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A Locally Developed Electronic Health Platform in Uganda: Development and Implementation of Stre@mline
Li Liang1, Matthew O Wiens2, Phaisal Lubega3
1Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
JMIR Formative Research
|January 27, 2019
Summary
A locally developed electronic health record (EHR) system, Stre@mline, improved clinical efficiency and patient care in rural Uganda. This EHR is a sustainable, user-centered model for low-resource settings.
Area of Science:
- Health Informatics
- Medical Technology
- Global Health
Background:
- Electronic health records (EHRs) are vital in low-resource settings to manage patient follow-up, drug shortages, and clinical triaging.
- Affordable and practical EHR solutions are scarce in sub-Saharan Africa.
- Stre@mline is a locally developed, offline EHR tailored for low-resource hospitals in Uganda, featuring medication management and local support.
Purpose of the Study:
- To outline EHR development challenges and opportunities in sub-Saharan Africa.
- To describe the Stre@mline EHR's development and implementation.
- To report on Stre@mline's impact on patient care for over 60,000 individuals in rural Uganda.
Main Methods:
- A quantitative user survey assessed usability and performance at Kisiizi Hospital.
- 30 users were purposively sampled, with 28 completing the 33-question Likert scale survey.
Main Results:
- 96% of users found Stre@mline easy to learn.
- 100% of users found Stre@mline easy to use.
- Users reported improvements in clinical efficiency and patient care.
Conclusions:
- User-centered technology design, with local clinician and developer partnerships, is key for low-resource settings.
- Stre@mline demonstrates a successful model for EHR development in developing countries.
- The Stre@mline EHR has improved care for a large patient population in rural Uganda.
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