Given resource constraints in developing countries such as Zambia where electricity is still not available in some parts of the nation, having Internet access throughout the nation will take many more year. SmartCare data is held at each facility in a distributed design; unlike centralized designs of most systems. Internet is not essential, merely an added benefit.
SmartCare uses client carried care cards or staff carried flash drives for a lower-tech connectivity solution[buzzword] that works today. An individual's health information is stored on a very compressed, secure care card to maintain continuity of care between visits, health services and health facilities. The individual's health record is also stored on the health facility installation database for backup and generation of facility level and health management information system reports.
Making the data capture task bearable can be the most challenging part of EHR design. SmartCare extends a successful Malawi idea, where touchscreen data entry by existing staff lowers this barrier. The software works well with a touch screen monitor enabling the clinician to view and record patient data. This tool, in combination with client specific data, can provide decision support for over-extended clinicians, and clinician assistants. Clinicians can ‘read and touch’ to enter data; no typing is required. See the image at top for example screen with touch screen technology enabled.
GIS data visualization
Aggregate health data stored at health facilities can be visualized in GIS maps. This includes live patient data as well as static data from health surveys.
In addition to Zambia, SmartCare is also being used in Ethiopia and South Africa. However, as of 2012,[update] it was only available for use by partner organizations.
Electronic Health Record System called SmartCare-Ethiopia. As of December 2007,[update] the system is being piloted in one of the hospitals.
Zambian National Blood Transfusion Service
Blood donor data collection and reporting system called the SmartDonor module. The system is being piloted at the national blood transfusion centre headquarters, as of January 2009,[update] and plans to deploy to the nine provincial transfusion centres are underway.
Hubschman T, Mweetwa V, Fusco H, Muneene D, Chi B, Levy J, Sinkala M, Shields M, Phiri J, Stringer J (May 22–27, 2005). Electronic patient tracking supports rapid expansion of HIV care and treatment in Lusaka, Zambia. President's Emergency Plan for AIDS Relief 2nd Annual Meeting, “Supporting National Strategies: Building on Success”. Addis Ababa, Ethiopia.