Introduction: Efficient use of health care resources in lowincome
countries by providers and local and national managers
requires timely access to patient data. Objective: To implement
electronic health records (EHRs) in HIV clinics in
Kenya, Tanzania, and Uganda. Results: We initially developed
and implemented an EHR in Kenya through a mature academic
partnership. The EHR was then implemented in six HIV
clinics in Tanzania and Uganda in collaboration with their
National AIDS Control Programmes. All implementations
were successful, but the system’s use and sustainability varied
depending on who controlled clinic funding. Conclusions:
Successful EHR use and sustainability were enhanced by local
control of funds, academic partnerships (mainly by leveraging
research funds), and in-country technology support