Benefits and challenges of EMR implementations in low resource settings: a state-of-the-art review
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Abstract
BACKGROUND: The intent of this review is to discover the types of inquiry and range of objectives and outcomes addressed in studies of the impacts of Electronic Medical Record (EMR) implementations in limited resource settings in sub-Saharan Africa. METHODS: A state-of-the-art review characterized relevant publications from bibliographic databases and grey literature repositories through systematic searching, concept-mapping, relevance and quality filter optimization, methods and outcomes categorization and key article analysis. RESULTS: From an initial population of 749 domain articles published before February 2015, 32 passed context and methods filters to merit full-text analysis. Relevant literature was classified by type (e.g., secondary, primary), design (e.g., case series, intervention), focus (e.g., processes, outcomes) and context (e.g., location, organization). A conceptual framework of EMR implementation determinants (systems, people, processes, products) was developed to represent current knowledge about the effects of EMRs in resource-constrained settings and to facilitate comparisons with studies in other contexts. DISCUSSION: This review provides an overall impression of the types and content of health informatics articles about EMR implementations in sub-Saharan Africa. Little is known about the unique effects of EMR efforts in slum settings. The available reports emphasize the complexity and impact of social considerations, outweighing product and system limitations. Summative guides and implementation toolkits were not found but could help EMR implementers. CONCLUSION: The future of EMR implementation in sub-Saharan Africa is promising. This review reveals various examples and gaps in understanding how EMR implementations unfold in resource-constrained settings; and opportunities for new inquiry about how to improve deployments in those contexts.
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Problems that arise when integrating electronic medical records in LMICs, such as limited funding, poor infrastructure, and discontinuous user participation, are likely to also hinder AI applications.
“Many of the challenges faced by integrating electronic medical records in LMICs, for example, are likely to also impede AI applications, including limited funding, poor infrastructure for reliably delivering technologies, and discontinuous participation from users (12).”
From Artificial intelligence for global health (2019) · cites this paper as [12]
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Cites
A typology of reviews: an analysis of 14 review types and associated methodologies
Grant, M. J., & Booth, A. (2009) · Health Information & Libraries Journal · doi:10.1111/j.1471-1842.2009.00848.x · Cited by 10,817 · see citing works
e-Health technologies show promise in developing countries
Blaya, J. A., Fraser, H. S. F., & Holt, B. (2010) · Health Affairs · doi:10.1377/hlthaff.2009.0894 · Cited by 581 · see citing works
Implementing electronic medical record systems in developing countries
Fraser, H., Biondich, P., Moodley, D., Choi, S. S., Mamlin, B. W., & Peter Szolovits, B. (2005) · Journal of Innovation in Health Informatics · doi:10.14236/jhi.v13i2.585 · Cited by 298 · see citing works
Williams, F., & Boren, S. A. (2008) · Journal of Innovation in Health Informatics · doi:10.14236/jhi.v16i2.685 · Cited by 204 · see citing works
(2006) · PubMed Central · Cited by 166 · see citing works
Rotich, J. (2003) · Journal of the American Medical Informatics Association · doi:10.1197/jamia.m1301 · Cited by 155 · see citing works
Use of Electronic Health Records in sub-Saharan Africa: Progress and challenges.
Akanbi, M. O., Ocheke, A. N., Agaba, P. A., Daniyam, C. A., Agaba, E. I., Okeke, E. N., & Ukoli, C. O. (2012) · PubMed · Cited by 133 · see citing works
Fritz, F., Tilahun, B., & Dugas, M. (2015) · Journal of the American Medical Informatics Association · doi:10.1093/jamia/ocu038 · Cited by 131 · cited 3× · see citing works
“Since completing the literature review, two new contributions have appeared [35, 36].”
BackgroundTierney, W. M., Rotich, J., Hannan, T., Siika, A. M., Biondich, P., Mamlin, B. W., Nyandiko, W. M., Kimaiyo, S. N., Wools‐Kaloustian, K., Sidle, J. E., et al. (2007) · PubMed · Cited by 109 · see citing works
Kamadjeu, R. M., Tapang, E. M., & Moluh, R. N. (2005) · Journal of Innovation in Health Informatics · doi:10.14236/jhi.v13i3.595 · Cited by 92 · see citing works
Kriström, B., Dahlgren, J., Niklasson, A., Nierop, A. F. M., & Albertsson-Wikland, K. G. (2009) · BMC Medical Informatics and Decision Making · doi:10.1186/1472-6947-9-1 · Cited by 89 · see citing works
Electronic medical record systems for developing countries: Review
Kalogriopoulos, N. A., Baran, J., Nimunkar, A. J., & Webster, J. G. (2009) · Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC) · doi:10.1109/iembs.2009.5333561 · Cited by 87 · see citing works
Implementing medical information systems in developing countries, what works and what doesn't.
(2010) · PubMed Central · Cited by 86 · see citing works
Castelnuovo, B., Kiragga, A. N., Afayo, V., Ncube, M., Orama, R., Magero, S., Okwi, P., Manabe, Y. C., & Kambugu, A. (2012) · PLoS ONE · doi:10.1371/journal.pone.0051631 · Cited by 85 · see citing works
Experience in implementing the OpenMRS medical record system to support HIV treatment in Rwanda.
Allen, C. B., Jazayeri, D. G., Miranda, J., Biondich, P., Mamlin, B. W., Wolfe, B. A., Seebregts, C. J., Lesh, N. B., Tierney, W. M., & Fraser, H. (2007) · PubMed · Cited by 78 · see citing works
Health information systems in developing countries: benefits, problems, and prospects
Azubuike, M. C., & Ehiri, J. E. (1999) · The Journal of the Royal Society for the Promotion of Health · doi:10.1177/146642409911900309 · Cited by 74 · see citing works
Evaluating a scalable model for implementing electronic health records in resource-limited settings
Were, M. C., Emenyonu, N., Achieng, M., Shen, C., Ssali, J., Masaba, J. P. M., & Tierney, W. M. (2010) · Journal of the American Medical Informatics Association · doi:10.1136/jamia.2009.002303 · Cited by 64 · see citing works
Hannan, T., Rotich, J., Odero, W., Menya, D., Esamai, F., Einterz, R. M., Sidle, J. E., Sidle, J., Smith, F. E., & Tierney, W. M. (2000) · International Journal of Medical Informatics · doi:10.1016/s1386-5056(00)00068-x · Cited by 59 · see citing works
Alamo, S., Wagner, G. J., Sunday, P., Wanyenze, R. K., Ouma, J., Kamya, M. R., Colebunders, R., & Wabwire‐Mangen, F. (2011) · AIDS and Behavior · doi:10.1007/s10461-011-9996-9 · Cited by 53 · see citing works
(2010) · PubMed · Cited by 52 · see citing works
(2011) · Europe PMC (PubMed Central) · Cited by 46 · see citing works
Braitstein, P. K. A., Einterz, R. M., Sidle, J. E., Kimaiyo, S. N., & Tierney, W. M. (2009) · JAIDS Journal of Acquired Immune Deficiency Syndromes · doi:10.1097/qai.0b013e3181bbcb67 · Cited by 43 · see citing works
Fraser, H., Thomas, D., Tomaylla, J., Garcia, N., Lecca, L. W., Murray, M. B., & Becerra, M. C. (2012) · BMC Medical Informatics and Decision Making · doi:10.1186/1472-6947-12-125 · Cited by 41 · see citing works
Nucita, A., Bernava, G. M., Bartolo, M., Masi, F. D. P., Giglio, P., Peroni, M., Pizzimenti, G., & Palombi, L. (2009) · BMC Medical Informatics and Decision Making · doi:10.1186/1472-6947-9-42 · Cited by 40 · see citing works
Millard, P. S., Bru, J., & Berger, C. A. (2012) · BMJ Open · doi:10.1136/bmjopen-2011-000690 · Cited by 35 · see citing works
Tierney, W. M., Sidle, J. E., Diero, L. O., Sudoi, A., Kiplagat, J., Macharia, S. M., Shen, C., Yeung, A., Were, M. C., Slaven, J. E., et al. (2015) · Journal of the American Medical Informatics Association · doi:10.1093/jamia/ocv074 · Cited by 35 · see citing works
Experience Implementing OpenMRS to Support Maternal and Reproductive Health in Northern Nigeria
Thompson, A. T., Castle, E., Lubeck, P. M., & Shehu, M. P. (2010) · Studies in health technology and informatics · doi:10.3233/978-1-60750-588-4-332 · Cited by 35 · see citing works
Ethics of implementing Electronic Health Records in developing countries: points to consider.
Were, M. C., & Meslin, E. M. (2011) · PubMed · Cited by 34 · see citing works
Strengthening health systems through HIV monitoring and evaluation in Sub-Saharan Africa
Ekouévi, D. K., Karcher, S., & Coffie, P. A. (2011) · Current Opinion in HIV and AIDS · doi:10.1097/coh.0b013e3283479316 · Cited by 27 · see citing works
Tierney, W. M., Rotich, J., Smith, F. E., Bii, J., Einterz, R. M., & Hannan, T. (2002) · PubMed Central · Cited by 26 · see citing works
Manders, E., Eurico, J., Solis, M., Burlison, J., Leopoldo, N. J., & Troy, M. (2010) · Studies in health technology and informatics · doi:10.3233/978-1-60750-588-4-411 · Cited by 23 · see citing works
Improving continuity of care through the use of electronic records: a South African perspective
Mostert-Phipps, N., Pottas, D., & Korpela, M. J. (2012) · South African Family Practice · doi:10.1080/20786204.2012.10874244 · Cited by 19 · see citing works
Hannan, T., Tierney, W. M., Rotich, J., Odero, W., Smith, F. E., Mamlin, J. J., & Einterz, R. M. (2001) · PubMed · Cited by 15 · see citing works
Sheikh, M. (2014) · Journal of health informatics in developing countries · Cited by 14 · see citing works
Using Electronic Medical Records for HIV Care in Rural Rwanda
Amoroso, C. L., Akimana, B., Benjamin, W., & Fraser Hamish, S. F. (2010) · Studies in health technology and informatics · doi:10.3233/978-1-60750-588-4-337 · Cited by 11 · see citing works
Implementing an electronic medical record system in a rural general practice
O’Mahony, D. (2009) · South African Family Practice · doi:10.1080/20786204.2009.10873878 · Cited by 7 · see citing works
A Socio-Technical Approach to Continuity of Care and Electronic Records in the South African Context
Mostert-Phipps, N., Pottas, D., & Korpela, M. (2010) · Studies in health technology and informatics · doi:10.3233/978-1-60750-588-4-406 · Cited by 5 · see citing works
Implementing an electronic medical record system in a rural general practice
O’Mahony, D. (2009) · South African Family Practice · doi:10.1080/20786204.2009.10873817 · Cited by 5 · see citing works
Hannan Terry, J., Tierney, W. M., Rotich Joseph, K., Odero Wilson, W., Frances, S., Mamlin, J. J., & Einterz, R. M. (2001) · Studies in health technology and informatics · doi:10.3233/978-1-60750-928-8-619 · Cited by 3 · see citing works
Flagged first, then by citations
Research works printed but not linked: 1
- [22]Talisuna S. Electronic medical records and same-day patient tracing improves clinic efficiency and adherence to appointments in a community-based HIV/AIDS care program in Uganda [abstract]. 7th International Conference on HIV Treatment and Prevention Adherence, 2012. Accessed 7 Jan 2015.
Cited by
Sorted by citations
Artificial intelligence for global health
Hosny, A., & Aerts, H. J. W. L. (2019) · Science · doi:10.1126/science.aay5189 · Cited by 177 · see citing works
Yang, Z., Xu, X., Yao, B., Rogers, E., Zhang, S., Intille, S., Shara, N., Gao, G. G., & Wang, D. (2024) · Proceedings of the ACM on Interactive, Mobile, Wearable and Ubiquitous Technologies · doi:10.1145/3659625 · Cited by 120 · see citing works
Open-Source Electronic Health Record Systems for Low-Resource Settings: Systematic Review
Syzdykova, A., Malta, A., Zolfo, M., Diro, E., & Oliveira, J. L. (2017) · JMIR Medical Informatics · doi:10.2196/medinform.8131 · Cited by 95 · see citing works
Artificial Intelligence in Global Health —A Framework and Strategy for Adoption and Sustainability
Hadley, T. D., Pettit, R. W., Malik, T., Khoei, A. A., & Salihu, H. M. (2020) · International Journal of Maternal and Child Health and AIDS · doi:10.21106/ijma.296 · Cited by 66 · see citing works
The impact of routine data quality assessments on electronic medical record data quality in Kenya
Muthee, V., Bochner, A. F., Osterman, A., Liku, N., Akhwale, W., Kwach, J., Prachi, M., Wamicwe, J., Odhiambo, J., Onyango, F., et al. (2018) · PLOS ONE · doi:10.1371/journal.pone.0195362 · Cited by 64 · see citing works
Muinga, N., Magare, S., Monda, J., Kamau, O., Houston, S., Fraser, H., Powell, J., English, M., & Paton, C. (2018) · JMIR Medical Informatics · doi:10.2196/medinform.8403 · Cited by 116 · see citing works
Blockchains for Secure Digitized Medicine
Shuaib, K., Saleous, H., Shuaib, K., & Zaki, N. (2019) · Journal of Personalized Medicine · doi:10.3390/jpm9030035 · Cited by 59 · see citing works
Bisrat, A., Minda, D., Assamnew, B., Abebe, B., & Abegaz, T. (2021) · BMC Medical Informatics and Decision Making · doi:10.1186/s12911-021-01670-z · Cited by 56 · see citing works
A framework for analysing learning health systems: Are we removing the most impactful barriers?
McLachlan, S., Dube, K., Johnson, O. A., Buchanan, D., POTTS, H. W. W., Gallagher, T., & Fenton, N. (2019) · Learning Health Systems · doi:10.1002/lrh2.10189 · Cited by 47 · see citing works
deRiel, E., Puttkammer, N. H., Hyppolite, N., Diallo, J. O., Wagner, S., Honoré, J. G., Balan, J. G., Celestin, N., Valles, J. S., Duval, N., et al. (2017) · Health Policy and Planning · doi:10.1093/heapol/czx171 · Cited by 42 · see citing works
Electronic health records for better health in the lower- and middle-income countries
Kumar, M., & Mostafa, J. (2020) · Library Hi Tech · doi:10.1108/lht-09-2019-0179 · Cited by 45 · see citing works
Thomford, N. E., Bope, C. D., Agamah, F. E., Dzobo, K., Ateko, R. O., Chimusa, E. R., Mazandu, G. K., Ntumba, S. B., Dandara, C., & Wonkam, A. (2019) · OMICS A Journal of Integrative Biology · doi:10.1089/omi.2019.0142 · Cited by 45 · see citing works
Kumar, M., & Mostafa, J. (2019) · The International Journal of Health Planning and Management · doi:10.1002/hpm.2754 · Cited by 43 · see citing works
Dakhil, Z. A., Cader, F. A., & Banerjee, A. (2024) · Global Heart · doi:10.5334/gh.1293 · Cited by 41 · see citing works
Advances and Challenges in Low-Resource-Environment Software Systems: A Survey
Agbeyangi, A. O., & Suleman, H. (2024) · Informatics · doi:10.3390/informatics11040090 · Cited by 40 · see citing works
Gyamfi, A., Mensah, K. A., Oduro, G. D., Donkor, P., & Mock, C. (2017) · African Journal of Emergency Medicine · doi:10.1016/j.afjem.2017.05.002 · Cited by 37 · see citing works
Bostan, S., Johnson, O. A., Jaspersen, L. J., & Randell, R. (2024) · Journal of Medical Internet Research · doi:10.2196/45242 · Cited by 44 · see citing works
Konduri, N., Aboagye-Nyame, F., Mabirizi, D., Hoppenworth, K., Kibria, M. G., Doumbia, S., Williams, L., & Mazibuko, G. (2018) · Digital Health · doi:10.1177/2055207618771407 · Cited by 34 · see citing works
Growth of young HIV-infected and HIV-exposed children in western Kenya: A retrospective chart review
McHenry, M. S., Apondi, E., Ayaya, S., Yang, Z., Li, W., Tu, W., Bi, G., Sang, E., & Vreeman, R. (2019) · PLoS ONE · doi:10.1371/journal.pone.0224295 · Cited by 33 · see citing works
Ngugi, P., Were, M. C., & Babić, A. (2021) · BMC Medical Informatics and Decision Making · doi:10.1186/s12911-021-01737-x · Cited by 45 · see citing works
Doty, B., Bass, J., Ryan, T., Zhang, A. W., & Wilcox, H. C. (2022) · BMJ Open · doi:10.1136/bmjopen-2021-055000 · Cited by 26 · see citing works
Liang, L., Wiens, M. O., Lubega, P., Spillman, I., & Mugisha, S. (2018) · JMIR Formative Research · doi:10.2196/formative.9658 · Cited by 24 · see citing works
Factors associated with the utilization of electronic medical records in the Eastern Region of Ghana
Essuman, L. R., Apaak, D., Ansah, E. W., Sambah, F., Ansah, J. E., Opare, M., & Ahinkorah, B. O. (2020) · Health Policy and Technology · doi:10.1016/j.hlpt.2020.08.002 · Cited by 24 · see citing works
Reflections on ‘Decolonizing’ Big Data in Global Health
Qato, D. M. (2022) · Annals of Global Health · doi:10.5334/aogh.3709 · Cited by 23 · see citing works
Tolera, A., Oljira, L., Dingeta, T., Abera, A., & Roba, H. S. (2022) · Frontiers in Digital Health · doi:10.3389/fdgth.2022.935945 · Cited by 20 · see citing works
An empirical study of the antecedents of data completeness in electronic medical records
Liu, C., Zowghi, D., & Talaei‐Khoei, A. (2019) · International Journal of Information Management · doi:10.1016/j.ijinfomgt.2019.05.001 · Cited by 20 · see citing works
Stawicki, S. P., Garg, M., Peck, G., Arquilla, B., Miller, A., Soghoian, S., Anderson, H., Bloem, C. M., Firstenberg, M., Galwankar, S., et al. (2017) · International Journal of Critical Illness and Injury Science · doi:10.4103/ijciis.ijciis_65_17 · Cited by 19 · see citing works
Dynamic Clinical Algorithms: Digital Technology Can Transform Health Care Decision-Making
Bell, D., Gachuhi, N., & Assefi, N. P. (2017) · American Journal of Tropical Medicine and Hygiene · doi:10.4269/ajtmh.17-0477 · Cited by 18 · see citing works
Craig, A. T., Lawford, H. L. S., Miller, M., Chen-Cao, L., Woods, L. S., Liaw, S., & Godinho, M. A. (2025) · Journal of Medical Internet Research · doi:10.2196/66288 · Cited by 21 · see citing works
Kleczka, B., Kumar, P. A., Njeru, M. K., Musiega, A., Wekesa, P., Rabut, G., & Marx, M. (2019) · BMJ Global Health · doi:10.1136/bmjgh-2019-001422 · Cited by 18 · see citing works
Rinty, M. R., Prodhan, U. K., & Rahman, M. M. (2021) · Array · doi:10.1016/j.array.2021.100114 · Cited by 17 · see citing works
Barriers to Pediatric Emergency Care in Low-Resource Settings: A Narrative Review
Ahmed, M. M., Oweidat, M. H., Okesanya, O. J., Alaswad, M., Abdelbar, S. M. M., Gill, P., & Alsabri, M. (2025) · Sage Open Pediatrics · doi:10.1177/30502225251336861 · Cited by 16 · see citing works
Ngugi, P., Babić, A., Kariuki, J., Santas, X., Yebei, V. N., & Were, M. C. (2021) · PLoS ONE · doi:10.1371/journal.pone.0244917 · Cited by 19 · see citing works
Ngugi, P., Babić, A., & Were, M. C. (2021) · PLoS ONE · doi:10.1371/journal.pone.0256799 · Cited by 16 · see citing works
Cvetković, V. M., Tanasić, J., Renner, R., Raupenstrauch, H., Rokvić, V., & Berisa, H. (2024) · Healthcare · doi:10.3390/healthcare12191962 · Cited by 16 · see citing works
Babatope, A. E., Adewumi, I. P., Ajisafe, D. O., Adepoju, K. O., & BABATOPE, A. R. (2024) · Scientific Reports · doi:10.1038/s41598-024-83009-y · Cited by 23 · see citing works
Antor, E., Owusu‐Marfo, J., & Kissi, J. (2024) · BMC Medical Informatics and Decision Making · doi:10.1186/s12911-024-02636-7 · Cited by 16 · see citing works
Hense, S., Barigela, R., & Kodali, P. B. (2021) · Indian Journal of Community Medicine · doi:10.4103/ijcm.ijcm_304_20 · Cited by 11 · see citing works
Wang, D., Kerh, R., Jun, S., Lee, S., Mayega, R. W., Ssentongo, J., Oumer, A., Haque, M., Brunese, P., & Yih, Y. (2022) · BMC Medical Informatics and Decision Making · doi:10.1186/s12911-022-01982-8 · Cited by 11 · see citing works
Espinoza, J., Sikder, A. T., Dickhoner, J., & Lee, T. (2021) · JMIR Formative Research · doi:10.2196/25833 · Cited by 10 · see citing works
Evaluating the Health Information system implementation and utilization in healthcare delivery
Addo, K., & Agyepong, P. K. (2024) · Health Informatics Journal · doi:10.1177/14604582241304705 · Cited by 10 · see citing works
Popela, I., Zuva, T., & Appiah, M. (2019) · International Multidisciplinary Information Technology and Engineering Conference (IMITEC) · doi:10.1109/imitec45504.2019.9015918 · Cited by 9 · see citing works
Saleh, H. A., Lundborg, C. S., & Sharma, M. (2025) · BMC Health Services Research · doi:10.1186/s12913-025-12877-5 · Cited by 10 · see citing works
Chepkirui, M., Dellicour, S., Musuva, R., Odero, I. A., Omondi, B., Omondi, B., Onyango, E., Barsosio, H. C., Otiso, L., Okomo, G. O., et al. (2025) · PLOS Digital Health · doi:10.1371/journal.pdig.0000870 · Cited by 8 · see citing works
Capeding, T. P. J. Z., Pepito, V. C. F., Lim, L. T. S., Legaspi, R. S. E., Ong, M., Amit, A. M. L., & Dayrit, M. M. (2025) · Health Systems & Reform · doi:10.1080/23288604.2025.2596404 · Cited by 8 · see citing works
Redesigning Electronic Health Record Systems to Support Developing Countries
Tshimula, J. M., Nkashama, D. K., Kalala, K., Dialufuma, M. V., Didier, M. M., Kanda, H., Muabila, J. T., & Mayemba, C. N. (2023) · International Conference on Medical and Health Informatics (ICMHI) · doi:10.1145/3608298.3608338 · Cited by 8 · see citing works
Stawicki, S. P., Garg, M., Peck, G., Arquilla, B., Miller, A., Soghoian, S., Anderson, H., Bloem, C. M., Firstenberg, M., Galwankar, S., et al. (2017) · International Journal of Academic Medicine · doi:10.4103/ijam.ijam_88_17 · Cited by 8 · see citing works
Parthasarathy, R., Garfield, M. J., Rangarajan, A., & Kern, J. L. (2021) · International Journal of Healthcare Information Systems and Informatics · doi:10.4018/ijhisi.20211001.oa21 · Cited by 9 · see citing works
Schuetze, L., Srivastava, S., Kuunibe, N., Rwezaula, E. J., Missenye, A. M., Stoermer, M., & Allegri, M. D. (2023) · International Journal of Health Policy and Management · doi:10.34172/ijhpm.2023.6896 · Cited by 10 · see citing works
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Kirwa, T., Lobo, E. H., Engstrom, T., Felix, T. M. M., Vasudevan, A., McDonald, N., Turner, L., Butler, L., Reid, N., McPhail, S., et al. (2025) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2025.105929 · Cited by 8 · see citing works
Managing Outpatient Cycle Times in Hospitals Using Integrated Closed-Loop Approaches
Subburaman, G.-B. B., Munavalli, J. R., Ravilla, T., Mertens, H. J. M. M., Webers, C. A. B., Rao, S. V., & van Merode, F. (2023) · Health Services Insights · doi:10.1177/11786329221145858 · Cited by 7 · see citing works
Galani, M., Hailey, D. M., Tibben, W. J., & Letsholo, K. J. (2021) · Health Policy and Technology · doi:10.1016/j.hlpt.2021.03.001 · Cited by 7 · see citing works
Borgelt, K., Siose, T. K., Taape, I. V., Nunan, M., Beek, K., & Craig, A. T. (2022) · PLOS Digital Health · doi:10.1371/journal.pdig.0000109 · Cited by 9 · see citing works
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Mondal, H., Mondal, S., & Singla, R. K. (2023) · Medical virology · doi:10.1007/978-981-99-0369-6_3 · Cited by 5 · see citing works
Manoel, P. Z., Dike, I. C., Anis, H., Yassin, N., Wojtara, M. S., & Uwishema, O. (2024) · Health Science Reports · doi:10.1002/hsr2.70173 · Cited by 6 · see citing works
Al‐Jawaldeh, A., Hammerich, A., Aldayel, F. A., Troisi, G., Al-Jawaldeh, H., Aguenaou, H., AlSawahli, H., Fadhil, I., Sohaibani, I. S., Ati, J. E., et al. (2025) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph22040639 · Cited by 4 · see citing works
Torkman, R., Ghapanchi, A. H., & Ghanbarzadeh, R. (2024) · Informatics · doi:10.3390/informatics11030044 · Cited by 7 · see citing works
Matlebjane, D. A., & Ndayizigamiye, P. (2022) · South African journal of information management · doi:10.4102/sajim.v24i1.1552 · Cited by 3 · see citing works
Assessment of the use of electronic medical records system and barriers in Rwanda
Uwambajimana, E., Rugirangoga, P., Musabyimana, E., Ingabire, N., Ikibasumba, J., Turikumwenimana, R., Munezero, A., Mukashyaka, J., Theobald, G., Musabyeyezu, A., et al. (2026) · BMC Medical Informatics and Decision Making · doi:10.1186/s12911-026-03534-w · Cited by 3 · see citing works
Rheumatic Heart Disease Control Programs, Registers, and Access to Care
Wyber, R., & Kado, J. H. (2020) · Elsevier eBooks · doi:10.1016/b978-0-323-63982-8.00012-x · Cited by 3 · see citing works
Manjunatha, N., Chander, K., Kumar, C. N., & Math, S. (2022) · Indian Journal of Public Health · doi:10.4103/ijph.ijph_1463_21 · Cited by 3 · see citing works
Electronic Health Records: a case study from Kenya.
Paton, C., & Muinga, N. (2018) · Cited by 3 · see citing works
Ngugi, P., Babić, A., & Were, M. C. (2021) · Research Square · doi:10.21203/rs.3.rs-331806/v1 · Cited by 3 · see citing works
Mugisha, M., Umubyeyi, A., Ngenzi, J. L., Richards, J., Santas, X., Condo, J. U., & Fraser, H. (2023) · doi:10.2196/preprints.53895 · Cited by 3 · see citing works
Gatto, A. P., Atkin, D., Tapia, J. C., Lowenberg, M., Kamal, R. N., & Shapiro, L. M. (2024) · World Journal of Surgery · doi:10.1002/wjs.12201 · Cited by 2 · see citing works
Hasan, M. J., Noor, S., & Momen, S. (2025) · Alexandria Engineering Journal · doi:10.1016/j.aej.2025.11.050 · Cited by 2 · see citing works
Muiruri, K., King’utu, K., Gitahi, M., & Otieno, G. (2023) · East African Journal of Information Technology · doi:10.37284/eajit.6.1.1330 · Cited by 2 · see citing works
Secor, A., Justafort, J., Torrilus, C., Honoré, J. G., Kiche, S. W., Sandifer, T. K., Beima‐Sofie, K., Wagner, A. D., Pintye, J. C., & Puttkammer, N. H. (2023) · Health Policy and Technology · doi:10.1016/j.hlpt.2024.100880 · Cited by 3 · see citing works
The doctor, the patient, and the computer
Mohty, M., Petersen, F. B., & Blaise, D. (2024) · Clinical Hematology International · doi:10.46989/001c.121434 · Cited by 2 · see citing works
Secor, A., Célestin, K., Jasmin, M., Honoré, J. G., Wagner, A. D., Beima‐Sofie, K., Pintye, J. C., & Puttkammer, N. H. (2024) · JMIR Pediatrics and Parenting · doi:10.2196/51574 · Cited by 2 · see citing works
The Electronic Medical Record—A New Look at the Challenges and Opportunities
Lederman, R., Brainin, E., & Ben‐Assuli, O. (2024) · Future Internet · doi:10.3390/fi16030074 · Cited by 2 · see citing works
Perwirani, R. (2023) · Journal of Information Systems for Public Health · doi:10.22146/jisph.72274 · Cited by 2 · see citing works
Garcia, P. J., Pérez‐Lu, J. E., Curioso, W. H., Cárcamo, C., & Beuermann, D. W. (2021) · Health Systems and Policy Research · doi:10.36648/2254-9137.21.s1.001 · Cited by 2 · see citing works
Health Information Standardisation as a basis for Learning Health SystemsPreprint
McLachlan, S. (2020) · arXiv (Cornell University) · doi:10.48550/arxiv.2004.04811 · Cited by 2 · see citing works
Gao, Y., Myers, S., Chen, S., Dligach, D., Miller, T. A., Bitterman, D. S., Chen, G., Mayampurath, A. M., Churpek, M. M., & Afshar, M. (2024) · medRxiv · doi:10.1101/2024.11.06.24316848 · Cited by 2 · see citing works
Implementation Status of Public Health Informatics
Chanyalew, M. A. (2024) · Sustainable development goals series · doi:10.1007/978-3-031-71118-3_5 · Cited by 1 · see citing works
Interoperability in the Context of Integrated Care
Piera-Jiménez, J., Leslie, H., Dunscombe, R., & Pontes, C. (2024) · Springer eBooks · doi:10.1007/978-3-031-25376-8_101-1 · Cited by 2 · see citing works
Navigating the winds of change: strategic foresight and the power of weak signals
Jabbour, J., Davidson, D. J., Carlsen, H., King, N., Lucatello, S., Aricò, S., Cooke, F. L., Datta, R. K., Gluckman, S. P., Gutiérrez-Espeleta, E. E., et al. (2026) · Sustainability Science · doi:10.1007/s11625-025-01786-5 · Cited by 1 · see citing works
Doebbeling, B. N., & Paode, P. R. (2019) · Health informatics · doi:10.1007/978-3-030-16916-9_10 · Cited by 1 · see citing works
Pakarbudi, A., Mahananto, F., & Subriadi, A. P. (2018) · International Journal of Scientific Research in Computer Science Engineering and Information Technology · doi:10.32628/cseit1835138 · Cited by 1 · see citing works
Striking a balance between usability and quality control in electronic health records
Kruse, C., Bekker, W., Bruce, J. L., & Clarke, D. (2022) · South African Journal of Surgery · doi:10.17159/2078-5151/sajs3767 · Cited by 1 · see citing works
Mamae, A. A., & Mamo, E. (2025) · PLoS ONE · doi:10.1371/journal.pone.0329896 · Cited by 1 · see citing works
Jaworska, N., Moss, S. J., Krewulak, K. D., Stelfox, Z., Niven, D. J., Ismail, Z., Burry, L. D., & Fiest, K. M. (2022) · BMJ Open · doi:10.1136/bmjopen-2021-057585 · Cited by 1 · see citing works
A SOA Based E-Health Services Framework
Ilie, L., Pop, E., Caramihai, S. I., & Moisescu, M. A. (2022) · E-Health and Bioengineering Conference (EHB) · doi:10.1109/ehb55594.2022.9991608 · Cited by 1 · see citing works
Giglio, P., & Bartolo, M. (2018) · TELe-Health · doi:10.1007/978-3-319-72763-9_6
Rezayi, S., & Saeedi, S. (2020) · Journal of Modern Medical Information Sciences · doi:10.29252/jmis.6.4.60
Kumar, M., & Mostafa, J. (2021) · Journal of Global Health Reports · doi:10.29392/001c.24949
Munezero, F., Sossa, C. J., Ahanhanzo, G. Y., & Bazira, L. (2022) · Open Journal of Epidemiology · doi:10.4236/ojepi.2022.123021
Tarekegn, B., Teklemariam, G. K., & Bedaso, M. (2022) · Research Square · doi:10.21203/rs.3.rs-1840191/v1
Secor, A., Célestin, K., Jasmin, M., Honoré, J. G., Wagner, A. D., Beima‐Sofie, K., Pintye, J. C., & Puttkammer, N. H. (2023) · doi:10.2196/preprints.51574
Strengthening data systems within learning health systems in Kenya
Kimuyu, N. F. W. M. (2023) · doi:10.5463/thesis.425
Mugisha, M., Umubyeyi, A., Ngenzi, J. L., Richards, J., Santas, X., Condo, J. U., & Fraser, H. (2023) · JMIR Human Factors · doi:10.2196/53895 · Cited by 2 · see citing works
Jean-Baptiste, M. C., Julmiste, T. M. V., & Ball, E. (2024) · JMIR Formative Research · doi:10.2196/55000
Improved Data Alignment Between National HIV Reporting Systems, Mozambique, 2017–2023Preprint
Tiberi, O., Templin, L., Ferreira, F., Nhaguiombe, H., Couto, A. M., Lara, J., Keating, R., Mizela, J., Matsimbe, L., Magaia, H., et al. (2024) · medRxiv · doi:10.1101/2024.11.19.24317535
Maloba, M., Finocchario‐Kessler, S., Wexler, C., Staggs, V. S., Maosa, N., Babu, S., Goggin, K., Hutton, D. W., Ganda, G., Mabeya, H., et al. (2025) · PLoS ONE · doi:10.1371/journal.pone.0318941
Mudogo, C. M., Mulwa, A. S., & Kyalo, D. N. (2025) · The Electronic Journal of Information Systems in Developing Countries · doi:10.1002/isd2.70019
Isaac, B., Michaelis, A. P., Jean-Baptiste, M. C., Viaud, L. G., & Lambert, W. (2025) · doi:10.2196/preprints.82396
- Authors
- Jawhari, B., Ludwick, D., Keenan, L., Zakus, D., & Hayward, R.
- Affiliations
- University of Alberta (CA)
- Toronto Metropolitan University (CA)
- Corresponding author
- Jawhari, Badeia
- Venue
- BMC Medical Informatics and Decision Making
- Published
- 2016-09-06
- Volume
- 16
- Issue
- 1
- Pages
- 116-116
- ISSN
- 1472-6947 (ISSN-L)
- PMC
- PMC5011989
- OpenAlex
- W2510765898
- Cited by
- 106
- References
- 39
- Citations by year
- 2026: 5 · 2025: 15 · 2024: 19 · 2023: 11 · 2022: 13 · 2021: 13 · 2020: 6 · 2019: 10 · 2018: 8 · 2017: 6
- FWCI
- 1.61
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Medical Informatics and Decision Making (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- Mitacs
- Innovative Canadians for Change
- Topics
- Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
- Health Sciences › Health Professions › Health Information Management › Medical Coding and Health Information
- Physical Sciences › Computer Science › Information Systems › ICT in Developing Communities
- Keywords
- electronic health records, EMR implementation, resource-limited settings, sub-Saharan Africa, health informatics, implementation factors, conceptual framework, implementation toolkit, resource-constrained healthcare
- MeSH terms
- Humans, Africa South of the Sahara, Electronic Health Records
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