"talkin' about a revolution": How electronic health records can facilitate the scale-up of HIV care and treatment and catalyze primary care in resource-constrained settings

Paula Braitstein, Robert M. Einterz, John E. Sidle, Sylvester Kimaiyo, William Tierney

Research output: Contribution to journalArticle

31 Scopus citations

Abstract

Health care for patients with HIV infection in developing countries has increased substantially in response to major international funding. Scaling up treatment programs requires timely data on the type, quantity, and quality of care being provided. Increasingly, such programs are turning to electronic health records (EHRs) to provide these data. We describe how a medical school in the United States and another in Kenya collaborated to develop and implement an EHR in a large HIV/AIDS care program in western Kenya. These data were used to manage patients, providers, and the program itself as it grew to encompass 18 sites serving more than 90,000 patients. Lessons learned have been applicable beyond HIV/AIDS to include primary care, chronic disease management, and community-based health screening and disease prevention programs. EHRs will be key to providing the highest possible quality of care for the funds developing countries can commit to health care. Public, private, and academic partnerships can facilitate the development and implementation of EHRs in resource-constrained settings.

Original languageEnglish (US)
Pages (from-to)S54-S57
JournalJournal of Acquired Immune Deficiency Syndromes
Volume52
Issue numberSUPPL. 1
DOIs
StatePublished - Nov 1 2009

Keywords

  • Affica
  • Chronic disease
  • HIV/AIDS
  • Kenya
  • Medical informatics
  • Monitoring and evaluation
  • Observational research
  • Primary care

ASJC Scopus subject areas

  • Infectious Diseases
  • Pharmacology (medical)

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