Reflecting on lessons learned and the impact of Hikma Health’s Year of Migrant Health

 

Clinician at MedGlobal in Cox’s Bazar, Bangladesh using the Hikma Health system to enter patient information during a patient visit. MedGlobal 2022.

 

Last spring, the first cycle of the Year of Migrant Health initiative came to a close. We are excited to reflect back on this past year to celebrate progress and reflect on lessons learned.

One year ago, we launched our first grant initiative to provide clinical organizations with funding to implement the Hikma Health system, an electronic health record (EHR) designed for low-resource settings. Though our technology has and always will be free and open-source, many clinical organizations need additional support to overcome the upfront costs associated with launching new technology.

As part of the YMH initiative, we partnered with 8 organizations from 8 countries around the world, each serving unique populations in low-resource settings. In addition to providing each organization grant funding to cover the up-front deployment costs associated with implementing a new technology platform, we provided targeted guidance and support to each organization based on their unique needs to be able to find technical talent, customize the open-source system based on their needs, and deploy the platform their organization’s clinical staff.

Over the course of the year, half of our grantees were able to deploy the Hikma Health system in their clinics by the end of the year. The remaining four organizations are continuing to make steady progress towards deployment and expect to launch in the coming months. Over half of the grantees were able to hire local technical talent to customize and deploy the system,  taking an essential step towards building sustainable technical capacity within their organizations. And by the end of the 12 months of the program, over 5,000 patient records had already been uploaded and stored securely in each organization’s customized deployment of the Hikma Health system, enabling clinicians to provide faster, more reliable, and more personalized care.

We have learned so much from our grantees this past year. Each organization navigated a unique set of challenges, balancing many competing priorities to continue to push the YMH project forward. Many organizations operate in areas of conflict and experienced unpredictable civil and political unrest. Additionally, many of the nations experienced natural disasters and extreme weather that severely impacted their healthcare systems, including in Nicaragua, Sudan, Somalia, and Bangladesh. While some of these obstacles were unavoidable, we were proud to be able to support our grantees and worked with each of them to accommodate changing circumstances by providing increased flexibility where possible.

To date, four grantees have begun using the Hikma Health system in their clinical practice:

  • MedGlobal’s humanitarian clinical operation in Cox’s Bazar, Bangladesh, primarily serving Rohingya refugees and other pregnant and postpartum women. 

  • Saglamliga Khidmat Public Union (SKPU) in Baku City, Azerbaijan serving over 2,000 patients a year from diverse backgrounds, including refugees and internally displaced people, focusing on people living with tuberculosis, HIV, and a number of other chronic conditions. 

  • Juba Foundation based in Mogadishu, Somalia managing health and nutrition projects in over 9 regions in the country. 

  • Blue Mission Organization a community-based and independent organization based in Lebanon, that promotes and protects the rights of vulnerable populations. Their programs include primary health, mental health, education, life skills programs, training and protection. Blue Mission Organization utilizes mobile teams to deliver critical medical services to Syrian and Palestinian refugees, as well as Lebanese host community members.

Clinician working at SKPU in Baku, Azerbaijan capturing patient information during a tuberculosis screening using the Hikma Health system. SKPU 2022.

 

“Before our organization used to record the patient information on paper which took more time to include all the information by hand, and sometimes papers were lost. This was a good opportunity for our organization to deploy Hikma Health's EHR system. Now during the screening activities in remote areas where there is no internet access, it is easy to record all patient information on one system and then synchronize data.”

- Clinician at SKPU, Azerbaijan

The other four grantees are currently in the development phase of the deployment, Roberto Clemente Health Clinic in Nicaragua, Ibrahim Khan Jhagra Foundation in Pakistan, Diabetes Programs Promotion Organization in Sudan, and Refugee Health Alliance in Mexico and aim to deploy their customized EHR systems in the coming months. These organizations are taking an essential step towards improving healthcare services for the populations they serve. 

“Even without fully deploying the Hikma Health app yet, the deployment process itself helped mainstream the process of clinical care and contributed to highlighting the importance of structured data collection and its utilization to improve patient care.” - Clinician at DPPO, Sudan

We are gratified to see the impact that the Hikma Health system is having on healthcare organizations around the world. By providing a customizable, secure, and efficient system for patient recordkeeping, the system has the potential to improve healthcare outcomes and make a real difference in the lives of patients in diverse contexts and populations. We hope to continue supporting the incredible organizations and clinicians streamline their patient recordkeeping, improve data security, and provide faster, more efficient, and more personalized care to their patients.

We want to thank all of our donors and supporters who made the Year of Migrant Health Initiative a reality! 

Within the last year the world faced continued hardship, with UNHCR estimating over 100 million people were forced to flee their homes, escaping conflict, violence, human rights violations and persecution. As we continue to face outbreaks of violence and conflict in many parts of the world, including Ukraine, Ethiopia, Burkina Faso, Syria, Myanmar, and Sudan - Hikma Health remains committed that organizations and clinicians serving these populations have the tools they need to provide quality healthcare. 

Please keep a look out for our upcoming 2023 grant initiative, building on lessons learned from 2022’s Year of Migrant Health. You can learn more the project, our incredible 2022 grantees, and ways to support our efforts here.

We’re halfway through our Year of Migrant Health initiative!

As we enter the second half of our Year of Migrant Health initiative, we are excited to celebrate the progress of our grantees thus far and reflect on some lessons learned! 

In February, we launched our first ever grant initiative to provide 8 clinical organizations around the world with funding to implement the Hikma Health system, an electronic health record (EHR) designed for low-resource settings. Though our technology has and always will be free and open-source, we recognized that many clinical organizations need additional support to overcome some of the upfront costs associated with launching new technology.

Over the last six months, we have worked with each of our 8 grantees to understand their unique needs, provided guidance on finding technical talent to customize and deploy the system to meet those unique needs, and supported each organization’s technical lead through regular office hours with Hikma Health’s CTO.

At the end of the first half of the funding cycle, we met with our grantees to review their progress, celebrate successes, and discuss challenges. We are excited to share that as of July, two grantees have deployed the Hikma Health system and have it in active use by their clinicians in the field!


MedGlobal has one of its humanitarian clinical operations in Cox’s Bazar, Bangladesh, where their clinicians primarily serve Rohingya refugees and other pregnant and postpartum women. After completing staff and stakeholder training in April, the MedGlobal team deployed the Hikma Health system and has used it to capture the medical records of over 3,000 patients so far. In reflecting on how the Hikma Health system has transformed their operations so far, clinicians shared that having a digital system has enabled the recordkeeping process to be “quick, fast and secure.”

 

Clinician at MedGlobal receiving training on the Hikma Health system. Credit: MedGlobal 2022.

 

Saglamliga Khidmat Public Union (SKPU) in Baku City, Azerbaijan serves over 2,000 patients a year from diverse backgrounds, including refugees and internally displaced people. SKPU provides vital care to people living with tuberculosis, HIV, and a number of other chronic conditions. SKPU conducted training in June for its clinical staff and other national tuberculosis physicians in the community. In July, SKPU deployed the Hikma Health system in the field and has collected nearly 200 patient records thus far, providing patients with faster, more reliable, and more personalized care.

Three of our grantees are currently in the development phase of the deployment, working on customizing the Hikma Health system to fit their specific contexts. These organizations, Blue Mission Organization in Lebanon, Refugee Health Alliance in Mexico, and Diabetes Programs Promotion Organization in Sudan, are finalizing their customizations and aim to deploy their systems in the next month!

One of the significant challenges each grantee has had to address is sourcing technical talent to manage the development and deployment of the technology. Effective customization of our open-source software requires specific skills in software development. Many grantees have opted to source local talent rather than work with an offshore developer. While this enables them to support local software workers with a stronger understanding of their unique contexts, this process can take substantially longer to ensure they find the right person with the requisite skills to effectively deploy the technology. Our other three grantees, Ibrahim Khan Jhagra Foundation in Pakistan, Roberto Clemente Health Clinic in Nicaragua, and Juba Foundation in Somalia are still in the process of finalizing their selection and contracts with their technical leads. We look forward to supporting them in this process and are excited for them to begin the development phase shortly!

We are grateful to have the opportunity to connect regularly with leaders in these organizations across the world and build an understanding of the challenges each is experiencing. From social and political unrest to software bugs, each grantee has had to navigate a number of setbacks while balancing many competing priorities to continue to push forward the YMH project in their organizations. Through the process, we at Hikma Health have learned a lot about how to smooth the process for our grantees, including overcoming administrative hurdles with disbursing funds, adapting to shifting timelines, and balancing reporting requirements with organizational capacity for our grantees. 

We are thrilled with the progress our grantees are making and are optimistic that each one will deploy their customized version of the Hikma Health system this fall. As new challenges inevitably arise, we look forward to collaborating with each organization’s team to overcome these challenges. Each of these 8 organizations’ commitment to their communities inspires us to continue our efforts in making healthcare accessible for all through free and open-source digital health solutions. 

Lastly, thank you to all of our supporters and donors who have made this Year of Migrant Health initiative possible. We look forward to sharing more updates in the months ahead!

TEAM SPOTLIGHT: FAWZI ZGHYER - MEDICAL INFORMATICIST

Welcome to our team spotlight series, featuring profiles of team members here at Hikma Health. Learn more about the people behind the product and how we empower patients, clinicians, and communities.

In one sentence, what’s your job right now?

I am an Internal Medicine Resident physician at the Johns Hopkins Hospital.

What does a typical day look like?

My typical day is usually a day at the hospital rich in interactions with patients, families, and colleagues.

What do you enjoy most about your role?

What I enjoy most about my role is seeing people get better in real time. It is always so heartwarming when someone comes very sick into the hospital, and then after a journey of diagnostics and treatments, walks out of the hospital! I enjoy getting to know new people and stories every single day.

How have you been able to learn and grow at Hikma Health?

I was able to learn and grow at Hikma Health by watching a group of incredibly passionate and driven individuals in action. It brings me honor and pride to be working amongst such bright individuals who are purely driven by good deeds and desire to payback.

What has been one of your proudest moments working at Hikma Health?

 My proud moments at Hikma Health are numerous. One that stands out is when we reached the target for our fundraiser to support EMA in building a second mobile clinic in Bekaa, Lebanon. 

 Anything else you would like us to know?

I would like to share a little more about my background here. I was born and raised on the outskirts of a refugee camp in East Jerusalem. I spent my childhood days in the neighbourhoods playing soccer and competing in tournaments. I was 100% sure that I was going to either be a professional soccer player or a truck driver. Fast forward a few years, I am currently working hard in my medical residency training in order to payback to my roots, serve the underserved, and be kind.

TEAM SPOTLIGHT: MICHAEL CHILAZI CHIEF MEDICAL OFFICER

Welcome to our team spotlight series, featuring profiles of team members here at Hikma Health. Learn more about the people behind the product and how we empower patients, clinicians, and communities.

michael.png

In one sentence, what’s your job right now?

As Chief Medical Officer, I provide clinical input into the design and function of our technology to meet the needs of our partners providing medical care.

What do you enjoy most about your job?

I really value the opportunity to collaborate with medical providers across the world striving to care for vulnerable groups. It is a privilege to support their mission as well as learn from the innovative ways in which they care for their communities.

How have you been able to learn and grow at Hikma Health?

I am fortunate to be part of a multidisciplinary team at Hikma Health where my teammates bring such a diversity of backgrounds and expertise in technology, business, design, research, marketing and more. As a medical provider, it has taught me the importance of collaborating with different sectors to achieve health-focused missions.

What does a typical day look like?

Meeting with partners to tailor our technology around their needs and clinical workflows and collaborating with our medical team to design relevant tools for our partners, such as COVID-19 guidelines.

What has been one of your proudest moments working at Hikma Health?

I had the opportunity to share Hikma Health’s mission at the American Heart Association’s national conference where we were invited to speak on the use of healthcare technology to address unmet needs. It was inspiring to see the support from leading medical providers and organizations for our mission to support the critical work of our clinical partners.

Original Paper: Reduction of COVID-19 Incidence and Nonpharmacologic Interventions: Analysis Using a US County–Level Policy Data Set

As of today, there are over 18 million confirmed COVID-19 cases and over 324,000 deaths in the United States. Worldwide, nonpharmacologic interventions (NPIs) have been the main tool used to mitigate the COVID-19 pandemic. This includes social distancing measures (closing businesses, closing schools, and quarantining symptomatic persons) and contact tracing (tracking and following exposed individuals).

This study is the first large-scale NPI analysis at the county level demonstrating a correlation between NPIs and decreased rates of COVID-19.

Thank you to our research team for leading this informative study:

Henry Ashworth, Cray Noah, Adesh Kadambi and Senan Ebrahim.

From the Massachusetts General Hospital:

Jagpreet Chhatwal and Asmae Toumi

Read our article on how NPI policies factor into limiting the local spread of the COVID-19 in the US.

Hikma Health Wins 2019 HBS New Venture Competition Student Social Enterprise Track

In 2017, Hikma Health was born. The vision was simple: Everyone, everywhere deserves personalized and quality healthcare. Since then, our team has grown to over 40 volunteers, from a variety of different professional and personal backgrounds, working to achieve a common goal. At the HBS New Venture Competition on Tuesday, Hikma Health captured the grand prize, taking another step towards turning our vision into reality. To all of those who have supported us thus far, thank you. We are excited to continue our work and strive for a healthier tomorrow; this is just the beginning.

Hikma Health: What’s in a name?

Hikma حكمة (n.) — healing wisdom

In Arabic, the word hikma means wisdom, derived from the quality possessed by the traditional medicinal healers in Arab societies, called hakims. Hikma Health is founded on this timeless philosophy of empowering hakims with the healing wisdom, information, and knowledge that they need to treat those in need. Our mission at Hikma is to provide physicians and care providers around the world with the data resources they need to achieve the best possible health outcomes for their patients and communities.

Hakim Ibn Sina (Avicenna), the 10th century father of modern medicine.

Hakim Ibn Sina (Avicenna), the 10th century father of modern medicine.

Hikma Health was launched out of the MIT Media Lab’s Refugee Learning Accelerator, where our conversations with refugee patients and physicians illuminated the vital need for accurate data collection and patient monitoring to treat chronic illnesses. Furthermore, we identified the opportunity to build personalized predictive models using the collected data in order to support clinical decision making to elevate the standard of care. Our solution is to create custom health data management systems designed to record, access, and analyze patient data for nonprofit organizations working with refugees and other underserved populations.

Since its founding in August 2018, Hikma has grown into a volunteer-led 501(c)(3) nonprofit organization of over 30 people, with additional support from professional software engineers. Volunteers range from physicians to consultants, software engineers to educators — all dedicating their time and talent to create a unique, yet practical health data system for refugee patients. Hikma is funded solely by donations, philanthropy, and partnerships. 100% of donations go directly to cover product development costs, including server costs and engineer salaries.

In the last six months, we have built the fully-featured Hikma cloud platform customized to the needs of our clinical partners. The Hikma health data system is tailored to the complex setting of refugee healthcare, providing functionality such as online-offline capability and multilingual datastreams. We aim to improve outcomes for patients by using data from consented patients to construct predictive models for them which will ultimately support clinical decision making. We are currently working to deploy the system for for clinical organizations around the world. Once our system is in widespread continuous use, it will improve health outcomes for refugee patients, particularly those with major chronic conditions such as diabetes and hypertension that are significantly under-treated in refugee populations.

Hikma Health is purpose driven, patient centered, leading with compassion and healing wisdom. We look forward to building a healthier future for patients around the world!

Hikma Health is an independent 501(c)(3) nonprofit and is not affiliated with Hikma Pharmaceuticals PLC or any of its affiliates.