We had some fun and games this weekend with heavy rain and no power for some stages, having the team working on the UPS for the server to get as much time as possible on the systems. We spent a good bit of Saturday working on patching together a network infrastructure in the interim (the MoH will rollout the updated network later on). There was an atmosphere of adventure with the guys working in the dark / by monitor light / by phone-torches, taping cables in place, checking network points, installing temp switches, pushing to get the internet connected and available through the Health Centre, not to mention the continued testing and tweaking (finding and fixing bugs) that come up when you lay down code in a real world setting.
|“Without flash | with flash” – reality of field work. Jembi team
dedicated to work regardless of power (thankful
for UPS tho)
|Wayne and Carl setting up interim network by phone-light|
|Yes its raining inside, luckily that isn’t a computer that its dripping
|Results of the downpour
– on Road to Ruhunda
Nevertheless the weekend was quite an adventure. One of the key points that raised itself is that your field work is not uneventful and that just because it works in the lab it doesn’t mean it will work seamlessly in the field – expecte field bugs to crop up.
While the developers continued at Ruhunda to test against the lab HIE and now NDC HIE, I left for Rwamagana Hospital and Health Centre to check if there was any infrastructure challenges we needed to address this week. I was fortunate enough to be able to view the infrastructure of the Health Centre and Hospital (they are adjacent) [remembering that it was a Saturday – the Health Centre workers and MoH have pulled out the stops and have shown their dedication to the project though making sure people were available to meet us]. Our one challenge at Rwamagana was that there was no network point available at the ANC registration area (we had a 30m cable on hand to install as an interim solution). Beside this the Health Centre and hospital are technically ready for the system (bar the internet outage caused by the storm on Sunday).
|Hospital Server and OpenMRS Server
Our teams continued to test the system and code out bugs / add fixes from the field while Liz and Dawn looked at some of the ways of doing back data entry and Gilbert and the team looked at the infrastructure. While we had hoped to be live and running at Ruhunda by the end of the day we didn’t make that due to some challenges in the PoC module and our team is back out today to remedy this as best as possible in the time remaining.
|Brainstorming fixes and solutions in the field|
|Walking through the data capture in the clinic|
|Testing internet connectivity and applying patches|
As always follow us on http://twitter.com/jembi_hs (@jembi_hs) using #RHEA_HIE
Mission Control…that’s what the sense of the Jembi office and teams gave out. Walls covered with check lists and whiteboards our teams were planned and tracked thoroughly the day!
Our teams were back out to Ruhunda , Musha and started at Rwamangana. Ruhunda saw us bringing with us the networking team and satellite with us to work on the infrastructure while our teams continue to test the system. Today we hope to be able to complete the loop at Ruhunda and connect the system to the HIE.
Musha install is 90% complete and testing is underway. Had some challenges with a faulty switch and hoping to have this sorted out asap. Internet is in the process of being connected and while that is happening the Jembi team will test with our field kit to the HIE. ETA on Musha field test is slightly dependent on the Ubudebe data load.
Rwamangana has been loaded with our modules and initial testing to the Lab HIE has been done. The team is back out today to continue the Implementation and testing.
We are becoming frequent visitors and local IT companies as our field kit grows to meet our team’s needs. We’ve added 2 desktop switches, 3G enabled router, network cables and network tester.
Our team are out again today (Saturday) and will feedback again tonight! Fun times! (pictures to follow)
A dramatic title but captures the core of today for the team. Following on from yesterdays efforts and actions in beginning the installation of the RHEA modules into the OpenMRS system at Ruhunda, the team has been working to overcome some of the challenges faced. One in particular that was causing some headaches was the fact that once we had loaded the Ubudehe data set (yes try say that name – I’ve been botching it all day), in short a large data set containing the patients for the region ±250’000 patients, the OpenMRS dashboard failed to load – well just hung. Making the system unusable for data entry (Critical issue).
After some investigation and brainstorming into last night and our team dividing roles to tackle this we discovered the challenge lay with a particular module which once disabled gave the system its functionality again. Took some digging and great work with the MoH teams to rapidly look through this and come to a decent solution, but a great example of collaborative work under time pressures. (For those worrying the pre-exiting module attempted to crunch through the entire patient data set to give info on the dashboard and was only needed in odd occasions by system administrators, do believe the MoH will be looking at reworking their module in the future with the growing data sets).
|Team brainstorming how to solve “go-slow” problem on OpenMRS|
Mean while the team was back out at Ruhunda completing the install with the modules and disabling the “go slow” culprit module. We are excited to report that all modules are installed and system is functioning without glitch (so far), what remains is loading of the NIDs agains the providers in the system and testing the link to the HIE (both were not able to happen due to power failure).
Tomorrow the team will head out back to Ruhunda to complet the setup and walk through the entering of the data (as it is a clinic day) with the data capturers and clinicians in the systems first data capture session. All going according to plan and the hardware we identified as still needing to be in its final resting place happens as expected. While this is occurring half of the team will be beginning the implementation at the Musha Health Centre learning from the lessons of Ruhunda and working to take it to an online and live state.
|Many lines of code to get
things moving forward!
A quick update on our local HIE at the NDC here in Kigali. So far we have:
|Ruhunda HC –
First Testing Site
|Installing, testing, configuring, tuning;
and repeat @ Ruhunda
JHS-RW team working hard
|Some images from Ruhunda HC.|
Aside from the Health Center visit the teams continue to deploy the services to the NDC and have, at this stage, completed the loading of the files to the NDC and now continue the configuration and integration testing.
We also see Wayne and Hannes arriving in Rwanda to work with the JHS-Rwanda (RW) team in the rollout of the HIE and to the designated clinics.
Follow us on twitter at: http://twitter.com/jembi_hs using the #RHEA_HIE hashtag.
More to follow tomorrow as we tackle this!
|A welcome banner to our trainers
and trainees from previous
This is poised to be an exciting week with the RHEA team pulling out all the stops as members push to move from our “cloud – laboratory” into our “field setting” (installed in Rwanda). Given a few hic-ups on the way and finding “creative” ways to come round them we are looking ahead at a week filled with implementation, testing and tuning.
Some of the tasks underway and planned include:
What a week a head of us. All this in the shadow of the successful trainings that have been happening over the past few weeks around the various registries and services!