Enabling Free Healthcare in Rural Clinics 

Prefabricated Clinics with Aleutia Computers and eClinic Software

Dr. Wallace Ogufere is a leading orthapaedic surgeon at Lewisham hospital in London. He grew up in Oyo, Nigeria where effective healthcare is still a luxury and wanted to give something back with his 27 years of medical experience. Together with Oyo State's First Lady Florence Ajimobi he founded Programme ABC (Access to Basic Care) to provide free healthcare in remote areas.

Each clinic is housed in a low cost 40' container and serves an average of 80 patients per day from 9 to 5. Patients are registered (of then for the first time) in reception with initial symptoms recorded by a receptionist. A trained nurse then sees them in the consulting room, brings up their patient record and uses pathway software (created by Dr. Ogufere) to quickly click through their symptoms and provide a diagnosis and medical prescription. For instance,

Drugs are delivered each morning by motorbike and stored in a low power refrigerator. Every two weeks each clinic is visited by a senior consultant for more complicated treatments and patients can be referred to the regional hospital.

In total 12 clinics provide treatment to over 1000 people per day for free. Patient records are synchronised by 3G to a secure server and mirrored in the cloud allowing any patient to have their record brought up at any clinic

Solar Powered and Backed Up to Secure Cloud Database

All of this is ambitious in the West but in Oyo State power is infrequent at best and sometimes unavailable for days.

Traditional UPS backups are designed to provide 15 minutes of back up power (just enough for a safe shutdown) with batteries only intended to be used a few times per year.

With daily power outs an issue, Aleutia developed a Deep Cycle UPS solution based on high capacity solar batteries designed to be used day in, day out and could power the medical refrigerator.

This was further optimised by using a pair of low power Aleutia T1 computers (one for reception and one for the consulting room) that consumed just 12 watts of power (80% less than Dell) and had the reliability of no moving parts. This ensured that back up power was affordable and reduced maintenance costs that would are prohibitive in remote areas where dust destroys traditional fan based PCs.

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