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Tag Archives: Public Health

GNU Health, the "Dok Champa" blooming in Lao

06 Friday Sep 2013

Posted by Luis Falcon in Uncategorized

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free software, GNU Health, GNU Health, Laos, Public Health, rehabilitation

 

 

National flower in Lao, the Dok Champa is a symbol of sincerity and the beauty of life. Likewise, the Center of Medical Rehabilitation (CMR) in Vientiane, capital city of Lao, is a pillar of pure honesty and compassion, dedicating their efforts and knowledge to promoting the best services for deaf, blind or otherwise disabled people. This week a team at CMR announced they will be incorporating GNU Health to their healthcare center. For the first stage of the project, the hospital will be implementing key modules such as Administration, Patient Registration, Accounting/Finances and Billing. 
Heading this enterprise will be the Director of the Center, Khamphet Manivong, along with Bounmy Sihaphom, Sisouvanh Sangbouaboulom and Anousak Souphavanh,
IT consultants from Calat.

 

This healthcare facility, formerly known as the National Rehabilitation Center, was established in 1964, comprised of the following departments:
  • Orthopedic workshop
  • Wheelchair workshop
  • Medical Rehabilitation
  • Community-based Rehabilitation
  • Special education for the deaf and the blind
  • Vocational school system for the disabled
However, it was not until March 29th, 1968, that the CMR officially opened its doors, providing physiotherapeutical treatment through an extended service across the country. It was originally the orthopedic workshop where prosthetic limbs for veterans and war victims were produced.

Nowadays, this center is rather renowned for its unique services for the unexploded ordenance (UXO) victims after the Vietnam War. The Hospital manages a total of 100 beds in different buildings and specializes in physical medicine, orthopedic surgery, prosthetic and orthotic fitting, as well as in physiotherapy and special education for blind and/or deaf children. Not only are they committed to the improvement of health conditions, but the center aims at changing the quality of life of every person they can reach. When it comes to their educational programs, this is what the hospital stated: “This is a significant step towards fulfilling the obligations of providing the fundamental rights of all our kids with disabilities to have equal access to mainstream education”.
 

It’s not over yet: the silent murderers attacking Lao

“The war is simply an obscenity, a depraved act by weak and miserable men, including all of us who have allowed it to go on and on with endless fury and destruction – all of us who would have remained silent had stability and order been secured. It is not pleasant to say such words, but candor permits no less”.

 

Noam Chomsky, in American Power and the New Mandarins (1969)

 

More than 30 years after Saigon’s fall, tipping point that ended the Vietnam War in 1975, the government of Lao is still asking the international community to sign a new agreement that forbids the use of cluster bombs.

During the Vietnam War, American airplanes dropped millions of bombs, many of which failed to explode when they hit the ground, but are yet still active today in the jungle. It is a war of the past that keeps murdering generations of the present.
 

5 things you should know about Lao

  • Capital city: Vientiane
  • Population: 6.5 mio (2012)
  • Government: Marxist-Leninist single-party state.
    • President: Choummaly Sayasone
    • Prime Minister: Thongsing Thammayong
  • Area: 236, 800 km2
  • Currency: Kip (LAK)
  • Official language: Lao
 


Laos Regions Map
View Larger Map

 

National Anthem of the Lao People’s Democratic Republic: “Pheng Xat Lao”

 
  1. Lao appoints 4.5% of its GDP to healthcare (2013)–more than Monaco, Saudi Arabia and India, for example. However,  there is one physician every 3000 people and one bed every 1000 people. Interestingly enough, one in every 10.9 jobs belongs to the tourism sector (2010).

     

  2. During the bellicose period from 1964 to 1973, 260 million bombs fell on Lao, making the country (on a per capita basis) the most heavily bombed civilian population ever. Of these, around 80 million cluster bombs failed to explode, so most villages have unexploded ordnance (UXO) on display salvaged from the forest and rice fields. Alas, thousands of Laotians die every year because of this unwanted war veteran.

     

  3. The internet domain for Lao is .la; there are 1,532 internet hosts (2012) and 300 thousand internet users. Moreover, there are 5.481 million mobile cellulars (2012) for a 6.5 million population
  4. Most of the basic words of Lao have only one syllable. Multi-syllable words are usually higher level and used in religion, academics or government. They were taken mainly from Sanskrit, the classical language of India, and are often the same as or similar to high-level vocabulary in Thai.
  5. The Mekong River runs like a major artery for the length of the country and its vast network of tributaries allow both locals and visitors to reach the remote interior. The WWF organization affirms that a new species is registered every two days in the Mekong area.

 

 
 
 
 

 

 
 

MEDINFO 2013, Copenhagen 20-23 August

19 Monday Aug 2013

Posted by Luis Falcon in Uncategorized

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Copenhagen, ehealth, free software, gnu, GNU Health, GNU solidario, healthcare, IMIA, MedFLOSS, medinfo 2013, Public Health, software libre, United Nations, UNU-IIGH

 
MEDINFO 2013 Copenhagen starts this week, August 20 – 23. and are very proud to present GNU Health August 22nd from 8:30 to 10:00 in Room 1 during the:
 ” Care for the World Mini-Symposium: Minisymposium on Care for the World. Collaboration, Openness, Transparency and Trust as Prerequisite for High Quality, Effective and Efficient Health Care “.
The key speakers will be: Thomas Karopka, Syed Aljunid, Nurhizam Safie, Luis Falcon, Holger Schmuhl and Kjeld Lisby.
Please find more info in the detailed program online:

For more information about the Care for the World Minisymposium, please make sure to check out the IMIA flyer.

 We hope to see you in Copenhagen !

62nd IFMSA (International Federation of Medical Students Associations) General Assembly – Chile

16 Friday Aug 2013

Posted by Luis Falcon in Uncategorized

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ehealth, floss, free software, gnu, GNU Health, GNU solidario, health promotion, healthcare, IFMSA, ISfTeH, Public Health, Santiago de Chile, software libre

Last week I was invited to the “62nd IFMSA (International Federation of Medical Students Associations) General Assembly”. 
Santiago de Chile view
The Conference took place at the Catholic University of Chile, in Santiago, between August 01-07th, 2013. This year, as part of the recently established “ISfTeH & IFMSA Partnership”, the ISfTeH (International Society of Telemedicine & eHealth) organized an “eHealth Symposium”, on August 1st.
Dr. Etienne, Director of OPS-OMS and Dr. Jaime Mañalich Health Minister of Chile at the Opening Ceremony and Dinner Gala
I was invited as an ISfTeH FLOSS Working Group representative, together with Mr. Frank Lievens and Mr. Adolfo Sparenberg, ISfTeH Board Members.
The “ISfTeH & IFMSA eHealth Symposium”, on August 1st, counted with both our local and remote presentations by very active and recognized ISfTeH members: Dr. Etienne Saliez, Dr. Monika Hübler, Eng. Thomas Karopka.
Dr. Etienne, Director of OPS-OMS at the Opening Ceremony
On August 2nd we attended 2 sessions:
– IFMSA GA WG Session on Public Health Strategies: Where I presented the GNU Health Project and Adolfo Sparenberg presented the Public Telecardiology Project RS State/Brazil. The focus of this session was to introduce new opportunities and strategies which can contribute to the improvement of public health assistance. Around 40 IFMSA delegates, representing different countries, were part of the audience.
Sebastián Marró – GNU Health – AIFMSA GA WG Session on Public Health Strategies
– IFMSA Telemedicine Session- Round table meeting at the Catholic University of Chile: This activity was characterized as a practical activity aiming to identify students interested in telehealth matters and also as an attempt to organize a group of IFMSA national members for the establishment of an “eHealth working group”.
Sebastián Marró with IFMSA LORMA Maria Aroca
Sebastián Marró with Mr. Frank Lievens and Mr. Adolfo Sparenberg at the Opening Ceremony
I would like to thank Frank Lievens and Adolfo Sparenberg for inviting me to take part of this important activity jointly promoted by the ISfTeH and IFMSA and gave me the opportunity to introduce GNU Health and the Free Software concept to students from all over the world.
Sebastián Marró

GNU Health chosen by Auroville, the Universal City.

25 Thursday Jul 2013

Posted by Luis Falcon in Uncategorized

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Auroville, ehealth, free software, gnu, GNU Health, GNU solidario, humanity, Public Health, UNESCO

Auroville, the Universal City, chose GNU Health, the Universal Health Information System.
The first sentence that we find when we enter Auroville’s homepage is :

“Auroville wants to be a universal town where men and women of all countries are able to live in peace and progressive harmony above all creeds, all politics and all nationalities. The purpose of Auroville is to realise human unity.”

No wonder why we have such a good connection, since the concepts of community and universality are common to Free Software.

GNU Solidario is working hand-in-hand with Aurovillians so the City and their health center can have its own Health Information System.

The Galaxy : Auroville layout

Auroville is located in the south of India, in Tamil Nadu state. It designed to host 50000 people, from all over the world. Currently has citizens from 45 nations.

UNESCO commendment : In 1966 UNESCO passed a unanimous resolution commending Auroville as a project of importance to the future of humanity, thereby giving their full encouragement.

Auroville’s Unending education

GNU Health is being implemented in Auroville’s health centers, working at many levels, with health promotion and disease prevention, demographics, epidemiology and, of course, the day-by-day medical encounters and health center management. Auroville health professionals take care of the city and surroundings.

Room in Kailash Clinic

The new building of the Auroville Institute for Integral Health was started one year ago. It will be the new home for the Kailash Clinic where a new health care model called ‘the integrative practice of medicine’ will be practised. This model is based upon collaboration of multiple medical systems (western and eastern) to provide holistic care. The building will have consultation and treatment rooms and rooms for in-patient and senior care. It will also provide training and research facilities.

Matrimandir : The Soul of the City

In GNU Solidario, we are honored and very proud to be part of this project, which aims to be an example of unity, community and solidarity. 

 

Auroville Animal Care Center

 

Look for the inner causes of disharmony
much more than outer ones.
It is the inside that governs the outside.

It’s a great to see that GNU Health, the Free Software Health and Hospital Information System, has been chosen to be part of Auroville, a symbol of “sustainable living and the future cultural, environmental, social and spiritual needs of mankind“

More information : www.auroville.org


About GNU Health
GNU Health is a Free Health and Hospital Information System that provides the following functionality: 

  • Health Information System (Demographics, Epidemiology)
  • Hospital Information System
  • Electronic Medical Record 

GNU Health won the Best Project of Social Benefit from the Free Software Foundation, among other international awards.

GNU Health is an official GNU Package , and is part of GNU Solidario, an NGO that delivers health with free software. GNU Solidario and the United Nations University, International Institute for Global Health have signed an agreement to implement and to train Health professionals GNU Health around the world.

GNU Health was presented at the World Health Organization (WHO) and International Communication Union (ITU) session “ICT for Improving Information and Accountability for Women’s and Children’s Health” at the World Summit on the Information Society – WSIS 2013 Forum in Geneva.


Main site : health.gnu.org

Budi Luhur University, Indonesia, joins GNU Health !

19 Friday Jul 2013

Posted by Luis Falcon in Uncategorized

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Budi Luhur University, ehealth, free software, gnu, GNU Health, GNU solidario, healthcare, HMIS, Hospital Information System, Indonesia, Public Health

Once again, with great pleasure and honor, we announce that another university has joined the GNU Health Community: The Budi Luhur Universitas (Indonesia)
Budi Luhur University, under the management of Budi Luhur Foundation is a nationally recognized institution with excellent teaching. The university being the pioneer among private universities in Indonesia offering computer studies, is consistently judged as one of Indonesia’s best higher educational institution in computer studies and is still highly respected.
We are so proud to see how GNU Health is spreading globally in the health care and academic system.
Thanks again to the Budi Luhur University for joining us !

GNU Health project at Kyeni Consolata Hospital – Kenya –

16 Tuesday Jul 2013

Posted by Luis Falcon in Uncategorized

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ehealth, free software, gnu, GNU Health, GNU solidario, HMIS, Hospital Information System, Public Health

Few weeks ago we got a mail from Beatriz Meijide. She is from Spain and she has been involved in a very great project for the last 10 years.
Beatriz has been collaborating with the Kyeni Consolata Hospital (Kenya), this a 166 bed hospital with a patient growth on +188% from 2005 to 2012. It is considered the locals favorite hospital for personalised attention and services. The hospital has improved a lot since 2005 and the idea of the people working there is to enhance it even more.  Knowing that the Hospital was in need of an Hospital Information System, Beatriz heard about GNU Health and contacted us and completed a GNU Health Training.
These are her words:

    ” … I believe GNU Health will take the Kyeni Hospital to another level an it will greatly increase the efficiency and control of the hospital information. I think it covers all te areas we need and it also offers the ability to customize further developments if they are required. It’s been a very intense training and I believe I’ll be able to train the  local team in Kenya ! GNU Health is a very “user-friendly” system and I hope we’ll be another success story … ” Beatriz Meijide

Thanks again to Beatriz and the Kyeni Hospital. We’re very proud and exited to be part of this beatiful project !

GNU Health version 2.0 released !

08 Monday Jul 2013

Posted by Luis Falcon in Uncategorized

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ehealth, esalud, free software, gnu, GNU Health, GNU solidario, Public Health, software libre, tryton

Dear All:

I’m proud to announce the release of GNU Health 2.0.0 !
This version comes after 5 months of very hard work, and brings the best version so far. The following highlights some of the main achievements of this version :
  • Compatible with Tryton 2.8
  • GNU Health Installer . An easy OS-independent server installation method
  • Neglected Tropical Diseases – Chagas Module
  • Domiciliary Unit model.
  • Integration with OpenStreetMap (OSM) for realtime geolocation of the Domiciliary Units and other demographic and epidemiological studies.
  • WHO essential medicines is now a module
  • Improve hospitalization module : Bed transfers wizard
  • New Demographics section and functionality on individuals and families
  • Pre-operative ASA (American Society of Anesthesiologists) Physical Status Classification System
  • Revised Cardiac Risk Index
  • Extended Patient Identification registration
  • Improved navigation and view layouts
  • Improved Documentation (on Wikibooks: http://en.wikibooks.org/wiki/GNU_Health)

Bug fixes and many other contributions and suggestions have been incorporated to this version.

UPGRADE : If you plan to upgrade your database from existing releases, please follow the instructions under the “scripts” directory. Before doing the upgrade, double check that you have backed up both your kernel and database !
Documentation: The documentation portal on Wikibooks (http://en.wikibooks.org/wiki/GNU_Health) is being re-written with a new format, more comprehensive and easier to follow. The first four chapters and the installation section are pretty much done, and we are working every day to update all remaining chapters.
Enjoy GNU Health 2.0 and thank you for contributing to a better and more just Public Health using Free Software !
Bests
—
Luis Falcon
President, GNU Solidario
http://health.gnu.org

GNU Health upcoming version 2.0

19 Wednesday Jun 2013

Posted by Luis Falcon in Uncategorized

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ehealth, EMR, esalud, free software, gnu, GNU Health, HMIS, Hospital Information System, OpenStreemap, primary care, Public Health, Sistema de Información Hospitalaria, software libre, tryton

The upcoming GNU Health version 2.0, will come with a new demographics section. This will improve and speed up data entry at the front desk, and differentiates individual vs patient information. It will also improve data collection for better Primary Care campaigns.
 

Another new feature of the upcoming version will be the integration with OpenStreetMap ! It can visualize the exact location of any Domiciliary Unit in your operational sector around the world. Thanks to the OSM integration, we can now early identify disease outbreaks, improve epidemiology and demographic studies and many other actions to improve public health. 


Reflexiones acerca de GNU Health en la sesión de la UIT – OMS WSIS 2013

27 Monday May 2013

Posted by Luis Falcon in Uncategorized

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developing countries, ehealth, EMR, esalud, free software, GNU Health, GNU solidario, HMIS, Hospital Information System, ITU, phealth, Public Health, tryton, WHO, World Health Organization, WSIS

From Luis Falcon’s blog (english version)
En este mes de mayo he tenido el gran privilegio de ser invitado a participar como ponente en la sesión de la Unión Internacional de las Telecomunicaciones (UIT) y de la Organización Mundial de la Salud (OMS) : “TICs para la Mejora de la Información y Responsabilidades de la Salud Materno-Infantil” en la Cumbre Mundial sobre la Sociedad de la Información – WSIS 2013 Forum.

 
El titulo de mi presentación fue: “GNU Health: Mejorando la Salud de Niños y Madres con el Software Libre” y se realizó el día 14 de mayo, con una transmisión de la misma en vivo por Internet.
Oficinas Centrales de la Organización Mundial de la Salud en Ginebra

No puedo dejar de pensar en los tremendos niveles de mortalidad materno-infantil, la mayoría por enfermedades prevenibles. Estos pensamientos son el motor principal para el desarrollo de GNU Health, una herramienta con Software Libre que puede mejorar la salud de millones de personas en países en desarrollo.

Opening Session en WSIS 2013
GNU Health tiene su foco principal en la Atención Primaria y en la Declaración de Alma Ata. Nosotros solo cambiamos una letra de esa declaración, transformando el original “Salud para Todos” en “e-Salud para Todos”.

Tily Martín y Miguel Falcón de GNU Solidario

De esta manera luchamos para que la Salud y e-Salud sean un bien público. Los gobiernos deberían utilizar el Software Libre como una forma de lograr políticas de Estado sostenibles en el ámbito de la salud pública.

Luis Falcón en su sesión
Es desgarrador ver a países pagar millones de dólares a corporaciones extranjeras en licencias de software privativo. Deberían mejor pensar en utilizar ese dinero para potenciar la promoción de la salud; las campañas de prevención de enfermedades, o mejorar los salarios de los profesionales de la salud o la infraestructura de muchos centros, por mencionar algunas ideas. 
Para continuar con los conceptos de la  Declaración de Alma Ata y con la Atención Primaria de la Salud, la tecnología médica debe ser accesible, asequible y factible. No es necesario adquirir sistemas costosos o de ciencia ficción, en la Atención de la Salud lo que necesitamos son herramientas asequibles y eficaces.

Tily Martín, Dr. Alberto Lazzero y Luis Falcón

En mi charla presenté el caso de la implementación de GNU Health en un Hospital Público de Entre Ríos, Argentina. GNU Health gestiona los datos demográficos de la ciudad, la información socioeconómica de las familias, las evaluaciones de los pacientes, los análisis de  laboratorio, farmacia y stock, hospitalización, contabilidad financiera y RRHH, para mencionar algunos de los procesos utilizados. El centro sólo tuvo que invertir en la compra de computadoras para las oficinas de los profesionales de la salud.

Dr. Jordi Serrano, Luis Falcon y Sr. Hani Eskandar

La informática medica es sólo una herramienta para optimizar el profesional de la salud, los centros de salud y las autoridades sanitarias. No es ciencia ficción y no debe reemplazar el factor humano. El rol del profesional de la salud, integrado con los pacientes, las familias y la sociedad es insustituible.

He tenido el honor de compartir el panel con la Dra. Véronique Thouvenot (ITU), el Dr. Misha Kay (WHO eHealth Unit), el Sr. Hani Eskandar (ITU), el Dr. Ousmane Ly (National Mali Telemedicine Agency), el Dr. Jordi Serrano Pons (UniversalDoctors) y el Prof. Peter Bruck ( World Summit Award).

Ponentes sesión sobre eSalud
Mi agradecimiento a la Unión Internacional de las Comunicaciones (IUT) y a la Organización Mundial de la Salud (WHO) por invitarme a un evento tan importante y por poner el Software Libre (FLOSS) en el orden del día. El Software Libre mantiene viva la Declaración Alma Ata y La Atención Primaria de la Salud, aportando equidad y universalidad. La Salud debería seguir siendo un derecho humano no negociable y, la comunidad del software libre, debería ser un elemento clave para lograr este objetivo.

Algunos enlaces:
WSIS Agenda
Fotos 2º día
About GNU Health

GNU Health es un Sistema Libre de Gestión Hospitalaria y de Información de la Salud con las siguientes funcionalidades:

  •     Expediente Médico Electrónico (EMR
  •     Sistema de Gestión Hospitalaria (HIS)
  •     Sistema de Información de Salud
En 2012 GNU Health ha sido galardonado como mejor Proyecto para Beneficio Social 2011 por la Free Software Foundation.
En 2013, GNU Health ha recibido los premios como  Software Libre mas revolucionario y software con mayor potencial de crecimiento por el  PortalProgramas.

GNU Health es un  Paquete Oficial GNU , y es parte de GNU Solidario. GNU Solidario en una ONG que entrega educación y salud con software libre a países en vía de desarrollo. GNU Health es un sistema de Gestión Hospitalaria y de Información de la Salud elegido por las Naciones Unidas y el International Institute of Global Health. GNU Solidario y la Universidad de Naciones Unidas, International Institute for Global Health han firmado un acuerdo para implementar y enseñar GNU Health a nivel mundial.

health.gnu.org

Reflections from GNU Health at WHO – ITU session WSIS 2013

26 Sunday May 2013

Posted by Luis Falcon in Uncategorized

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developing countries, ehealth, free software, GNU Health, GNU solidario, Hospital Information System, ITU, phealth, Public Health, tryton, WHO, World Health Organization, WSIS

This month of May we had the immense privilege to be a guest speaker in the World Health Organization (WHO) and International Communication Union (ITU) session “ICT for Improving Information and Accountability for Women’s and Children’s Health” at the World Summit on the Information Society – WSIS 2013 Forum.

The title of the presentation was “GNU Health : Improving Children and Mothers Lives with Free Software“.  The presentation was on May 14th, and it was transmitted live over the Internet.

At WHO headquarters in Geneva
I keep thinking about the tremendous levels of maternal and child death, most of them from preventable diseases. This thoughts are the main drive to develop GNU Health, a tool to improve the health of millions of people in developing countries with Free Software. 
At the WSIS Forum 2013 inauguration session
GNU Health has at its heart Primary Care and the Alma Ata Declaration. We only change a letter from that declaration. To the original “Health for all“, we added the “e” to become “eHealth for all“.
Tily Martin and Miguel Falcon from GNU Solidario

In this sense, we fight to make health  – and eHealth – a public good. Governments should use Free Software as a way to achieve sustainable state policies in the field of public health. 
Luis Falcon during the session
It’s heartbreaking to see countries paying millions of dollars to corporations in freedom-denying software licenses. Think about putting that money to improve health promotion and disease prevention campaigns, or to improve the salaries of the health professionals; or to improve the infrastructure of many health centers, just to name some ideas.

Keeping along the Alma Ata Declaration and Primary Health Care, medical technology should be accessible, affordable and feasible. We don’t need expensive, science fiction hardware of software, we need affordable and effective tools in health care.
 
Tily Martin, Dr. Alberto Lazzero and Luis Falcon
In the talk I presented the GNU Health implementation case of a Public Hospital in Entre Rios, Argentina. GNU Health manages the city demographics, socioeconomics, families,  patient evaluations, laboratory, stock and pharmacy, hospitalizations, financial accounting, human resources and medical imaging, to name a few processes within the health center. The health center only had to invest in buying desktops in the health professional offices.
Dr. Jordi Serrano, Luis Falcon and Mr. Hani Eskandar

Health informatics is just a tool to optimize the health professional, health center and health authorities. It’s not science fiction and should never replace the human factor. The role of the health professional, integrated with the patient, families and society is irreplaceable.

I had the honor to share the panel with Dr. Véronique Thouvenot (ITU), Dr. Misha Kay (WHO eHealth Unit), Mr. Hani Eskandar (ITU), Dr Ousmane Ly (National Mali Telemedicine Agency), Dr. Jordi Serrano Pons (UniversalDoctors) and Prof. Peter Bruck ( World Summit Award). 

eHealth Session Panelists

 
My gratitude goes to WSIS and WHO for inviting me to such an important event, and for putting Free Software (FLOSS) in the agenda. Free Software care keeps alive the Alma Ata Declaration and Primary Health Care, providing equity and universality. Health must remain a non-negotiable human right, and the free software community should be a key component to achieve this goal.

Some links :

WSIS Agenda
Pictures from Day 2 sessions

About GNU Health
GNU Health is a Free Health and Hospital Information System that provides the following functionality: 

  • Health Information System (Demographics, Epidemiology)
  • Hospital Information System
  • Electronic Medical Record

GNU Health won the Best Project of Social Benefit from the Free Software Foundation, among other international awards.


GNU Health is an official GNU Package , and is part of GNU Solidario, an NGO that delivers health with free software. GNU Solidario and the United Nations University, International Institute for Global Health have signed an agreement to implement and to train Health professionals GNU Health around the world.

GNU Health was presented at the World Health Organization (WHO) and International Communication Union (ITU) session “ICT for Improving Information and Accountability for Women’s and Children’s Health” at the World Summit on the Information Society – WSIS 2013 Forum in Geneva.

Main site : health.gnu.org

 

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