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Observational Study
. 2017 Dec;29(4):322-326.
doi: 10.4314/mmj.v29i4.8.

Use of an electronic medical record to monitor efficacy of diabetes care in out-patients in a central hospital in Malawi: Patterns of glycaemic control and lessons learned

Theresa J Allain  1 , Grieves Mang'anda  2 , Marrianne Kasiya  2 , Patricia Khomani  3 , Ndaziona P Banda  2 , Andrew Gonani  4 , Ingrid Peterson  5 , Gavin Dreyer  6
Affiliations
Observational Study

Use of an electronic medical record to monitor efficacy of diabetes care in out-patients in a central hospital in Malawi: Patterns of glycaemic control and lessons learned

Theresa J Allain et al. Malawi Med J. 2017 Dec.

Abstract

The Malawian health sector has a strong tradition of systematic data collection for monitoring and evaluation of large-scale services. A highly successful adapted Directly Observed Treatment, Short course "DOTS" framework, based on patient registers and paper-based mastercards was introduced to facilitate the management and monitoring of the scale up of antiretroviral therapy. Subsequently, a simple, touch-screen based electronic medical record system (EMRs) was effectively introduced at high burden ART sites. Based on this model, in 2010, a diabetes specific EMRs was introduced in the diabetes clinic at Queen Elizabeth Central Hospital. In this paper we report on the first 3 years experience with the diabetes EMRs. We highlight the strengths and weaknesses of the diabetes EMRs and present data on glycaemic control recorded in the system.

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Figures

Figure 1
Figure 1
Serial glucose measurements for incident and prevalent cases
Figure 2
Figure 2
Serial glucose measurements stratified by age 45 years
Figure 3
Figure 3
Serial glucose measurements stratified by BMI 18–25 and >25
See this image and copyright information in PMC

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