladie Obligatoire ) is more applied to patient encounters. The patient health services payment (PHSP) rate as the proportion of total health service c...

The objective of this study is to assess the quality of the teleconsultations performed by the Te... more The objective of this study is to assess the quality of the teleconsultations performed by the Telehealth Network of Minas Gerais (TNMG) and the impact of focused interventions to improve the quality. The first phase consisted of the analysis of the teleconsultations performed from 12/12/2012 to 12/01/2013 (n=440). Questions and answers were classified as “appropriate” or “inappropriate”. Subsequently, an intervention was applied towards the most common reasons for inappropriate questions and answers, and then a second analysis was performed from 01/07/2013 to 31/07/2013 (n=434). In the first phase, 15.0% of the questions and 14.7% of the answers were considered “inappropriate”. The most frequent reasons were “unfriendliness” (use of only uppercase letters) and “not enough information provided” for the questions, and “unfriendliness” for the answers. There was an improvement of the system to promote more structured questions, and staff and users were re-trained. In the second phase,...

La pharmacie joue un role important dans la continuite de la prise en charge des patients. Elle d... more La pharmacie joue un role important dans la continuite de la prise en charge des patients. Elle developpe des strategies d’optimisation de son travail avec des logiciels de gestion. L’objectif de cette recherche etait d’etudier les outils technologiques de gestion pharmaceutique dans les officines de Bamako. Notre etude etait transversale descriptive aupres de 93 officines tires au sort. Les pharmaciens ou assistant –pharmaciens ont ete interroges pour collecter les informations sur les logiciels utilises, leurs fonctionnalites et le niveau de satisfaction des utilisateurs. Nous avons utilise un questionnaire pour collecter les donnees. La saisie et l’analyse ont ete faites sur le logiciel SPSS18. Le score des fonctionnalites etait le rapport du nombre de fonctionnalites disponibles sur le total identifiees. L’echantillon comportait 62,4% d’hommes et 50,5% de pharmaciens. Les logiciels recenses etaient au nombre de neuf. WIN PHARMA etait utilise par 77,4% des officines. Il avait un ...

Objective: to describe the conceptual design and technological aspects of a multinational telemed... more Objective: to describe the conceptual design and technological aspects of a multinational telemedicine network for french-speaking countries in Africa, based on the lessons learned from the development of the telemedicine internet-based network in Mali. Methods: the Keneya-Blown project, initiated in Mali in 2001, has been in productive use for more than a year and implemented various communication schemes including North-South, South-South, and South-North distance learning and teleconsultations. Results: the Keneya-Blown project has shown promising results and also unveiled a set of potential problems: a) limited pertinence of North-South collaborations when there are major differences in available resources or socio-cultural contexts between the collaborating parties; b) risk of induced digital divide if the periphery of the health system is not involved in the development of the network, and c) need for the development of local medical contents management skills. Conclusion: the...

AMIA ... Annual Symposium proceedings. AMIA Symposium, 2003

OBJECTIVE to evaluate the feasibility, potential and risks of an internet-based telemedicine netw... more OBJECTIVE to evaluate the feasibility, potential and risks of an internet-based telemedicine network in developing countries of Western Africa. METHODS a project for the development of a national telemedicine network in Mali was initiated in 2001, using internet-based technologies for distance learning and teleconsultations. RESULTS the telemedicine network has been in productive use for 12 months and has enabled various collaboration channels, including North-South, South-South, and South-North distance learning and teleconsultations. It also unveiled a set of potential problems: a) limited pertinence of North-South collaborations when there are major differences in available resources or socio-cultural contexts between the collaborating parties; b) risk of induced digital divide if the periphery of the health system is not involved in the development of the network, and c) need for the development of local medical contents management skills. CONCLUSION the identified risks must be...

Contexte et objectifs: Dans la grande majorité des pays à faibles ressources, la collecte d’indic... more Contexte et objectifs: Dans la grande majorité des pays à faibles ressources, la collecte d’indicateurs de santé et l’organisation d’un rapportage fiable sur les activités des structures sanitaires restent aujourd’hui un important problème. Pourtant, de nombreux acteurs comme les ministères de la santé, les projets de financement basé sur la performance, les programmes d’assurance maladie et bien d’autres dépendent en grande partie d’informations complètes et correctes sur les systèmes de santé. A ce jour, l’enregistrement et la centralisation des indicateurs se réalise dans la plupart des pays principalement à l’aide de procédures d’enregistrement parallèles et redondantes (systèmes nationaux d’informations sanitaires, DHIS2, programmes verticaux comme le VIH, TB et autres), avec des registres qui sont souvent spécifiques pour chaque destinataire. Dépendant du nombre de partenaires impliqués, certains centres de santés en région sub-saharienne doivent remplir périodiquement plus de...

Objectives: this study evaluates the usability of Data Envelopment Analysis (DEA) for analyzing t... more Objectives: this study evaluates the usability of Data Envelopment Analysis (DEA) for analyzing the technical efficiency before and after hospital information system (HIS) implementation for a set of 8 Central African hospitals (6 Rwandan, 2 Burundian; 6 public and 2 private). Methods: DEA is a method that uses linear programming techniques to produce a relative efficiency score for organizational units where the presence of multiple inputs and outputs makes straightforward comparisons difficult. DEA is non-parametric, requiring no assumptions about the (most often unknown) functional relationship between inputs and outputs (in contrast to regression based models). The method directly compares health facilities against a combination of peers. In this study post-HIS implementation health facility productivity was also compared against results obtained before HIS implementation. Results: the average technical efficiency increase of 5,04% after HIS implementation appeared not to be sta...

Background and purpose: Chronic diseases are an increasingly important cause of death in sub-Saha... more Background and purpose: Chronic diseases are an increasingly important cause of death in sub-Saharan Africa. Diseases such as cancer, diabetes and arterial hypertension remained for years in the background, in the shadow of pandemics such as malaria, HIV / AIDS and tuberculosis. Chronic disease incidence in the Central African region however, is poorly documented. This study explores to what extent secondary use of clinical information stored in hospital information systems can help to provide evidence related to the burden of diabetes, cancer and hypertension in DR Congo, Rwanda and Burundi. Methods: In the past 6 years, 4 reference hospitals of Kisangani, Bukavu, Kigali and Bujumbura implemented open source hospital information management tools integrating international classification systems such as ICD-10 and ICPC-2. Clinical and financial data from chronic disease treatments in the period 2006-2012 were merged into Diagnosis Related Groups (DRGs) for further analysis. Metrics r...

Annuaire suisse de politique de développement

Lancet (London, England), Jul 21, 2018

On May 8, 2018, the Government of the Democratic Republic of the Congo reported an outbreak of Eb... more On May 8, 2018, the Government of the Democratic Republic of the Congo reported an outbreak of Ebola virus disease in Équateur Province in the northwest of the country. The remoteness of most affected communities and the involvement of an urban centre connected to the capital city and neighbouring countries makes this outbreak the most complex and high risk ever experienced by the Democratic Republic of the Congo. We provide early epidemiological information arising from the ongoing investigation of this outbreak. We classified cases as suspected, probable, or confirmed using national case definitions of the Democratic Republic of the Congo Ministère de la Santé Publique. We investigated all cases to obtain demographic characteristics, determine possible exposures, describe signs and symptoms, and identify contacts to be followed up for 21 days. We also estimated the reproduction number and projected number of cases for the 4-week period from May 25, to June 21, 2018. As of May 30, ...

Schweizerisches Jahrbuch Fur Entwicklungspolitik, Nov 1, 2003

Institut de hautes études internationales et du développement

AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium, 2003

to evaluate the feasibility, potential and risks of an internet-based telemedicine network in dev... more to evaluate the feasibility, potential and risks of an internet-based telemedicine network in developing countries of Western Africa. a project for the development of a national telemedicine network in Mali was initiated in 2001, using internet-based technologies for distance learning and teleconsultations. the telemedicine network has been in productive use for 12 months and has enabled various collaboration channels, including North-South, South-South, and South-North distance learning and teleconsultations. It also unveiled a set of potential problems: a) limited pertinence of North-South collaborations when there are major differences in available resources or socio-cultural contexts between the collaborating parties; b) risk of induced digital divide if the periphery of the health system is not involved in the development of the network, and c) need for the development of local medical contents management skills. the identified risks must be taken into account when designing la...