Greetings to former, current, and prospective SIGHT members alike! It has certainly been a long while since my days as a member of the SIGHT team, back when I was an undergraduate student at HKUST. Thus, when Malinda contacted me inviting me to be part of this book project, I was both honoured and mildly worried. The latter feeling of course, arose from the fact that there is this 4-5 year gap that has certainly tainted and muddled my memories of exactly what I was up to those number of years ago.
I do remember that I was part of the Cambodia team, in which we tried to implement a mobile app for healthcare workers and medical volunteers to use to document health information for people living in poor conditions within the many slums scattered around Phnom Penh (we used to call that project “EasyMed”, and then it became “MedEasy”, but I’m not sure what you guys call it now!). Looking back it was certainly challenging to have been taking part (as a person who knows very little in coding) in a project that in essence requires coding knowledge to work. Thus my efforts were mainly focused on the user experience, to try and understand the healthcare workers’ needs in helping them streamline their medical services. Another part of the challenge was to design a portable storage unit to place 3 main pieces of equipment: a router for wifi services in the slums, a raspberry pi essentially for data storage, and a power bank to ensure the first two are running.
I participated in two weekly-long field trips (one in June 2016 and the other in June 2017), whose aim was to implement the project and see how it functions in a real- life situation. Having been fortunately equipped with a plethora of photographic evidence (as well as a number of embarrassing video clips of my mug, which I am not keen to highlight!) documenting these two events, I will thus take you readers on a pictographic journey of the early days of this “Electronic Health Record System” project...
This photo was taken in the early days of the field trip. A big part of the implementation challenge was to teach the healthcare workers how to use the mobile app, and how to set up the “EasyMed Box” (the purple contraption on the left). This office space also serves as the headquarters in which after each trip to the slum we discuss on what went well, what went awry, and how we can improve in the future.
Here is a shot of one of the slums we volunteered in; at that moment we were helping to set up the so-called “triage, consultation, and pharmacy” stations. I do remember the smell being a mixture of rotting food waste and burning plastic, with a slight hint of sewage (very pleasant!). This just gave us a glimpse of the harsh reality of the conditions many of these people have to live in. I felt that being empathetic towards the situation in which these slum-dwellers experience daily contributes to the project’s success.
When the clinic is in full force, we take turns teaming up with a healthcare worker to assist them with using the mobile app. The challenge here was to note down any potential issues with the user experience and workflow whilst ensuring they perform a smooth and efficient checkup on their patients. The sweltering Cambodian summer sun certainly did not help in this case!
Since this was our first time visiting Cambodia, we treated ourselves to a day trip cycling around Cambodia’s rural areas. This is a photo of us in the middle of sampling the country’s fine cuisine; I myself am quite partial to “Amok trey”, which is pieces of fish gently poached in a delicate spicy coconut curry sauce encased in a vessel made out of banana leaves. Unfortunately, I do also distinctly remember afterwards being the only victim of a case of food poisoning in which I was denied the opportunity to visit the capital’s tourist destinations.
Us SIGHT members were helping to carry some equipment to a slum. The healthcare workers essentially run a mobile clinic in which they drive to the slum, rather than a more typical case in which the patient travels to visit the doctor. Having had a one-year opportunity to improve the project, the situation is similar here: each team member partners with a healthcare worker and tries to understand where the app works and what didn’t work so well. During the non-zero number of times a bug appeared in the app the healthcare workers were quick to switch to their old, paper-based system: it was also a hurdle to try and convince them to keep their faith in our project!
This is a shot of the “pharmacy station”, which is the last station patients visit after they go through consultation. Part of the app’s features (if I remember correctly) is to document the type and dosage of medicine administered to the patient, as well as to keep a log of their current supply.
This photo shows the dedication the team puts into the project. Even late into the night we are making improvements on the user experience, communicating with the backend developers on the medical volunteer’s needs, and preparing for the next day’s events. This was also the time in which we reflected on what we experienced and how we felt (I do remember “empathy” as being a key component of the design-thinking process that SIGHT advocates).
I am happy to report that this time I did not suffer any stomach ailments and did manage a chance to visit some of Phnom Penh’s attractions: this is the Royal Palace of Cambodia.