ArticleJournal of the American Medical Informatics Association : JAMIA
Electronic medical record systems are associated with appropriate placement of HIV patients on antiretroviral therapy in rural health facilities in Kenya: a retrospective pre-post study.
Article in Journal of the American Medical Informatics Association : JAMIA. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Effect of a clinical decision support system on early action on immunological treatment failure in patients with HIV in Kenya: a cluster randomised controlled trial.The lancet. HIV · 2016Trial
- Potential of integrated national laboratory information management system in enhancing early HIV care for infants in Malawi: a report.BMJ innovations · 2026Article
- Advancing Sustainable HIV Services Through Integration in Primary Healthcare in Sub-Saharan Africa: A Perspective on Practical Recommendations.Healthcare (Basel, Switzerland) · 2025Article
- The Development of an Electronic Medical Record System to Improve Quality of Care for Individuals With Type 1 Diabetes in Rwanda: Qualitative Study.JMIR diabetes · 2024Article
- Electronic Medical Record Data Missingness and Interruption in Antiretroviral Therapy Among Adults and Children Living With HIV in Haiti: Retrospective Longitudinal Study.JMIR pediatrics and parenting · 2024Article
- Quality of Electronic TB Register Data Compared with Paper-Based Records in the Kyrgyz Republic.Tropical medicine and infectious disease · 2023Article
- Modelling Prenatal Care Pathways at a Central Hospital in Zimbabwe.Health services insights · 2021Article
- Where No Universal Health Care Identifier Exists: Comparison and Determination of the Utility of Score-Based Persons Matching Algorithms Using Demographic Data.JMIR public health and surveillance · 2018Article
- A model for predicting utilization of mHealth interventions in low-resource settings: case of maternal and newborn care in Kenya.BMC medical informatics and decision making · 2018Article
- A Comparison of Electronic Medical Record Data to Paper Records in Antiretroviral Therapy Clinic in Ethiopia: What is affecting the Quality of the Data?Online journal of public health informatics · 2018Article
- Barriers and facilitators to Electronic Medical Records usage in the Emergency Centre at Komfo Anokye Teaching Hospital, Kumasi-Ghana.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2017Article
- Management of malaria in children with fever in rural Sierra Leone in relation to the 2014-2015 Ebola outbreak.Public health action · 2017Article
- Scaling-up health information systems to improve HIV treatment: An assessment of initial patient monitoring systems in Mozambique.International journal of medical informatics · 2017Article
- Assessing the impact of a primary care electronic medical record system in three Kenyan rural health centers.Journal of the American Medical Informatics Association : JAMIA · 2016Article
- Recent Evidence for Emerging Digital Technologies to Support Global HIV Engagement in Care.Current HIV/AIDS reports · 2015Review
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Authors and funding
9 authors.
Funding
Abstract
BACKGROUND AND
objectiveThere is little evidence that electronic medical record (EMR) use is associated with better compliance with clinical guidelines on initiation of antiretroviral therapy (ART) among ART-eligible HIV patients. We assessed the effect of transitioning from paper-based to an EMR-based system on appropriate placement on ART among eligible patients.
methodsWe conducted a retrospective, pre-post EMR study among patients enrolled in HIV care and eligible for ART at 17 rural Kenyan clinics and compared the: (1) proportion of patients eligible for ART based on CD4 count or WHO staging who initiate therapy; (2) time from eligibility for ART to ART initiation; (3) time from ART initiation to first CD4 test.
results7298 patients were eligible for ART; 54.8% (n=3998) were enrolled in HIV care using a paper-based system while 45.2% (n=3300) were enrolled after the implementation of the EMR. EMR was independently associated with a 22% increase in the odds of initiating ART among eligible patients (adjusted OR (aOR) 1.22, 95% CI 1.12 to 1.33). The proportion of ART-eligible patients not receiving ART was 20.3% and 15.1% for paper and EMR, respectively (χ(2)=33.5, p<0.01). Median time from ART eligibility to ART initiation was 29.1 days (IQR: 14.1-62.1) for paper compared to 27 days (IQR: 12.9-50.1) for EMR.
conclusionsEMRs can improve quality of HIV care through appropriate placement of ART-eligible patients on treatment in resource limited settings. However, other non-EMR factors influence timely initiation of ART.
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