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<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1, user-scalable=no">
<title>Project Buendia: open-source medical record system for humanitarian relief missiones</title>
<link rel="stylesheet" href="style.css">
</head>
<body>
<section id="banner" class="bg-img overlay" style="background-image: url('images/ebola-deployment-photo-2.jpg')">
<div>
<h1>Project Buendia</h1>
<h2>Open-source medical records for humanitarian relief missions</h2>
</div>
</section>
<section>
<div class="intro">
<p>Project Buendia is an open-source medical record system
designed for relief missions. It was originally created in collaboration with <a href="http://msf.org/">MSF</a>
in response to the <a href="http://en.wikipedia.org/wiki/Ebola_virus_epidemic_in_West_Africa">2014 Ebola epidemic in West Africa</a>.
</p>
</div>
</section>
<section class="alt">
<div>
<center>
<h2>Project Buendia launches a Nutrition Mission</h2>
</center>
<p>
<strong>Nine children die every minute because their diet lacks essential nutrients. They will continue to do so unless food aid changes.</strong>
</p>
<p>
Médecins Sans Frontières, together with Harvard Medical School and HackHumanity have launched an Open Source Mission to build field-ready technology to improve the clinical effectiveness of large-scale Nutrition Programmes across Africa.
</p>
<p>
<strong>Get involved August - November 2015 and help save lives.</strong>
</p>
<center>
<a class="btn" href="#getinvolved">Join the mission</a>
</center>
</div>
</section>
<!--
<section>
<div>
<center>
<h2>Our vision: an open-source medical records<br/>system for every humanitarian mission</h2>
</center>
<ul>
<li>
Imagine a system that can be pulled out of a box and modified by a competent medical manager, anywhere in the world, for pretty much any clinical setting.
</li><li>
A self-contained and resilient system that works in the harshest of conditions.
</li><li>
One built on open standards that is adaptable, interoperable and freely available to the world.
</li><li>
Software that empowers clinicians, even when working deep on a field mission, to understand their patients better, and provides epidemiologists with the data they need to understand diseases better, and together, to figure out what works and save more lives.
</li>
</ul>
</div>
</section>
-->
<section>
<div>
<center>
<h2>How we began, amidst the biggest Ebola outbreak in history</h2>
</center>
<p>
September 2014, the height of the Ebola crisis - a group of tech volunteers came together to see how they could use their skills to help Medecins sans Frontieres address this devastating epidemic.
</p><p>
A team comprised of engineers from Google’s Social Impact team and other volunteers responded - creating the first open-source Electronic Medical Records system uniquely designed to be deployed and used in these harshest of possible conditions - no internet, unreliable power, sweltering temperatures and the strictest of biohazard safety procedures.
</p>
<p>
Please see GitHub for all
<a href="http://github.com/projectbuendia/buendia/wiki">project documentation</a>
and <a href="http://github.com/projectbuendia/buendia">source code</a>.
</p>
<table cellspacing=0 cellpadding=0>
<tr>
<td class="figure">
<img src="images/server-unit.jpg" width=455 height=340>
<div class="caption">
<b>Server unit</b>: runs on batteries that last for a week.<br>
Built on OpenMRS; automatic backup to USB stick.<br>
No Internet needed. Minimal administration.
</div>
</td>
<td class="figure">
<img src="images/tablet.jpg" width=340 height=340>
<div class="caption"><b>Tablet</b>: fully immersible in 0.5% chlorine.<br>
Wireless charging. Sturdy casing with<br>
hand grips for portrait or landscape mode.<br>
</div>
</td>
</tr>
<tr>
<td class="figure" colspan=2>
<iframe width="560" height="315" src="https://www.youtube.com/embed/5IMD5yuFhHw?rel=0" frameborder="0" allowfullscreen></iframe>
<div class="caption">
<b>User interface</b>: large text and touch targets; clear layout;<br>
emphasis on critical data for patient care decisions.<br>
Easy navigation; quick data entry and editing;<br>
data syncs across server and all tablets within minutes.
</div>
</td>
</table>
</div>
</section>
<section class="bg-img overlay" style="background-image: url('images/MSF148912.jpg')">
<div>
<h1>The Nutrition Mission</h1>
<h2>Now we’re uniting again to help clinicians save more lives in nutrition programmes...</h2>
</div>
</section>
<section>
<div class="left">
<p>
When children suffer from acute malnutrition, their immune systems are so impaired that the risk of death is greatly increased. According to the World Health Organisation (WHO), malnutrition is the single greatest threat to the world’s public health, with 178 million malnourished children across the globe.
</p><p>
Clinical malnutrition is an important childhood killer. Primarily affecting children under 5 years old in low-income settings, it sometimes results from food scarcity (famine) but more often as a result of poor access to hygiene and health care. A child who does not have access to clean water and adequate primary health care, and who may be already underweight, is vulnerable to infections which can cause diarrhoea, vomiting, or loss of appetite. This turn leads to more weight loss, increasing vulnerability to further infection, and in some cases leading to a vicious cycle from which the child cannot recover without medical assistance. Below a certain level of weight and health, a child’s body is no longer capable of digesting ordinary food and will die without support.
</p><p>
Humanitarian nutritional interventions aim to interrupt this process, providing the child with specialized therapeutic foods that can be absorbed even by a very ill body as well as other support such as antibiotics to fight infections. This is done in Therapeutic Feeding Centres (TFCs). Outpatient (Ambulatory or ATFC) facilities treat the 90% or so of patients who can be treated during weekly visits, and Inpatient (ITFC) clinics provide 24-hour care and intensive medical management for the roughly 10% of children at risk of imminent death.
</p>
</div>
<div class="right">
<p>
There are three basic ways in which technology, and the Buendia project, can help save lives in nutritional projects:
<ol>
<li><strong>Improve Quality of Care in Inpatient Programmes</strong> - The quality of care in ITFCs can be improved by providing clinical consultants with a more readable patient chart, more data with less errors, and an interface which facilitates following the most effective medical protocols.
</li><li>
<strong>Improve Reach of Outpatient Programmes</strong> - The reach of ATFCs (the number of children that can be cared for by a given team) can be extended by reducing paperwork and administrative burden, facilitating clinical efficiency by transferring information between stages of the clinical care, and allowing less highly-trained and specialized local staff to provide an adequate level of care.
</li><li>
<strong>Improve Clinical Understanding of Malnutrition</strong> - Current nutrition projects rarely have the time and resources to make a permanent electronic record of the condition and evolution of their patients. An electronic medical record system, even if fundamentally built to improve clinical care rather than intended as a research tool, allows the capture of a much greater volume and quality of patient data, allowing medical managers and researchers to improve their understanding of malnutrition, compare clinical outcomes, and improve medical protocols.
</li>
</ol>
</p>
</div>
</section>
<section class="alt clearfix">
<div>
<center>
<a name="getinvolved"></a>
<h2>Join the mission!</h2>
</center>
<center>
<h3>Software engineers (full time)</h3>
</center>
<p>
We have openings for full-time paid positions for two engineers, contract of 8+ weeks between now and November 2015, based in London / Amsterdam / San Francisco or working remotely.
</p>
<center>
<a class="btn" href="mailto:Ivan.Gayton@london,msf.org?subject=Interested+in+joining+Buendia+team">Find out more & apply</a>
</center>
<center>
<h3>Contribute in your spare time</h3>
</center>
<p>
Project Buendia is open-source and the community is growing.
</p>
<center>
<a class="btn" href="https://groups.google.com/forum/#!aboutgroup/buendia-dev">Join the Dev mailing list</a>
</center>
<center>
<h3>Health and Nutrition Practitioners</h3>
</center>
<p>
Have you worked in nutrition? We're seeking doctors, nurses and others who’ve worked in nutrition programmes to join our experts and users panel.
</p>
<center>
<a class="btn" href="mailto:Ivan.Gayton@london,msf.org?subject=Interested+in+joining+Buendia+user+panel">Join the panel</a>
</center>
</div>
</section>
</body>
</html>