opportunities and challenges in providing global health information in liberia

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Opportunities and Opportunities and Challenges in Challenges in Providing Global Providing Global Health Information Health Information in Liberia in Liberia Elaine Martin Andrew Creamer James Comes University of Massachusetts Medical School

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After the war in Liberia, all of the doctors fled the country. UMass Medical School's Library Director Elaine Martin traveled to Liberia with the help of James Comes and Andrew Creamer to-build a library for the nation's medical school. Through photos, graphs, and text, they share their story about how they were able to take big steps toward re-building the nation's health care system.

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Page 1: Opportunities and Challenges in Providing Global Health Information in Liberia

Opportunities and Opportunities and Challenges in Challenges in

Providing Global Providing Global Health Information in Health Information in

LiberiaLiberia

Elaine MartinAndrew Creamer

James ComesUniversity of Massachusetts Medical School

Page 2: Opportunities and Challenges in Providing Global Health Information in Liberia

OutlineOutline• History-How University of Massachusetts Medical

School started working in Liberia

• HEARTT

• Collaboration with other libraries in the U.S.

• Progress to date

• Challenges

Page 3: Opportunities and Challenges in Providing Global Health Information in Liberia

Four VisitsFour Visits

• March 2011—Needs assessment; develop a plan • August 2011—Processing materials; setting

policies in preparation for the opening of the school year

• February 2012—Begin staff training; continue processing; introduce computers

• August 2012– Continue staff training and setting up an automated system and printer and copier

Page 4: Opportunities and Challenges in Providing Global Health Information in Liberia
Page 5: Opportunities and Challenges in Providing Global Health Information in Liberia
Page 6: Opportunities and Challenges in Providing Global Health Information in Liberia

March 31 Meeting:

Identify action items to resolve issues presented

Identify medical library software needs; obtain HINARI password

Assess power, internet, computing capabilities & upgrades needed

Obtain draft operations manual & future status of Italian consultant

Develop additional content needed for operations manual

Gather and simplify library staff job descriptions & employee handbook that can be customized for Liberia

Design and implement staff training needed

Schedule and deliverTraining modules

Obtain basic supplies and containers for transport, storage use

Conduct site visit when schoolis in session to observe libraryuse & services

Once power, internet, computer availability is adequate, obtain and deliver CDs, memory sticks, software.

Install software

Actions taken toResolve identified issues

Donated books sorted and appropriate items ready for processing

Deliver supplies

PHASE1

PHASE 2

PHASE 3

PHASE 4

Liberia Medical LibrariesUpgrade Plan

Page 7: Opportunities and Challenges in Providing Global Health Information in Liberia
Page 8: Opportunities and Challenges in Providing Global Health Information in Liberia
Page 9: Opportunities and Challenges in Providing Global Health Information in Liberia
Page 10: Opportunities and Challenges in Providing Global Health Information in Liberia

Ready for the New Ready for the New SemesterSemester

Page 11: Opportunities and Challenges in Providing Global Health Information in Liberia

Library as PlaceLibrary as Place

Page 12: Opportunities and Challenges in Providing Global Health Information in Liberia
Page 13: Opportunities and Challenges in Providing Global Health Information in Liberia
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Page 17: Opportunities and Challenges in Providing Global Health Information in Liberia

ChallengesChallenges• Lack of basic library supplies for processing

• Lack of fuel for electricity to keep library open at night

• Lack of transportation for staff

• Staff training—basic literacy, library science, and computer skills

• No internet access

Page 18: Opportunities and Challenges in Providing Global Health Information in Liberia
Page 19: Opportunities and Challenges in Providing Global Health Information in Liberia

Part 2: Part 2: Introducing Introducing

an Automated an Automated SystemSystem

August and September 2012

Page 20: Opportunities and Challenges in Providing Global Health Information in Liberia

ConsiderationsConsiderations• Worked with Rong Tang to identify software• Elaine, Penny Glassman and Andrew Creamer

evaluated Librarysoft® software• Simple interface• Basic OPAC, patron and cataloging databases• Ability to upload Excel® spreadsheets • Ability to move data • Hold up to 7,000 materials in the collection• Flexible site license and support

Page 21: Opportunities and Challenges in Providing Global Health Information in Liberia

Bumps in the RoadBumps in the Road

Page 22: Opportunities and Challenges in Providing Global Health Information in Liberia

Teaching the New Teaching the New SystemSystem

Page 23: Opportunities and Challenges in Providing Global Health Information in Liberia

Holding ClassesHolding Classes

Page 24: Opportunities and Challenges in Providing Global Health Information in Liberia

ChallengesChallenges• Having each staff member learn each other’s

position• Separating the system’s functions on separate

laptops• Having the knowledge and equipment to back up

the system databases and maintain• Getting the staff to see the IT administrator as an

ally• Integrating an automated workflow into a paper-

based workflow

Page 25: Opportunities and Challenges in Providing Global Health Information in Liberia

Adopting New Adopting New PracticesPractices

Page 26: Opportunities and Challenges in Providing Global Health Information in Liberia

Teaching How to PrintTeaching How to Print

Page 27: Opportunities and Challenges in Providing Global Health Information in Liberia

Bumps in the RoadBumps in the Road

Page 28: Opportunities and Challenges in Providing Global Health Information in Liberia

ChallengesChallenges• Have the knowledge to open and locate students’

files using a USB storage device• Have the knowledge to evaluate files before

opening them and exposing the system to potential viruses

• Having the knowledge to run anti-virus applications

• Maintain printer and its supplies

Page 29: Opportunities and Challenges in Providing Global Health Information in Liberia

Securing the SystemSecuring the System

Page 30: Opportunities and Challenges in Providing Global Health Information in Liberia

Locking Printer and Locking Printer and ComputerComputer

Page 31: Opportunities and Challenges in Providing Global Health Information in Liberia

Bolting Down Circ Bolting Down Circ ComputerComputer

Page 32: Opportunities and Challenges in Providing Global Health Information in Liberia

Teaching Each OtherTeaching Each Other

Page 33: Opportunities and Challenges in Providing Global Health Information in Liberia

Supporting Each Supporting Each OtherOther

Page 34: Opportunities and Challenges in Providing Global Health Information in Liberia

Sharing Sharing ResponsibilitiesResponsibilities

Page 35: Opportunities and Challenges in Providing Global Health Information in Liberia

Having Staff Buy InHaving Staff Buy In

Page 36: Opportunities and Challenges in Providing Global Health Information in Liberia

Bright FutureBright Future

Page 37: Opportunities and Challenges in Providing Global Health Information in Liberia

Part 3: Teaching Part 3: Teaching • HINARI and ARDI

• JFK Hospital Outreach

• Outreach to UL and US Embassy Libraries

• Creating a book bank

• Two steps forward forward, one step back

Page 38: Opportunities and Challenges in Providing Global Health Information in Liberia

Thank YouThank You

Page 39: Opportunities and Challenges in Providing Global Health Information in Liberia

ContactContactElaine [email protected]

Andrew [email protected]

James [email protected]