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Research Article 2025-12-12CC BYFree full text

Cost-Benefit Analysis of a Mobile Community-Based Electronic Medical Record System for Community Differentiated HIV Service Delivery in Lilongwe, Malawi

Christine Kiruthu-Kamamia, Hiwot Weldemariam, Sam Truwa, Danneck Kathumba, Jacqueline Huwa, Agnes Thawani +4 more

BackgroundCommunity-based differentiated service delivery (DSD) models are critical for sustaining high-quality HIV care in resource-limited settings. However, these models often rely on labor-intensive documentation processes that reduce efficiency. The Community-based ART Retention and Suppression (CARES) app, a tablet-based electronic medical record system designed through a human-centered design process, was d…

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Research Article 2024-04-24CC BY-NCFree full text · non-commercial reuse

'We have been so patient because we know where we are coming from,' Exploring the acceptability and feasibility of a mobile electronic medical record system designed for community-based antiretroviral therapy in Lilongwe, Malawi

Christine Kiruthu-Kamamia, Astrid Berner-Rodoreda, Gillian O’Bryan, Odala Sande, Jacqueline Huwa, Agnes Thawani +4 more

BackgroundMobile health (mHealth) is reshaping healthcare delivery, especially in HIV management. The World Health Organization advocates for mHealth to provide healthcare workers (HCWs) with real-time data, enhancing patient care. However, in Malawis Lighthouse Trust antiretroviral therapy (ART) clinic, the nurse-led community-based ART (NCAP) program faces hurdles with data management due to lack of access to el…

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