Leapfrogging paper-based records using handheld technology: Experience from Western Kenya

Martin C. Were, James Kariuki, Viola Chepng'Eno, Margaret Wandabwa, Samson Ndege, Paula Braitstein, Juddy Wachira, Sylvester Kimaiyo, Burke Mamlin

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

15 Scopus citations

Abstract

Problem: There is limited experience with broad-based use of handheld technologies for clinical care during home visits in sub-Saharan Africa. Objective: We describe the design, development, implementation, and evaluation of a PDA/GPS-based system currently used during home visits in Western Kenya. Results: The system, built on Pendragon Forms, was used to create electronic health records for over 40,000 individuals over a three-month period. Of these, 1900 represented cases where the individual had never received care for the identified condition in an established care facility. On a five-point scale, and compared to paper-and-pen systems, end-users felt that the handheld system was faster (4.4 ± 0.9), easier to use (4.5 ± 0.8), and produced higher quality data (4.7 ± 0.7). Projected over three years to cover two million people, use of the handheld technologies would cost about $0.15 per person - compared to $0.21 per individual encounter entered manually into a computer from a paper form. Conclusion: A PDA/GPS system has been successfully and broadly implemented to support clinical care during home-based visits in a resource-limited setting.

Original languageEnglish (US)
Title of host publicationMedinfo 2010 - Proceedings of the 13th World Congress on Medical Informatics
PublisherIOS Press
Pages525-529
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

Keywords

  • Computerized medical records systems
  • Developing countries
  • Handheld computers

ASJC Scopus subject areas

  • Biomedical Engineering
  • Health Informatics
  • Health Information Management

Fingerprint Dive into the research topics of 'Leapfrogging paper-based records using handheld technology: Experience from Western Kenya'. Together they form a unique fingerprint.

  • Cite this

    Were, M. C., Kariuki, J., Chepng'Eno, V., Wandabwa, M., Ndege, S., Braitstein, P., Wachira, J., Kimaiyo, S., & Mamlin, B. (2010). Leapfrogging paper-based records using handheld technology: Experience from Western Kenya. In Medinfo 2010 - Proceedings of the 13th World Congress on Medical Informatics (PART 1 ed., pp. 525-529). (Studies in Health Technology and Informatics; Vol. 160, No. PART 1). IOS Press. https://doi.org/10.3233/978-1-60750-588-4-525