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Using Touchscreen Electronic Medical Record Systems to Support and Monitor National Scale-Up of Antiretroviral Therapy in Malawi

  • Gerald P. Douglas mail,

    gdouglas@baobabhealth.org

    Affiliations: Baobab Health Trust, Lilongwe, Malawi, Department of Biomedical Informatics, University of Pittsburgh, Pittsburgh, Pennsylvania, United States of America

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  • Oliver J. Gadabu,

    Affiliation: Baobab Health Trust, Lilongwe, Malawi

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  • Sabine Joukes,

    Affiliation: Baobab Health Trust, Lilongwe, Malawi

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  • Soyapi Mumba,

    Affiliation: Baobab Health Trust, Lilongwe, Malawi

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  • Michael V. McKay,

    Affiliation: Baobab Health Trust, Lilongwe, Malawi

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  • Anne Ben-Smith,

    Affiliation: Maame Akua, Area 43, Lilongwe, Malawi

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  • Andreas Jahn,

    Affiliations: Department for HIV and AIDS, Ministry of Health, Lilongwe, Malawi, International Training and Education Center for Health, Seattle, Washington, United States of America

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  • Erik J. Schouten,

    Affiliations: Department for HIV and AIDS, Ministry of Health, Lilongwe, Malawi, Management Sciences for Health, Lilongwe, Malawi

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  • Zach Landis Lewis,

    Affiliation: Department of Biomedical Informatics, University of Pittsburgh, Pittsburgh, Pennsylvania, United States of America

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  • Joep J. van Oosterhout,

    Affiliation: Department of Medicine, College of Medicine, University of Malawi, Blantyre, Malawi

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  • Theresa J. Allain,

    Affiliation: Department of Medicine, College of Medicine, University of Malawi, Blantyre, Malawi

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  • Rony Zachariah,

    Affiliation: Operational Research Unit, Medecins sans Frontieres, Luxembourg, Luxembourg

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  • Selma D. Berger,

    Affiliation: International Union against Tuberculosis and Lung Disease, Paris, France

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  • Anthony D. Harries,

    Affiliations: International Union against Tuberculosis and Lung Disease, Paris, France, London School of Hygiene and Tropical Medicine, London, United Kingdom

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  • Frank Chimbwandira

    Affiliation: Department for HIV and AIDS, Ministry of Health, Lilongwe, Malawi

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  • Published: August 10, 2010
  • DOI: 10.1371/journal.pmed.1000319

About the Authors

Gerald P. Douglas, Oliver J. Gadabu, Sabine Joukes, Soyapi Mumba, Michael V. McKay
Baobab Health Trust, Lilongwe, Malawi
Gerald P. Douglas, Zach Landis Lewis
Department of Biomedical Informatics, University of Pittsburgh, Pittsburgh, Pennsylvania, United States of America
Anne Ben-Smith
Maame Akua, Area 43, Lilongwe, Malawi
Andreas Jahn, Erik J. Schouten, Frank Chimbwandira
Department for HIV and AIDS, Ministry of Health, Lilongwe, Malawi
Andreas Jahn
International Training and Education Center for Health, Seattle, Washington, United States of America
Erik J. Schouten
Management Sciences for Health, Lilongwe, Malawi
Joep J. van Oosterhout, Theresa J. Allain
Department of Medicine, College of Medicine, University of Malawi, Blantyre, Malawi
Rony Zachariah
Operational Research Unit, Medecins sans Frontieres, Luxembourg, Luxembourg
Selma D. Berger, Anthony D. Harries
International Union against Tuberculosis and Lung Disease, Paris, France
Anthony D. Harries
London School of Hygiene and Tropical Medicine, London, United Kingdom

Corresponding Author

Email: gdouglas@baobabhealth.org

Competing Interests

The authors have declared that no competing interests exist.

Author Contributions

ICMJE criteria for authorship read and met: GPD OJG SJ SM MVM ABS AJ EJS ZLL JJGvO TA RZ SB ADH FC. Agree with the manuscript's results and conclusions: GPD OJG SJ SM MVM ABS AJ EJS ZLL JJGvO TA RZ SB ADH FC. Designed the experiments/the study: GPD AJ. Analyzed the data: ABS AJ. Collected data/did experiments for the study: GPD OJG AJ. Contributed to the writing of the paper: GPD OJG SJ SM MVM ABS AJ EJS ZLL JJGvO TA RZ SB ADH FC. Founder of Baobab Health: GPD. First conceived the idea of the touchscreen point-of-care approach in 2000, and developed and deployed the first touchscreen point-of-care system in Malawi in 2001: GPD. Co-developed the prototype ART EDS software deployed at Queen Elizabeth Central Hospital in 2006: GPD SM ZLL. Wrote the first draft of the paper: AJ ABS ADH GPD. All authors contributed to the next drafts and to the final paper for submission, which has been seen and approved by all authors. Contributed to, and collated the final draft for submission: GPD. All authors have been involved with the design, implementation and support for scaling up the electronic data system in Malawi. Compiled Table 1 in the paper: OJG. Developed the software: MVM OJG SM. Responsible for the clinical input and assisted with implementation of the EDS at Queen Elizabeth Central Hospital, Blantyre: TA JJGvO. Contributed to intellectual content: RZ. Responsible with others for the creation of the EDS task force in the Malawi Ministry of Health that authorised and oversaw the deployment and scale up of the EDS in the country: ADH.