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A S t o r y o f C a r e
OPEN SOURCE AND HAITI
Mário Areias
www.marioareias.com
WHAT IS THIS TALK ABOUT?
Hôpital
Universitaire

de Mirebalais
OpenMRS

Photo: Pwojè men kontre
THIS IS ABOUT THEM
CONTEXT
HAITI
History and Politics
ECONOMICS
ECONOMICS
23.1MM10.3MM
population
ECONOMICS
23.1MM10.3MM
population
health expenditure
per capita
U$ 5,827U$ 77
ECONOMICS
23.1MM10.3MM
population
health expenditure
per capita
U$ 5,827U$ 77
$1.56TGDP8.5 B
EARTHQUAKE

2010
EARTHQUAKE

2010
“Health is a human right”
FROM SMALL TO BIG
Source: Build Health International
LOCATION
BIG HOSPITAL…
…BIG PROBLEMS
Infrastructure
Staffing
Logistics
Funding
….and Software!
CULTURES
THE BEGINNING
TRIP TO HAITI
FORMING A TEAM
PROJECT CONSTRAINTS
PROJECT CONSTRAINTS
1 2 3 4
months
PROJECT CONSTRAINTS
1 2 3 4
months
PROJECT CONSTRAINTS
1 2 3 4
months
PROJECT CONSTRAINTS
1 2 3 4
months
PROJECT CONSTRAINTS
1 2 3 4
months
PROJECT CONSTRAINTS
1 2 3 4
months
DAY BY DAY
COMMUNICATION
COMMUNICATION
Core hours
COMMUNICATION
Core hours Retrospectives
COMMUNICATION
Core hours Retrospectives
IRC
COMMUNICATION
Core hours Retrospectives
IRC
TV
COMMUNICATION
Core hours Retrospectives
Pairing
IRC
TV
UNDERSTAND YOUR USER
UNDERSTAND YOUR USER
Prototypes
UNDERSTAND YOUR USER
Prototypes A/B Testing
UNDERSTAND YOUR USER
Prototypes A/B Testing User Testing
ENGAGING STAKEHOLDERS
ENGAGING STAKEHOLDERS
ENGAGING STAKEHOLDERS
ENGAGING STAKEHOLDERS
ENGAGING STAKEHOLDERS
ENGAGING STAKEHOLDERS
ENGAGING STAKEHOLDERS
TWO DIFFERENT GOALS
product OpenMRS platform
TECHNICAL CHALLENGES
OpenMRS

code base
Testing

Strategy
CREATING A PRODUCT
Test
assumptions
quickly
Patient Dashboard
Continuous
Delivery
Path to Prod!
AFTER 6 MONTHS
THE LAST MILE
THE LAST MILE
Meet in Boston
THE LAST MILE
Meet in Boston Training PIH Staff
THE LAST MILE
Meet in Boston Training PIH Staff
BAs to Haiti

for launch…
THE LAST MILE
Meet in Boston Training PIH Staff
BAs to Haiti

for launch…
…should have

sent a dev too
OPENING
IMPACT
IMPACT
170,000+
unique patients
IMPACT
540,000+
interactions
170,000+
unique patients
IMPACT
540,000+
interactions
170,000+
unique patients
500+
active users
GIVING BACK TO OPENMRS
GIVING BACK TO OPENMRS
Extract
GIVING BACK TO OPENMRS
Extract Abstract
GIVING BACK TO OPENMRS
Extract Abstract
Get input
GIVING BACK TO OPENMRS
Extract Abstract
Get inputBe inclusive
OPENMRS 2.0
SIERRA LEONE — EBOLA
LESSONS LEARNED
LESSONS LEARNED
RESPECT

CONSTRAINTS

but don’t make excuses
LESSONS LEARNED
RESPECT

CONSTRAINTS

but don’t make excuses
BE ON THE 

GROUND

face-to-face matters
LESSONS LEARNED
RESPECT

CONSTRAINTS

but don’t make excuses
BE ON THE 

GROUND

face-to-face matters
HAVE A

CLEAR GOAL

one at a time
LESSONS LEARNED
RESPECT

CONSTRAINTS

but don’t make excuses
BE ON THE 

GROUND

face-to-face matters
HAVE A

CLEAR GOAL

one at a time
IF WE CAN

DO IT…

you can too!
SOURCES
▫︎http://www.transparency.org/research/cpi/
▫︎http://history.howstuffworks.com/central-american-
history/history-of-haiti.htm
▫︎http://data.worldbank.org/country/Haiti
▫︎http://www.ifitweremyhome.com/compare/AU/HT
▫︎http://data.worldbank.org/indicator/SH.XPD.PCAP/
countries/HT-AU?display=graph
▫︎The Military Balance 2015. London: Routledge. ISBN
1857437667.
▫︎http://ansarafamilyfund.org/archives/2426

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Open Source and Haiti: A Story of Care