Main Tasks and Responsibilities:
SNKE EMR1 and JNKE EMR2 will propose and develop an EMR system, which is feasible to operate as the standard system in tertiary level hospitals in Kabul (and in the regions/provinces) and which is tailored to the specific needs of the country. This task refers to a.) a thorough assessment of the EMR systems which are already currently used in some hospitals (public and private sector) and – based on this assessment and in consideration of international best practice – b.) the development of an appropriate EMR system including design of an EMR architecture and recommendation of an open-source software solution. – Both NKEs will work as a team. While the international SNKE will bring in international experiences and will primarily focus on the conceptual framework of the system, the national JNKE will concentrate on information gathering for the assessment, development of forms and guidelines as well as on contact management and logistic/translation support.
Junior Expert EMR-2
(a) EMR assessment:
(b) EMR architecture: under the guidance of SNKE EMR1 develop forms/guidelines with special emphasis on
(c) organizational and logistical support, appointments, field visits to provinces, translation
Junior Expert EMR-2:
a complete and consolidated record of the collected data for the assessment study
a detailed report on the available IT hardware/networks of the 3 proposed pilot hospitals
as part of the EMR architecture: standard patient registration book and case registration forms (CRF)/patient files for all hospital departments
Localizing the tools and reports.
Reporting and Working Conditions
On a day-to-day basis, the NKEs will report to GDM&EHIS. They will also coordinate their work with GDCM.
The NKEs will report, contractually, to the Programme Team Leader.
The NKEs will work with management and staff within the Ministry of Public Health. Specifically, the NKEs will work directly with GDM&EHIS and his team.
At the beginning of the assignment the NKEs will submit a work plan to the MoPH and the TCPH team leader.
At the end of the assignment, each NKE will submit a mission report according to the TCPH format, covering:
Assessment of achievement of deliverables
Description of challenges encountered
Contribution of deliverables towards relevant project results and indicators
Monitoring summary (gender disaggregated), e.g. number of interviews, numbers of staff trained etc.
Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ) GmbH is a service enterprise for development cooperation with international operations and global experience. Owned by the Federal Republic of Germany, the organization operates as an enterprise with a development-policy mandate to make sustainable improvements to the living conditions of people in partner countries. The organization’s business area GIZ International Services (GIZ InS) is the vehicle for offering results-oriented services on the international market using multiple donor funds.
The Technical Cooperation Programme to the Ministry of Public Health (TCPH) is funded by the European Union and implemented by a consortium of GIZ and m4health. The overall objective is to support the MoPH in the strengthening of its technical and managerial capacities to steer and manage the provision of health care services and to develop the Afghan public health system. In its 2nd phase (July 2020 – August 2022), the programme provides TA in the following major components: (1) Strengthening of Health System Governance and MoPH institutional development. This includes the review and updating of relevant policy and strategy documents, reform of the health care financing system, strengthening of aid coordination and support to SEHATMANDI. (2) Development of health services and human resources, covering areas such as clinical specialization, medical equipment and consumables management, hospital accreditation and the TPHS. (3) strengthening of public health programmes (NCD, cancer, mental health and disability) (4) monitoring and evaluation of health care services and systems performance with a special focus on data analysis and reporting as well as electronic medical record system.
These paired NKE assignments refer to TCPH Component 4 (Monitoring & Evaluation), Result 4.1: Electronic Medical Record System 4.1.1: assessment of current status of EMR, 4.1.2 development of an EMR architecture, 4.1.3 identification of open-source solution for development of a standard EMR system in Afghanistan.
Rationale for TA
The EMR is a digital version of a patient’s paper chart. It contains data and information on the medical history, diagnoses, medications, treatment plans, immunization status, allergies, images, and laboratory test results of a patient. The EMR system goes beyond the collection and storage of clinical data, as it may include evidence-based tools that health care providers can use to make decisions about a patient’s care. For example, an electronic (drug) prescription system could help avoiding incompatibilities (between drugs or in patients with allergies) and overdose (e.g. in patients with reduced renal clearance), by systematically analyzing data and information available on the drug and the patient who is supposed to receive the drug. Warning messages would alert the doctor or nurse and help avoiding some of the most frequent type of medical errors observed in clinical treatment (wrong drug / wrong dose / wrong patient). Furthermore, the EMR helps to ensure compliance with standards and clinical pathways for patients suffering from a particular disease, to guarantee access to quality care, and effective and efficient service provision to all patients presenting with the same clinical symptoms and pathology. Provider workflows can be automated and streamlined thus contributing to better quality. Furthermore, relevant information that is independent from the individual patient but related to specific risk factors, a particular diagnosis, and/or a treatment process can be created and managed in a digital format, be shared with other providers across more than one health care organization for clinical / scientific evaluation and lead to continuous improvement of health services.
In view of its above-mentioned manifold and very obvious advantages, the EMR system has meanwhile become international state of the art in patient recording, and hence the MoPH has decided to embark on the development of a standard EMR system for its tertiary level hospitals.
There is currently no national EMR system operational in Afghanistan. There are hospitals which still use manually filled in paper versions of patient files. Others use simple spread sheet software such as excel and data base solutions (access) to register patient data. But of course this does not represent an EMR system. The MoPH (Central Hospital Directorate) receives data required for their analysis and evaluation of hospital performance from the District (Provincial) Health Management Information System (HMIS) using the DHIS2 (District Health Information System 2) software. However, this software does not include data on diagnosis and treatment and related outcomes. – Recently a number of initiatives have been started in public as well as the private hospitals to digitalize patient records and embark on an EMR (Jumhuriyat hospital, Rabia Balkhi hospital, Cure International hospital etc.).
The MoPH has requested TCPH to provide NKE support for the development of a standardized EMR system – tailored to the specific needs of tertiary level hospitals in Afghanistan. First steps (to be covered by this NKE assignment) will include a feasibility assessment of EMR, the design of an EMR system/architecture and proposal of an appropriate open-source software solution for this system. Further steps (to be supported in future) will include piloting of the EMR system in selected hospitals (see TCPH annual work plan II) – including customization of the software and staff training, then fine-tuning, finalization, consensus-building and approval of the standard EMR system – ultimately to be followed by a roll-out to all central (and provincial) hospitals in the country.
Qualifications, Skills and Experience
Position EMR2 is for a junior national Expert. He/she will focus on information gathering/data collection as well as on the design of forms, registers, patient files as key elements of the EMR architecture. A medical background with additional IT qualification and experience in hospital management information systems would qualify for this position. Junior Expert EMR-2 should be ready to assist Senior Expert-1 in all aspects of his/her work.
Medical doctor, Diploma/BSC in public health,
Diploma, certificate in Computer Science
Min. 5 years working experience in his/her field
Dari and Pashto fluent, very good written and spoken English
Good computer skills (MS word)
Experience in social/medical research, including data collection, conducting of interviews (participation in at least 1 major research study)
Additional qualification (MPH or equivalent) in HMIS, hospital management, M&E or similar
Working Experience with an EMR system
No. Of Jobs
Years of Experience
5 years professional experience
50 days consultancy over a period of 5 months
Negotiable depending on qualifications
Please submit the following to email@example.com:
Expression of interest/application via e-mail. It should contain:
Your proposed gross fee rate in AFN/day including governmental tax 2% (if the applicant has a license) or 7% (if the application doesn’t have a license). The tax is going to be paid to the government by GIZ InS on behalf of applicant.
Your date of availability.
Work plan for mentioned assignment (Preferable)
Your Curriculum Vitae in not more than 4 pages.
The consultant should have her/his own laptop, fully functional, with a trusted antivirus software and fully capable to for software development.
Terms and conditions of payment
Based on deliverables, signed timesheet and approval of MoPH relevant department.
Only those candidates meeting the above criteria will be contacted.