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Clinical Data Flow in Botswana Clinics: Protocol for a Mixed-Methods Assessment

Clinical Data Flow in Botswana Clinics: Protocol for a Mixed-Methods Assessment

Botswana supports noninteroperable diverse health information systems [14] and currently has more than 18 systems in place for data collection and reporting. A 2019 UNICEF report on Botswana highlights these points [15], making note of the different data tracking systems that “are not necessarily coordinated or reliable across health facility levels and systems.”

Grey Faulkenberry, Audrey Masizana, Badisa Mosesane, Kagiso Ndlovu

JMIR Res Protoc 2024;13:e52411

Experiences, Lessons, and Challenges With Adapting REDCap for COVID-19 Laboratory Data Management in a Resource-Limited Country: Descriptive Study

Experiences, Lessons, and Challenges With Adapting REDCap for COVID-19 Laboratory Data Management in a Resource-Limited Country: Descriptive Study

Currently, over 52 health laboratories operate in Botswana, 8 of which are accredited with national certifications like the South African National Accreditation System (SANAS), Clinical Laboratory Improvement Amendments (CLIA), International Organization for Standardization (ISO) 15189, or the Southern African Development Community Accreditation Services (SADCAS) [13,14]. The Botswana NHL is one of the accredited laboratories tasked with the management of national COVID-19 testing.

Kagiso Ndlovu, Kabelo Leonard Mauco, Onalenna Makhura, Robin Hu, Nkwebi Peace Motlogelwa, Audrey Masizana, Emily Lo, Thongbotho Mphoyakgosi, Sikhulile Moyo

JMIR Form Res 2024;8:e50897

Evaluating the Feasibility and Acceptance of a Mobile Clinical Decision Support System in a Resource-Limited Country: Exploratory Study

Evaluating the Feasibility and Acceptance of a Mobile Clinical Decision Support System in a Resource-Limited Country: Exploratory Study

Over the years, Botswana has been successful in achieving several health-related millennium development goals by reducing mortality among children aged The shortage of dermatology specialists in Botswana necessitates efficient use of the limited resources and continuous empowerment of those commonly engaged in the management of prevalent skin conditions [12]. This suggests a critical need for a CDSS to ameliorate the current challenges within dermatology and other subspecialties in Botswana.

Kagiso Ndlovu, Nate Stein, Ruth Gaopelo, Michael Annechino, Mmoloki C Molwantwa, Mosadikhumo Monkge, Amy Forrestel, Victoria L Williams

JMIR Form Res 2023;7:e48946

Validation of an Interoperability Framework for Linking mHealth Apps to Electronic Record Systems in Botswana: Expert Survey Study

Validation of an Interoperability Framework for Linking mHealth Apps to Electronic Record Systems in Botswana: Expert Survey Study

Governance and regulation “Issues of investment should be covered to detail how funding for the projects will be sustained” (Expert 1; Botswana). “An investment case through donor funding or PPP arrangements could be suggested for low income countries” (Expert 1; Botswana).

Kagiso Ndlovu, Maurice Mars, Richard E Scott

JMIR Form Res 2023;7:e41225

Assessment of Stakeholder Perceptions and Attitudes Toward Health Data Governance Principles in Botswana: Web-Based Survey

Assessment of Stakeholder Perceptions and Attitudes Toward Health Data Governance Principles in Botswana: Web-Based Survey

The Ministry of Health (MOH) in Botswana is mandated with the overall oversight and delivery of health care services. Data at the point of generation are captured through hybrid systems involving a combination of paper-based and electronic systems. Botswana’s health sector still uses multiple data collection and reporting tools. Public and private health facilities in Botswana use separate health information management systems.

Kagiso Ndlovu, Kabelo Leonard Mauco, Star Chibemba, Steven Wanyee, Tom Oluoch

JMIR Form Res 2023;7:e41408

Evaluation of WhatsApp as a Platform for Teledermatology in Botswana: Retrospective Review and Survey

Evaluation of WhatsApp as a Platform for Teledermatology in Botswana: Retrospective Review and Survey

In Botswana, there are as few as 10 physicians per 100,000 people and even fewer dermatologists, all of whom are in large urban areas [3,4]. Currently, there are approximately 4 dermatologists practicing in the public health sector in Botswana to support a population of 2 million people. Primary care providers in Botswana have limited training in dermatology and face challenges in treating complex dermatologic conditions and successfully referring patients to specialists [5].

Erika Koh, Abena Maranga, Tshepo Yane, Kagiso Ndlovu, Bwanali Jereni, Maitseo Kuno Nwako-Mohamadi, Carrie Kovarik, Amy Forrestel, Victoria L Williams

JMIR Dermatol 2022;5(3):e35254

Acceptance of the District Health Information System Version 2 Platform for Malaria Case-Based Surveillance By Health Care Workers in Botswana: Web-Based Survey

Acceptance of the District Health Information System Version 2 Platform for Malaria Case-Based Surveillance By Health Care Workers in Botswana: Web-Based Survey

Botswana is among the countries that have made substantial progress, in the elimination continuum, in the fight against malaria. Between 2000 and 2015, the malaria incidence in Botswana fell dramatically, by 79%, from 0.136 in 2000 to 0.029 in 2015 [1]. Furthermore, mortality caused by malaria declined by 57%, from 1069 deaths in 2003 to 462 deaths in 2015 [2].

Kagiso Ndlovu, Kabelo Leonard Mauco, Mpho Keetile, Khutsafalo Kadimo, Refilwe Yvonne Senyatso, Davies Ntebela, Buthugwashe Valela, Clement Murambi

JMIR Form Res 2022;6(3):e32722

A SARS-CoV-2 Surveillance System in Sub-Saharan Africa: Modeling Study for Persistence and Transmission to Inform Policy

A SARS-CoV-2 Surveillance System in Sub-Saharan Africa: Modeling Study for Persistence and Transmission to Inform Policy

South Africa has 2.8, Botswana 1.8, Nigeria 0.5, Ethiopia 0.3, and Ghana 0.9 [35]. Uganda has 55 intensive care unit beds for 40 million people with added limitations due to a dearth in critical care doctors and anesthetists [36]. South Africa has 0.9 physicians per 1000 people, Botswana 0.5, Nigeria 0.4, and Ethiopia and Ghana 0.1 [35]. In comparison, the United States has 2.6, Italy has 4.0, and China has 2.0 physicians per 1000 people [37].

Lori Ann Ann Post, Salem T Argaw, Cameron Jones, Charles B Moss, Danielle Resnick, Lauren Nadya Singh, Robert Leo Murphy, Chad J Achenbach, Janine White, Tariq Ziad Issa, Michael J Boctor, James Francis Oehmke

J Med Internet Res 2020;22(11):e24248

Development of an eHealth Readiness Assessment Framework for Botswana and Other Developing Countries: Interview Study

Development of an eHealth Readiness Assessment Framework for Botswana and Other Developing Countries: Interview Study

Botswana, like many developing countries, has also recognized the need for e Health implementation [9]. Botswana has yet to undertake an e Health readiness assessment prior to implementation of its e Health services. Unfortunately, there is no comprehensive e Health readiness assessment framework suitable for use in developing countries [6].

Kabelo Leonard Mauco, Richard Ernest Scott, Maurice Mars

JMIR Med Inform 2019;7(3):e12949