ArticleJMIR medical informatics2022
A Free, Open-Source, Offline Digital Health System for Refugee Care.
Article in JMIR medical informatics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Electronic Personal Health Records for Mobile Populations: A Rapid Systematic Literature Review.International journal of environmental research and public health · 2025Pooled it
- What are the functionalities and features of mobile health record apps supporting persons experiencing social exclusion? A systematic literature review.Frontiers in digital health · 2025Pooled it
- An offline-first electronic health record for vulnerable populations: A mixed-methods feasibility study.PLOS digital health · 2026Article
- Challenges and potential opportunities for improving One Health surveillance in low-resource settings: Insights from rabies surveillance in Malawi.One health outlook · 2026Article
- Universal public health insurance for Afghan refugees in Iran: a contextual analysis.Globalization and health · 2025Article
- Crossing the digital divide: the workload of manual data entry and integration between mobile health applications and eHealth infrastructure.Oxford open digital health · 2024Article
- Digital health in fragile states in the Middle East and North Africa (MENA) region: A scoping review of the literature.PloS one · 2023Article
- Adapting and Implementing Apps for Mental Healthcare.Current psychiatry reports · 2022Review
- Development of an Offline, Open-Source, Electronic Health Record System for Refugee Care.Frontiers in digital health · 2022Article
- Innovation is needed in creating electronic health records for humanitarian crises and displaced populations.Frontiers in digital health · 2022Article
- Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRise of conflict, extreme weather events, and pandemics have led to larger displaced populations worldwide. Displaced populations have unique acute and chronic health needs that must be met by low-resource health systems. Electronic health records (EHRs) have been shown to improve health outcomes in displaced populations, but need to be adapted to meet the constraints of these health systems.
objectiveThe aim of this viewpoint is to describe the development and deployment of an EHR designed to care for displaced populations in low-resource settings.
methodsUsing a human-centered design approach, we conducted in-depth interviews and focus groups with patients, health care providers, and administrators in Lebanon and Jordan to identify the essential EHR features. These features, including modular workflows, multilingual interfaces, and offline-first capabilities, led to the development of the Hikma Health EHR, which has been deployed in Lebanon and Nicaragua.
resultsWe report the successes and challenges from 12 months of Hikma Health EHR deployment in a mobile clinic providing care to Syrian refugees in Bekaa Valley, Lebanon. Successes include the EHR's ability to (1) increase clinical efficacy by providing detailed patient records, (2) be adaptable to the threats of COVID-19, and (3) improve organizational planning. Lessons learned include technical fixes to methods of identifying patients through name or their medical record ID.
conclusionsAs the number of displaced people continues to rise globally, it is imperative that solutions are created to help maximize the health care they receive. Free, open-sourced, and adaptable EHRs can enable organizations to better provide for displaced populations.
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Registered trials
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