An electronic medical record system for ambulatory care of HIV-infected patients in Kenya

Abraham M. Siika, Joseph K. Rotich, Chrispinus J. Simiyu, Erica M. Kigotho, Faye E. Smith, John Sidle, Kara Wools-Kaloustian, Sylvester N. Kimaiyo, Winston M. Nyandiko, Terry J. Hannan, William M. Tierney

Research output: Contribution to journalArticle

84 Citations (Scopus)

Abstract

Administering and monitoring therapy is crucial to the battle against HIV/AIDS in sub-Saharan Africa. Electronic medical records (EMRs) can aid in documenting care, monitoring drug adherence and response to therapy, and providing data for quality improvement and research. Faculty at Moi University in Kenya and Indiana and University in the USA opened adult and pediatric HIV clinics in a national referral hospital, a district hospital, and six rural health centers in western Kenya using a newly developed EMR to support comprehensive outpatient HIV/AIDS care. Demographic, clinical, and HIV risk data, diagnostic test results, and treatment information are recorded on paper encounter forms and hand-entered into a central database that prints summary flowsheets and reminders for appropriate testing and treatment. There are separate modules for monitoring the Antenatal Clinic and Pharmacy. The EMR was designed with input from clinicians who understand the local community and constraints of providing care in resource poor settings. To date, the EMR contains more than 30,000 visit records for more than 4000 patients, almost half taking antiretroviral drugs. We describe the development and structure of this EMR and plans for future development that include wireless connections, tablet computers, and migration to a Web-based platform.

Original languageEnglish
Pages (from-to)345-355
Number of pages11
JournalInternational Journal of Medical Informatics
Volume74
Issue number5
DOIs
StatePublished - Jun 2005
Externally publishedYes

Fingerprint

Electronic Health Records
Kenya
Ambulatory Care
HIV
Acquired Immunodeficiency Syndrome
Rural Health Services
Handheld Computers
District Hospitals
Drug Monitoring
Africa South of the Sahara
Therapeutics
Quality Improvement
Routine Diagnostic Tests
Outpatients
Referral and Consultation
Hand
Demography
Databases
Pediatrics
Research

Keywords

  • Acquired immune deficiency syndrome
  • Developing countries
  • Electronic medical records
  • Human Immunodeficiency Virus (HIV)
  • International health
  • Medical record system, computerized
  • Resource poor
  • Sub-Saharan Africa

ASJC Scopus subject areas

  • Medicine(all)

Cite this

An electronic medical record system for ambulatory care of HIV-infected patients in Kenya. / Siika, Abraham M.; Rotich, Joseph K.; Simiyu, Chrispinus J.; Kigotho, Erica M.; Smith, Faye E.; Sidle, John; Wools-Kaloustian, Kara; Kimaiyo, Sylvester N.; Nyandiko, Winston M.; Hannan, Terry J.; Tierney, William M.

In: International Journal of Medical Informatics, Vol. 74, No. 5, 06.2005, p. 345-355.

Research output: Contribution to journalArticle

Siika, AM, Rotich, JK, Simiyu, CJ, Kigotho, EM, Smith, FE, Sidle, J, Wools-Kaloustian, K, Kimaiyo, SN, Nyandiko, WM, Hannan, TJ & Tierney, WM 2005, 'An electronic medical record system for ambulatory care of HIV-infected patients in Kenya', International Journal of Medical Informatics, vol. 74, no. 5, pp. 345-355. https://doi.org/10.1016/j.ijmedinf.2005.03.002
Siika, Abraham M. ; Rotich, Joseph K. ; Simiyu, Chrispinus J. ; Kigotho, Erica M. ; Smith, Faye E. ; Sidle, John ; Wools-Kaloustian, Kara ; Kimaiyo, Sylvester N. ; Nyandiko, Winston M. ; Hannan, Terry J. ; Tierney, William M. / An electronic medical record system for ambulatory care of HIV-infected patients in Kenya. In: International Journal of Medical Informatics. 2005 ; Vol. 74, No. 5. pp. 345-355.
@article{d7d75327042c42088f9b84f0afe211e6,
title = "An electronic medical record system for ambulatory care of HIV-infected patients in Kenya",
abstract = "Administering and monitoring therapy is crucial to the battle against HIV/AIDS in sub-Saharan Africa. Electronic medical records (EMRs) can aid in documenting care, monitoring drug adherence and response to therapy, and providing data for quality improvement and research. Faculty at Moi University in Kenya and Indiana and University in the USA opened adult and pediatric HIV clinics in a national referral hospital, a district hospital, and six rural health centers in western Kenya using a newly developed EMR to support comprehensive outpatient HIV/AIDS care. Demographic, clinical, and HIV risk data, diagnostic test results, and treatment information are recorded on paper encounter forms and hand-entered into a central database that prints summary flowsheets and reminders for appropriate testing and treatment. There are separate modules for monitoring the Antenatal Clinic and Pharmacy. The EMR was designed with input from clinicians who understand the local community and constraints of providing care in resource poor settings. To date, the EMR contains more than 30,000 visit records for more than 4000 patients, almost half taking antiretroviral drugs. We describe the development and structure of this EMR and plans for future development that include wireless connections, tablet computers, and migration to a Web-based platform.",
keywords = "Acquired immune deficiency syndrome, Developing countries, Electronic medical records, Human Immunodeficiency Virus (HIV), International health, Medical record system, computerized, Resource poor, Sub-Saharan Africa",
author = "Siika, {Abraham M.} and Rotich, {Joseph K.} and Simiyu, {Chrispinus J.} and Kigotho, {Erica M.} and Smith, {Faye E.} and John Sidle and Kara Wools-Kaloustian and Kimaiyo, {Sylvester N.} and Nyandiko, {Winston M.} and Hannan, {Terry J.} and Tierney, {William M.}",
year = "2005",
month = "6",
doi = "10.1016/j.ijmedinf.2005.03.002",
language = "English",
volume = "74",
pages = "345--355",
journal = "International Journal of Medical Informatics",
issn = "1386-5056",
publisher = "Elsevier Ireland Ltd",
number = "5",

}

TY - JOUR

T1 - An electronic medical record system for ambulatory care of HIV-infected patients in Kenya

AU - Siika, Abraham M.

AU - Rotich, Joseph K.

AU - Simiyu, Chrispinus J.

AU - Kigotho, Erica M.

AU - Smith, Faye E.

AU - Sidle, John

AU - Wools-Kaloustian, Kara

AU - Kimaiyo, Sylvester N.

AU - Nyandiko, Winston M.

AU - Hannan, Terry J.

AU - Tierney, William M.

PY - 2005/6

Y1 - 2005/6

N2 - Administering and monitoring therapy is crucial to the battle against HIV/AIDS in sub-Saharan Africa. Electronic medical records (EMRs) can aid in documenting care, monitoring drug adherence and response to therapy, and providing data for quality improvement and research. Faculty at Moi University in Kenya and Indiana and University in the USA opened adult and pediatric HIV clinics in a national referral hospital, a district hospital, and six rural health centers in western Kenya using a newly developed EMR to support comprehensive outpatient HIV/AIDS care. Demographic, clinical, and HIV risk data, diagnostic test results, and treatment information are recorded on paper encounter forms and hand-entered into a central database that prints summary flowsheets and reminders for appropriate testing and treatment. There are separate modules for monitoring the Antenatal Clinic and Pharmacy. The EMR was designed with input from clinicians who understand the local community and constraints of providing care in resource poor settings. To date, the EMR contains more than 30,000 visit records for more than 4000 patients, almost half taking antiretroviral drugs. We describe the development and structure of this EMR and plans for future development that include wireless connections, tablet computers, and migration to a Web-based platform.

AB - Administering and monitoring therapy is crucial to the battle against HIV/AIDS in sub-Saharan Africa. Electronic medical records (EMRs) can aid in documenting care, monitoring drug adherence and response to therapy, and providing data for quality improvement and research. Faculty at Moi University in Kenya and Indiana and University in the USA opened adult and pediatric HIV clinics in a national referral hospital, a district hospital, and six rural health centers in western Kenya using a newly developed EMR to support comprehensive outpatient HIV/AIDS care. Demographic, clinical, and HIV risk data, diagnostic test results, and treatment information are recorded on paper encounter forms and hand-entered into a central database that prints summary flowsheets and reminders for appropriate testing and treatment. There are separate modules for monitoring the Antenatal Clinic and Pharmacy. The EMR was designed with input from clinicians who understand the local community and constraints of providing care in resource poor settings. To date, the EMR contains more than 30,000 visit records for more than 4000 patients, almost half taking antiretroviral drugs. We describe the development and structure of this EMR and plans for future development that include wireless connections, tablet computers, and migration to a Web-based platform.

KW - Acquired immune deficiency syndrome

KW - Developing countries

KW - Electronic medical records

KW - Human Immunodeficiency Virus (HIV)

KW - International health

KW - Medical record system, computerized

KW - Resource poor

KW - Sub-Saharan Africa

UR - http://www.scopus.com/inward/record.url?scp=21044439040&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=21044439040&partnerID=8YFLogxK

U2 - 10.1016/j.ijmedinf.2005.03.002

DO - 10.1016/j.ijmedinf.2005.03.002

M3 - Article

C2 - 15893257

AN - SCOPUS:21044439040

VL - 74

SP - 345

EP - 355

JO - International Journal of Medical Informatics

JF - International Journal of Medical Informatics

SN - 1386-5056

IS - 5

ER -