Evidence map›Paper›PMID 38670797›Full record

ArticleGlobal health, science and practice2024

Lessons From the Design and Rollout of an Electronic Medical Record System for Cervical Cancer Screening in Rwanda.

Nang'andu Chizyuka, Emily Crawford, Katharine Schilling Hebert, Sylvie Gaju, Inga Mumukunde, Jean Marie Vianney Dusengimana, Marc Hagenimana

Abstract read
In one paragraph

Article in Global health, science and practice, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Nang'andu ChizyukaClinton Health Access Initiative, Kigali, Rwanda.
Emily CrawfordClinton Health Access Initiative, Abuja, Nigeria.
Katharine Schilling HebertClinton Health Access Initiative, Boston, MA, USA. kschilling@clintonhealthaccess.org.
Sylvie GajuClinton Health Access Initiative, Kigali, Rwanda.
Inga MumukundeClinton Health Access Initiative, Kigali, Rwanda.
Jean Marie Vianney DusengimanaPartners in Health, Kigali, Rwanda.
Marc HagenimanaRwanda Biomedical Center, Kigali, Rwanda.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn its commitment to delivering comprehensive women's cancer early detection services, the Rwanda Ministry of Health rolled out a new cervical cancer screening program. The paper-based medical record system that tracked clients at different points in the continuum of cervical cancer care had challenges with storing data, accessing client information for follow-up visits, and fragmenting information on individual clients. To support the rollout of the new cervical cancer screening program, a new electronic medical record system was designed and implemented to ensure clients were followed along the complete continuum of care. We document the development and implementation of the electronic medical record system and highlight challenges and lessons learned during implementation.

methodsImplementation took a participatory approach to ensure that the electronic medical record system was efficient in tracking clients along the continuum of care. At every stage, a wide range of stakeholders were engaged, including clinicians, program managers, and software developers. Health facility visits and conversations were conducted with health care providers and data managers to review the existing system and ensure that the design and development of the electronic record system were suitable for the context in which it would be used.

resultsCervical cancer screening sites are currently using the electronic medical record system to document client information and track women along the continuum of care to reduce loss to follow-up. The system has been rolled out to all newly activated screening sites as part of national scale-up.

conclusionPlanning, collaboration, and adaptability were the key factors in this system's successful rollout and should be the foundation of future data systems development.

Indexed as

Early Detection of CancerElectronic Health RecordsUterine Cervical NeoplasmsAdultContinuity of Patient CareFemaleHumansMass ScreeningRwanda

Identifiers

PMID38670797
PMCPMC11216700

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.