New Tool Fight with Non-communicable Disease in Solomon Islands: DM Case Management Informatics System (DMcmis)

Background: Diabetes Mellitus (DM) is one of top leading causes of death in Solomon Islands (SI). Non household registration management system is a common problem in underdeveloped countries which makes DM case management and follow-up of the compliances a big problem. How to use simple effective method for managing diabetic cases is truly a challenge. Materials and Methods: In 2010, Taiwan Health Center (THC) in SI introduced Taiwan DM Case Management Informatics System (DMcmis) to National Diabetic Center at National Referral Hospital in SI and tried to train health workers using DMcmis for DM patients' management. The DMcmis was installed at one desktop, including one USB-connected finger-print identification board and software system. The information for case management includes ten parts, such as generic measurement, relevant medical history, treatment, medication record, body checkup results, risk factors assessment, et al. Results: THC successfully trained three health workers to use these settings and can remotely monitor working condition of the system. Conclusion: The well-organized DMcmis combined with finger-print identification tool is not only designed user friendly, but also overcomes the difficulties of deficiency or data missing with personal medical records. It really helps health workers to manage the history and progression of DM patients efficiently. In the future, the portable solar power board and DMcmis installed in laptop will be combined for dealing with all non-communicable diseases and be distributed to area health centers located at power shortage remote islands and rural areas.