Determinants Of Electronic Medical Records Use Among Health Care Workers In Hiv Care Facilities In Kenya In Nairobi County

Purpose: Recognizing that high-quality data are essential to HIV prevention, the study investigated the use of EMR and its determinants among healthcare workers in HIV care in Nairobi County, Kenya. The study's aim was to assess the determinants of electronic medical records use among health care workers in HIV care facilities in Nairobi County. Methods: The study adopted a cross-sectional study design. Five sub-counties within Nairobi County were randomly selected and in each two health facilities with EMR systems were randomly selected. A total of 64 respondents from health information departments of the selected facilities were purposively recruited into the study. A self-administered structured questionnaire was used for data collection. Statistical Package for Social Science (SPSS) version 22 was employed during data analysis. Spearman correlation test was used to find relationships at a significance level of 0.05. Results: From the findings, over a half (58%) of the respondents used EMR data. Less than a third (28%) and a third (33%) of the respondents reported to have fully and partially utilised the EMR data respectively. Functionality of the system was significantly (rs=0.251, p=0.045) related with the type EMR tool. Update of records was significantly (rs=0.283, p=0.023) associated with EMR data use. Further, integration of EMR with other systems was significantly (rs=0.296, p=0.018) associated with extent of EMR utilisation. Other factors were not significantly (p>0.05) associated with use of EMR. A fair proportion of health care providers use EMR system in HIV care. Unique Contribution to Theory, Practice and Policy: The study recommend that the whole aspect of HIS and EMR be considered as a study area in the curriculum of all healthcare workers to help ensure a seamless transition at the workplace and at the same time dealing with the issue of the human barrier.