Yearb Med Inform 2013; 22(01): 197-205
DOI: 10.1055/s-0038-1638856
Original Article
Georg Thieme Verlag KG Stuttgart

Two Decades of HELINA Conferences: A Historical Review of Health Informatics in Africa

M. Korpela
1   School of Computing, University of Eastern Finland, Kuopio, Finland
2   IT Department, Cape Peninsula University of Technology, Cape Town, South Africa
3   School of ICT, Nelson Mandela Metropolitan University, Port Elizabeth, South Africa
› Author Affiliations
Further Information

Correpsondence to:

Mikko Korpela
University of Eastern Finland
School of Computing
PL 1627, FI-70211 Kuopio, Finland
Phone: +358-40-355 2811   

Publication History

Publication Date:
05 March 2018 (online)

 

Summary

Objective: Review the history of health informatics in Africa as projected by the HELINA conferences, to draw inferences for the next phase.

Methods and materials: Summarising from the proceedings of HELINA 93, unpublished programmes and reports of later conferences, abstracts and presentations on the web sites of the most recent conferences, and personal recollections of all but one of the conferences. Analysing the e-health situation in Africa in 1993, 2007 and 2011 by mapping software applications presented in the respective conferences on a simplified model of potential spots for e-health use.

Results: The following phases were identified: Pre-phase from 1979; individual scientific papers. Phase 1, the 1993-1999 conferences; carried by the momentum of HELINA 93. Phase 2, interregnum; difficulty to find conference organisers. Phase 3, the 2007-2011 conferences; carried by the HELINA association as IMIA Africa Region. Currently most of the important spots for e-health use are being populated by appropriate software applications, mostly by collaborative open source projects. Phase 4 starting, characterised by the expansion of e-health practice on the continent, the HELINA association as a key organiser, and annual HELINA conferences becoming scientifically stronger and more visible.

Conclusions: Key issues in making health informatics blossom in Africa include local development capacity, community orientation, collaborative design, international collaboration, government support, champions and organised continent-wide collaboration.


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  • References

  • 1 Mandil SH, Moidu K, Korpela M, Byass P, Forster D. editors. Health Informatics in Africa: HELINA 93. Amsterdam: Elsevier; 1993
  • 2 Korpela M. Nigerian Practice in Computer Systems Development: A Multidisciplinary Theoretical Framework, Applied to Health Informatics. Doctoral dissertation. Department of Computer Science Reports TKO-A31. Espoo, Finland: Helsinki University of Technology; 1994
  • 3 Agbalajobi F. Characteristics of the software for computer applications in medicine. Med Inform 1979; 4: 79-88.
  • 4 Agbalajobi F. The unstructured approach to medical computing in Nigeria. In: Lindberg DAB, Kaihara S. editors. MEDINFO 80. Amsterdam: Elsevier; 1980. p. 656-9.
  • 5 van Bemmel JH. People and ideas in Medical Informatics — A half century review. In: Yearb Med Inform. 2011 6. (1) 175-82.
  • 6 Fernandez Perez de Talens A, Molino RE, Shires DB. editors. Health Informatics in Developing Countries: Experiences and Viewpoints. Proceedings of the IFIP-IMIA World Congress on Medical Informatics and Developing Countries, 7-12.2.1982, Mexico City, Mexico. Amsterdam: North-Holland; 1983
  • 7 Agbalajobi F. Indigenisation of health informatics through adaptation. Ibid. p. 173-180.
  • 8 Gomaa RA. Experience of Egypt in health information systems and activities. Ibid. p. 65-70.
  • 9 Byass P. The design of computer forms for tropical medical research. Methods InfMed 1986; 25: 229-32.
  • 10 Tessier SF. Rôle d'un système d'information sanitaire comme aide à la decision regionale en santé public: Une experience au Botswana (Afrique australe). Médecine Tropicale 1989; 42: 163-9.
  • 11 Osiobe SA. Health information imperatives for Third World countries. Soc Sci Med 1989; 28: 9-12.
  • 12 Forster D. Expert Systems in Health for Developing Countries: Practice, Problems and Potential. Ottawa, Canada: International Development Research Centre; 1992
  • 13 Woelk GB, Moyo I, Chisvo DJ, Mbengeranwa OL. A health information system revised. Part I: The computerization of primary care clinic returns. Centr Afr J Med 1987; 33: 161-70.
  • 14 Woelk GB, Moyo I, Ray CS. A health information system revised. Part II: Improving data quality and utilization. Centr Afr J Med 1987; 33: 170-3.
  • 15 Bertrand WE. Information as a Primary Health Care intervention: The impact of new technology on improving health for all. Information Technology for Development 1989; 4: 741-9.
  • 16 Smith DL, Hansen H, Karim MS. Management information support for district health systems based on Primary Health Care. Ibid. p. 779-811.
  • 17 Wilson RG. Strengthening Primary Health Care programme management through informatics and improved Management Information Systems. Ibid. p. 703-32.
  • 18 Makanjuola ROA, Daini OA, Soriyan HA, Korpela M. Low-cost hospital informatics in Africa: The Ile-Ife experience. In: Adlassnig K-P, Grabner G, Bengtsson S, Hansen R. editors. Medical Informatics Europe 1991, Proceedings, Vienna, Austria, 19-22 August 1991. Berlin: Springer-Verlag; 1991. p. 111-5.
  • 19 Daini OA, Korpela M, Ojo JO, Soriyan HA. The computer in a Nigerian teaching hospital: First-year experiences. In: Lun KC, Degoulet P, Piemme TE, Rienhoff O. editors. MEDINFO'92. Proceedings of the Seventh World Congress on Medical Informatics, Geneva, Switzerland, 6-10 September 1992. Amsterdam: Elsevier; 1992. p. 230-5.
  • 20 Forster MEL. Health Informatics in Developing Countries: An Analysis and Two African Case Studies. Dissertation. London: University of London; 1990
  • 21 HELINA'93 Conference. Archived web site. Available at: http://www.helina-online.org/archive/helina-l/conf/h93.html
  • 22 HELINA'96 Conference. Archived web site. Available at: http://'www.helina-online.org/archive/helina-l/conf/h96.html
  • 23 HELINA'96 Final Announcement and Provisional Programme. Unpublished.
  • 24 HELINA'99 Conference. Archived web site. Available at: http://'www.helina-online.org/archive/helina-l/conf/h99.html
  • 25 Book of Abstracts for HELINA 99. Unpublished.
  • 26 HELINA 2003 Conference (HELth INformatics in Africa). Event announcement [online]. South Africa: Health Systems Trust. Available at: http://www.healthlink.org.za/events/8206
  • 27 Kouematchoua GB. HELINA. Information on IMIA Regional Groups. In: IMIA Yearbook of Medical Informatics 2008. Stuttgart, Germany: Schattauer; 2008. p. 224-6.
  • 28 Geissbuhler A, Bagayoko CO, Naef J-M. The RAFT Network. Leaflet. Available at: http://raft.hcuge.ch/10-04-14%20RAFT%20detailed%20description.pdf
  • 29 RAFT blog entries on HELINA. Available at: http://raftblog.blogspot.ch/search?q=helina
  • 30 HELINA 2009 Programme Scientifique. Unpublished.
  • 31 HELINA 2011 conference will be in Nigeria. IMIA News, no date. Available at: http://imianews.wordpress.com/2009/06/10/helina-2011-conference-will-be-in-nigeria/
  • 32 HELINA 2011 Programme. Available at: http://www.helina-online.org/en/conference/helina-2011/programm
  • 33 HELINA 2011 Handouts. Available at: http://www.helina-online.org/en/conference/helina-2011/handouts
  • 34 Korpela M, de la Harpe R, Luukkonen I. Depicting the landscape around information flows: Methodological propositions. In: SIG GlobDev Workshop Proceedings, Paris, France, 13 December 2008. Chicago (IL): Association for Information Systems AIS; 2008. Available at: http://www.globdev.org/files/29-Paper-Korpela-Depicting%20the%20landscape-Revised.pdf
  • 35 Korpela M, Mykkänen J, Porrasmaa J, Sipilä M. Software architectures for digital healthcare. In: Proceedings of2005 International Hospital Information Technology Forum and Chinese Hospital Information Network Conference (CHINC 2005), Beijing, 2nd -5th July 2005. Beijing: China Hospital Information Management Association CHIMA; 2005. p. 40-50.
  • 36 Korpela M. Health information systems: Scaling up solutions to transform healthcare delivery in Africa. Keynote presentation. In: HELINA 2011. Available at: http://www.helina-online.org/en/conference/helina-2011/handouts/Korpela-20111129_HELINA-Keynote.pdf
  • 37 Korpela M, Soriyan HA, Mursu A. Preconditions for sustainable information systems development for African healthcare institutions: The MINPHIS experience and a software industry survey in Nigeria. Abstract. In: HELINA'2003: Communication and Information Technology in the Global Fight against HIV/AIDS. Book of Abstracts, Johannesburg, 12-15 October 2003. p. 36. South Africa: Medical Research Council; 2003

Correpsondence to:

Mikko Korpela
University of Eastern Finland
School of Computing
PL 1627, FI-70211 Kuopio, Finland
Phone: +358-40-355 2811   

  • References

  • 1 Mandil SH, Moidu K, Korpela M, Byass P, Forster D. editors. Health Informatics in Africa: HELINA 93. Amsterdam: Elsevier; 1993
  • 2 Korpela M. Nigerian Practice in Computer Systems Development: A Multidisciplinary Theoretical Framework, Applied to Health Informatics. Doctoral dissertation. Department of Computer Science Reports TKO-A31. Espoo, Finland: Helsinki University of Technology; 1994
  • 3 Agbalajobi F. Characteristics of the software for computer applications in medicine. Med Inform 1979; 4: 79-88.
  • 4 Agbalajobi F. The unstructured approach to medical computing in Nigeria. In: Lindberg DAB, Kaihara S. editors. MEDINFO 80. Amsterdam: Elsevier; 1980. p. 656-9.
  • 5 van Bemmel JH. People and ideas in Medical Informatics — A half century review. In: Yearb Med Inform. 2011 6. (1) 175-82.
  • 6 Fernandez Perez de Talens A, Molino RE, Shires DB. editors. Health Informatics in Developing Countries: Experiences and Viewpoints. Proceedings of the IFIP-IMIA World Congress on Medical Informatics and Developing Countries, 7-12.2.1982, Mexico City, Mexico. Amsterdam: North-Holland; 1983
  • 7 Agbalajobi F. Indigenisation of health informatics through adaptation. Ibid. p. 173-180.
  • 8 Gomaa RA. Experience of Egypt in health information systems and activities. Ibid. p. 65-70.
  • 9 Byass P. The design of computer forms for tropical medical research. Methods InfMed 1986; 25: 229-32.
  • 10 Tessier SF. Rôle d'un système d'information sanitaire comme aide à la decision regionale en santé public: Une experience au Botswana (Afrique australe). Médecine Tropicale 1989; 42: 163-9.
  • 11 Osiobe SA. Health information imperatives for Third World countries. Soc Sci Med 1989; 28: 9-12.
  • 12 Forster D. Expert Systems in Health for Developing Countries: Practice, Problems and Potential. Ottawa, Canada: International Development Research Centre; 1992
  • 13 Woelk GB, Moyo I, Chisvo DJ, Mbengeranwa OL. A health information system revised. Part I: The computerization of primary care clinic returns. Centr Afr J Med 1987; 33: 161-70.
  • 14 Woelk GB, Moyo I, Ray CS. A health information system revised. Part II: Improving data quality and utilization. Centr Afr J Med 1987; 33: 170-3.
  • 15 Bertrand WE. Information as a Primary Health Care intervention: The impact of new technology on improving health for all. Information Technology for Development 1989; 4: 741-9.
  • 16 Smith DL, Hansen H, Karim MS. Management information support for district health systems based on Primary Health Care. Ibid. p. 779-811.
  • 17 Wilson RG. Strengthening Primary Health Care programme management through informatics and improved Management Information Systems. Ibid. p. 703-32.
  • 18 Makanjuola ROA, Daini OA, Soriyan HA, Korpela M. Low-cost hospital informatics in Africa: The Ile-Ife experience. In: Adlassnig K-P, Grabner G, Bengtsson S, Hansen R. editors. Medical Informatics Europe 1991, Proceedings, Vienna, Austria, 19-22 August 1991. Berlin: Springer-Verlag; 1991. p. 111-5.
  • 19 Daini OA, Korpela M, Ojo JO, Soriyan HA. The computer in a Nigerian teaching hospital: First-year experiences. In: Lun KC, Degoulet P, Piemme TE, Rienhoff O. editors. MEDINFO'92. Proceedings of the Seventh World Congress on Medical Informatics, Geneva, Switzerland, 6-10 September 1992. Amsterdam: Elsevier; 1992. p. 230-5.
  • 20 Forster MEL. Health Informatics in Developing Countries: An Analysis and Two African Case Studies. Dissertation. London: University of London; 1990
  • 21 HELINA'93 Conference. Archived web site. Available at: http://www.helina-online.org/archive/helina-l/conf/h93.html
  • 22 HELINA'96 Conference. Archived web site. Available at: http://'www.helina-online.org/archive/helina-l/conf/h96.html
  • 23 HELINA'96 Final Announcement and Provisional Programme. Unpublished.
  • 24 HELINA'99 Conference. Archived web site. Available at: http://'www.helina-online.org/archive/helina-l/conf/h99.html
  • 25 Book of Abstracts for HELINA 99. Unpublished.
  • 26 HELINA 2003 Conference (HELth INformatics in Africa). Event announcement [online]. South Africa: Health Systems Trust. Available at: http://www.healthlink.org.za/events/8206
  • 27 Kouematchoua GB. HELINA. Information on IMIA Regional Groups. In: IMIA Yearbook of Medical Informatics 2008. Stuttgart, Germany: Schattauer; 2008. p. 224-6.
  • 28 Geissbuhler A, Bagayoko CO, Naef J-M. The RAFT Network. Leaflet. Available at: http://raft.hcuge.ch/10-04-14%20RAFT%20detailed%20description.pdf
  • 29 RAFT blog entries on HELINA. Available at: http://raftblog.blogspot.ch/search?q=helina
  • 30 HELINA 2009 Programme Scientifique. Unpublished.
  • 31 HELINA 2011 conference will be in Nigeria. IMIA News, no date. Available at: http://imianews.wordpress.com/2009/06/10/helina-2011-conference-will-be-in-nigeria/
  • 32 HELINA 2011 Programme. Available at: http://www.helina-online.org/en/conference/helina-2011/programm
  • 33 HELINA 2011 Handouts. Available at: http://www.helina-online.org/en/conference/helina-2011/handouts
  • 34 Korpela M, de la Harpe R, Luukkonen I. Depicting the landscape around information flows: Methodological propositions. In: SIG GlobDev Workshop Proceedings, Paris, France, 13 December 2008. Chicago (IL): Association for Information Systems AIS; 2008. Available at: http://www.globdev.org/files/29-Paper-Korpela-Depicting%20the%20landscape-Revised.pdf
  • 35 Korpela M, Mykkänen J, Porrasmaa J, Sipilä M. Software architectures for digital healthcare. In: Proceedings of2005 International Hospital Information Technology Forum and Chinese Hospital Information Network Conference (CHINC 2005), Beijing, 2nd -5th July 2005. Beijing: China Hospital Information Management Association CHIMA; 2005. p. 40-50.
  • 36 Korpela M. Health information systems: Scaling up solutions to transform healthcare delivery in Africa. Keynote presentation. In: HELINA 2011. Available at: http://www.helina-online.org/en/conference/helina-2011/handouts/Korpela-20111129_HELINA-Keynote.pdf
  • 37 Korpela M, Soriyan HA, Mursu A. Preconditions for sustainable information systems development for African healthcare institutions: The MINPHIS experience and a software industry survey in Nigeria. Abstract. In: HELINA'2003: Communication and Information Technology in the Global Fight against HIV/AIDS. Book of Abstracts, Johannesburg, 12-15 October 2003. p. 36. South Africa: Medical Research Council; 2003