Evidence map›Paper›PMID 41345929›Full record

ArticleBMC medical informatics and decision making2025

Digital health for Tuberculosis control: findings from the piloting of an electronic medical record in Luanda (Angola).

Claudia Robbiati, Maria Elena Tosti, Joaquim Tomas, Giulia Natali, Luca De Simeis, Nsuka Da Silva, Florentino Ferraz Joaquim, Daniel Tulomba, Neusa Lazary, Janet Adão and 2 more

Abstract read
In one paragraph

Article in BMC medical informatics and decision making, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

12 authors.

Claudia RobbiatiNational Center for Global Health, Italian National Institute of Health, (Istituto Superiore di Sanità), Rome, Italy. claudia.robbiati@iss.it.
Maria Elena TostiNational Center for Global Health, Italian National Institute of Health, (Istituto Superiore di Sanità), Rome, Italy.
Joaquim TomasDoctors with Africa CUAMM, Luanda, Angola.
Giulia NataliDoctors with Africa CUAMM, Luanda, Angola.
Luca De SimeisDoctors with Africa CUAMM, Luanda, Angola.
Nsuka Da SilvaDoctors with Africa CUAMM, Luanda, Angola.
Florentino Ferraz JoaquimDoctors with Africa CUAMM, Luanda, Angola.
Daniel TulombaDoctors with Africa CUAMM, Luanda, Angola.
Neusa LazaryPublic Health Department, Bureau of Public Health of Luanda (Gabinete Provincial de Saúde de Luanda), Luanda, Angola.
Janet AdãoDirection, Anti-Tubercolosis Dispensary of Luanda (Dispensário Antituberculose de Luanda), Luanda, Angola.
Fabio ManentiDoctors with Africa CUAMM, Padua, Italy.
Maria Grazia DenteNational Center for Global Health, Italian National Institute of Health, (Istituto Superiore di Sanità), Rome, Italy.

Funding

Agenzia Italiana per la Cooperazione allo Sviluppo 5% GF financial endowment 2020
6 · The paper itself

Abstract

backgroundDigital health, like the use of electronic medical records (EMR), has been highlighted as a potential avenue to improve Tuberculosis (TB) surveillance and treatment outcomes. In Angola this technology remains largely untapped within TB health services, despite TB is a huge public health burden. A previous study described the development of a TB EMR system, and the current study fostered the piloting of the TB EMR system in three health facilities of Luanda from January 2022 to February 2023.

methodsTo assess the adequacy of the EMR system (accuracy and completeness) comparison of paper-based medical records and EMRs was performed. Secondly, to assess the user-friendliness of the EMR system 24 semi-structured interviews were conducted with the personnel of the health facilities. Finally, to assess the sustainability of the EMR system semi-structured interviews were performed with the same personnel and 8 managerial staff and representatives of Angolan Institutions.

resultsFrom the study it emerged that the TB EMR system allowed to reduce errors, time, the lack of patient information, and the EMR system users described it as easy to use with adequate training. Regarding the sustainability of the system, its continuity and scalability seem feasible if proper financial support is granted.

conclusionContinuity to this phase of digitalization of the TB data and information reported in the paper-based clinical record should be supported to gradually move to a transition to the use of the EMR system alone (electronic-first approach), if adequate and continuous training is provided.

Indexed as

Electronic Health RecordsTuberculosisAngolaDigital HealthHumansPilot ProjectsAngolaElectronic medical recordsTuberculosis

Identifiers

PMID41345929
PMCPMC12781550

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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.