Crossing the "digital divide:" implementing an electronic medical record system in a rural Kenyan health center to support clinical care and research.

William M. Tierney, Joseph K. Rotich, Faye E. Smith, John Bii, Robert M. Einterz, Terry J. Hannan

Research output: Contribution to journalArticle

20 Scopus citations


To improve care, one must measure it. In the US, electronic medical record systems have been installed in many institutions to support health care management, quality improvement, and research. Developing countries lack such systems and thus have difficulties managing scarce resources and investigating means of improving health care delivery and outcomes. We describe the implementation and use of the first documented electronic medical record system in ambulatory care in sub-Saharan Africa. After one year, it has captured data for more than 13,000 patients making more than 26,000 visits. We present lessons learned and modifications made to this system to improve its capture of data and ability to support a comprehensive clinical care and research agenda.

Original languageEnglish (US)
Pages (from-to)792-795
Number of pages4
JournalProceedings / AMIA ... Annual Symposium. AMIA Symposium
StatePublished - 2002


ASJC Scopus subject areas

  • Medicine(all)

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