Converting From Paper to Electronic Charting for a Nurse-Led Programme Serving High-Risk Postpartum Women and Infants in Malawi.

introductionGovernmental and non-governmental organisations in low-income countries have transitioned from paper data collection to electronic data collection at a slower pace than those in high-income countries due to limitations of funding, internet stability and trained personnel, among other reasons. This paper chronicles the process employed by one small non-governmental organisation in Malawi from the selection of a programme through implementation, describing challenges and successes along the way in order to facilitate the adoption process for NGOs in sub-Saharan Africa or other low-income countries. DISCUSSION: Upgrading the data collection system presented a daunting challenge. Despite the significant learning curve for the entire team, the implementation phase proceeded smoothly. Although staff remained apprehensive, they also understood the need for change and fully invested in the process.

conclusionThe benefits of electronic charting outweigh the struggles involved in learning a new system. Key elements of the process that supported success were active engagement of users at all points during the transition, selection of a programme that was well-suited for the size and needs of the NGO, and appropriate support from ancillary staff and outside experts.