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Lessons From the Design and Rollout of an Electronic Medical Record System for Cervical Cancer Screening in Rwanda
Nang'andu Chizyuka1, Emily Crawford2, Katharine Schilling Hebert3
1Clinton Health Access Initiative, Kigali, Rwanda.
Global Health, Science and Practice
|April 26, 2024
Summary
Rwanda
Area of Science:
- Public Health
- Health Informatics
- Oncology
Background:
- Rwanda Ministry of Health initiated a cervical cancer screening program.
- Existing paper-based system faced challenges in data storage, client tracking, and information fragmentation.
- Need for an improved system to support comprehensive women's cancer early detection services.
Purpose of the Study:
- To design and implement an electronic medical record (EMR) system for cervical cancer screening.
- To ensure seamless client tracking throughout the continuum of care.
- To document the development, implementation, challenges, and lessons learned.
Main Methods:
- A participatory approach involving clinicians, program managers, and software developers.
- Stakeholder engagement at all stages of development.
- Context-specific design through health facility visits and discussions with healthcare providers and data managers.
Main Results:
- The EMR system is currently used at cervical cancer screening sites.
- The system facilitates client information documentation and tracking to minimize loss to follow-up.
- Successful national scale-up to all newly activated screening sites.
Conclusions:
- Successful rollout hinged on planning, collaboration, and adaptability.
- These factors are crucial for future health data system development.
- The EMR system enhances the continuum of care for cervical cancer screening.
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