ArticleInternational journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases2015
Better adherence to pre-antiretroviral therapy guidelines after implementing an electronic medical record system in rural Kenyan HIV clinics: a multicenter pre-post study.
Article in International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.
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Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- A Systematic Review of Linkage-to-Care and Antiretroviral Initiation Implementation Strategies in Low- and Middle-Income Countries Across Sub-Saharan Africa.AIDS and behavior · 2022Pooled it
- Specification of implementation interventions to address the cascade of HIV care and treatment in resource-limited settings: a systematic review.Implementation science : IS · 2017Pooled it
- A clinical decision support system is associated with reduced loss to follow-up among patients receiving HIV treatment in Kenya: a cluster randomized trial.BMC medical informatics and decision making · 2021Trial
- Effect of enhancing audit and feedback on uptake of childhood pneumonia treatment policy in hospitals that are part of a clinical network: a cluster randomized trial.Implementation science : IS · 2019Trial
- HIV treatment and monitoring patterns in routine practice: a multi-country retrospective chart review of patient care.F1000Research · 2018Trial
- Patient tracking and retention with Malawi's electronic medical records system in antiretroviral treatment clinics.BMC digital health · 2026Article
- A decade of designing and implementing electronic health records in Sub-Saharan Africa: a scoping review.Global health action · 2025Article
- Article
- 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
- "Following the data": perceptions of and willingness to use clinical decision support tools to inform HIV care among Haitian clinicians.Health policy and technology · 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
- Alinhamento de Dados Entre os Sistemas de Reporte de HIV em Moçambique, 2017-2023.Revista Mocambicana de ciencias de saude · 2024Article
- An EMR-Based Alert with Brief Provider-Led ART Adherence Counseling: Promising Results of the InfoPlus Adherence Pilot Study Among Haitian Adults with HIV Initiating ART.AIDS and behavior · 2020Article
- Effects of real-time electronic data entry on HIV programme data quality in Lusaka, Zambia.Public health action · 2020Article
- 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
- User Requirements for an Electronic Medical Records System for Oncology in Developing Countries: A Case Study of Uganda.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2017Article
- Implementation plans included in World Health Organisation guidelines.Implementation science : IS · 2016Article
- Innovating to enhance clinical data management using non-commercial and open source solutions across a multi-center network supporting inpatient pediatric care and research in Kenya.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
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
introductionThe monitoring of pre-antiretroviral therapy (pre-ART) is a key indicator of HIV quality of care. This study investigated the association of an electronic medical record system (EMR) with adherence to pre-ART guidelines in rural HIV clinics in Kenya.
methodsA retrospective study was carried out to assess the quality of pre-ART care using three indicators: (1) the performance of a baseline CD4 test, (2) time from enrollment in care to first CD4 test, and (3) time from baseline CD4 to second CD4 test. A comparison of these indicators was made pre and post the introduction of an EMR system in 17 rural HIV clinics.
resultsA total of 18523 patients were receiving pre-ART care, of whom 38.8% in the paper group had had at least one CD4 test compared to 53.4% in the EMR group (p<0.001). The adjusted odds of performing a CD4 test in clinics using an EMR was 1.59 (95% confidence interval 1.49-1.69). The median time from enrolment into HIV care to first CD4 test was 1.40 months (interquartile range (IQR) 0.47-4.87) for paper vs. 0.93 months (IQR 0.43-3.37) for EMR. The median time from baseline to first CD4 follow-up was 7.5 months (IQR 5.97-10.73) for paper and 6.53 months (IQR 5.57-7.87) for EMR.
conclusionThe use of the EMR system was associated with better compliance to HIV guidelines for pre-ART care. EMRs have a potential positive impact on quality of care for HIV patients in resource-constrained settings.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.