Experience implementing electronic health records in three East African countries

William M. Tierney, Marion Achieng, Elaine Baker, April Bell, Paul Biondich, Paula Braitstein, Daniel Kayiwa, Sylvester Kimaiyo, Burke Mamlin, Brian McKown, Nicholas Musinguzi, Winstone Nyandiko, Joseph Rotich, John Sidle, Abraham Siika, Martin Were, Ben Wolfe, Kara Wools-Kaloustian, Ada Yeung, Constantin Yiannoutsos

Research output: Chapter in Book/Report/Conference proceedingConference contribution

31 Scopus citations

Abstract

Introduction: Efficient use of health care resources in low-income countries by providers and local and national managers requires timely access to patient data. Objective: To implement electronic health records (EHRs) in HIV clinics in Kenya, Tanzania, and Uganda. Results: We initially developed and implemented an EHR in Kenya through a mature academic partnership. The EHR was then implemented in six HIV clinics in Tanzania and Uganda in collaboration with their National AIDS Control Programmes. All implementations were successful, but the system's use and sustainability varied depending on who controlled clinic funding. Conclusions: Successful EHR use and sustainability were enhanced by local control of funds, academic partnerships (mainly by leveraging research funds), and in-country technology support.

Original languageEnglish (US)
Title of host publicationMedinfo 2010 - Proceedings of the 13th World Congress on Medical Informatics
PublisherIOS Press
Pages371-375
Number of pages5
EditionPART 1
ISBN (Print)9781607505877
DOIs
StatePublished - Jan 1 2010
Event13th World Congress on Medical and Health Informatics, Medinfo 2010 - Cape Town, South Africa
Duration: Sep 12 2010Sep 15 2010

Publication series

NameStudies in Health Technology and Informatics
NumberPART 1
Volume160
ISSN (Print)0926-9630
ISSN (Electronic)1879-8365

Other

Other13th World Congress on Medical and Health Informatics, Medinfo 2010
CountrySouth Africa
CityCape Town
Period9/12/109/15/10

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Keywords

  • Africa South of the Sahara
  • Computerized medical record systems
  • Developing countries

ASJC Scopus subject areas

  • Biomedical Engineering
  • Health Informatics
  • Health Information Management

Cite this

Tierney, W. M., Achieng, M., Baker, E., Bell, A., Biondich, P., Braitstein, P., Kayiwa, D., Kimaiyo, S., Mamlin, B., McKown, B., Musinguzi, N., Nyandiko, W., Rotich, J., Sidle, J., Siika, A., Were, M., Wolfe, B., Wools-Kaloustian, K., Yeung, A., & Yiannoutsos, C. (2010). Experience implementing electronic health records in three East African countries. In Medinfo 2010 - Proceedings of the 13th World Congress on Medical Informatics (PART 1 ed., pp. 371-375). (Studies in Health Technology and Informatics; Vol. 160, No. PART 1). IOS Press. https://doi.org/10.3233/978-1-60750-588-4-371