Existing technology solutions are fragmented, unscalable, functionally limited, and are not interoperable with national-level information systems. A government owned and operated, enterprise-grade solution is needed to connect Frontline Health Workers to national health systems, which improves primary health care service delivery, strengthens accountability, and generates real-time data for improved monitoring and evaluation. The Open Smart Register Platform was purposefully designed with end-users, to complement and bolster other robust and widely deployed information technology solutions, including OpenMRS as the backend for clinical reporting, and DHIS2 for reporting.
At the heart of OpenSRP is the smart register. This is where frontline health workers view and manage all of their digitized client records. One client is listed per row, and medical history and health service information is listed across pre-specified columns. By standardizing the way client information is captured and displayed, smart registers allow the user to easily search for and extract information at the point of service delivery, a critical component of effective healthcare provision.
The smart register concept was inspired by (and also mimics the look of) traditional paper registers and ledgers that are still used today across a majority of low and middle income countries as the data backbone of their national health systems. Unlike paper registers, however, smart registers do not suffer from the many limitations of pen and paper-based data entry. The features that are built into the smart register platform are designed to match and enhance the frontline health worker’s dynamic patient workflow, instead of acting as a hindrance.