EMR Implementations

KeHMIS II project currently as of November 2020 supports approximately 1,200 EMR implementations throughout Kenya. This is over 95% of HIV program EMR facilities in Kenya. The EMR facilities contain care and treatment data for over 70% of patients living with HIV (PLHIV) on ART in Kenya. The main goal for these implementations is ensuring all health care facilities achieve improved outcome for all patients through;

• Digitization and automation of clinical care processes and decision support for HIV testing, prevention and treatment,
• Adherence to Ministry of Health and PEPFAR guidelines,
• Automated data generation for standard reports and line-lists and ease in generation of ad-hoc reports for custom needs,
• Automated data quality checks to improve on quality of data generated,

In 2018, there was a shift in implementation strategies from being led by the HIS partner (Palladium) to Service delivery partner and MoH led. The shift meant that the maturity of EMR was edging towards sustainability with KeHMIS role mainly being to lead on HIS development work and capacity building of stakeholders to uptake and support HIS solutions. The Service delivery partners trained, in turn would be expected to train the users at the facility and fellow non-trained SDP personnel on use and adoption of solutions. Additionally, they would act as the first line of support for all system related issues at the facility level. The shift in strategy has helped in uptake, adoption and ownership of the HIS solutions by various stakeholders.

Below are the distributions of EMRs in Kenya