Abstract:
There is little evidence that implementations of Electronic Medical
Record Systems (EMRs) are associated with better reporting completeness and
timeliness of HIV routine data to the national aggregate system. We analyzed the
reporting completeness and timeliness of HIV reports to Kenya’s national aggregate
reporting system from District Health Information Software 2 (DHIS2) for the
period 2011 to 2018. On average, reporting completeness improved to 97% whilst
timeliness increased to 83% in 2017 with similar performance for the facilities under
study that implemented either KenyaEMR or IQCare. However, in 2018, the
reporting rates dropped by 13% for completeness and 11% for timeliness most likely
due to changed reporting procedures. This suggests that besides EMRs, there are
other factors influencing reporting such as reporting routines, which need to be
assessed separately. Nonetheless, the EMRs have facilitated the collection of HIV
data for submission to the DHIS2, which in turn facilitates the reporting process for
the data officers.
