Published: 2021-07-27

Structure and process of the patient records computerization project in hospitals of Burundi

Florence Munezero, Charles J. Sossa, Joseph Nyandwi, Leodegal Bazira


Background: The computerization of patient records is an essential catalyst for the hospital performance. In Burundi the first patient records were computerized in 2015. The objective of this study is to evaluate the implementation of this project in order to identify the challenges for its success.

Methods: This is a descriptive cross-sectional study conducted in 11 hospitals. An assessment tool was used to collect data on the availability and organization of resources at the beginning of the project, on the process and on the completeness of patient records. The data collection was been done in February 2020.

Results: The structure and process components were moderately satisfactory with mean scores of 53% and 51% respectively. Governance (21%) for structure component, and maintenance (44%) for process component were the elements with the lowest scores. Concerning the completeness of the records, the main diagnosis at discharge was completed for 68% of the records in the gynecological-obstetrical consultation service; 58% for the pediatric service; 55% for the adult consultation service and 28% for the emergency service. Hospitals that were computerized in 2015 compared to 2017 (OR: 12.5 [10.9 -14.4]) and district hospitals compared to regional and national hospitals (OR: 22.1 [19.3 -25.2]) were more likely to have patient records with diagnosis at discharge.

Conclusions: Continued mobilization of resources, making available the guidelines for managing the electronic patient record and implementing strategies to strengthen the capacity of users will ensure the sustainability of the patient record computerization project. 


Structure, Process, Patient record computerization, Hospital

Full Text:



Chougrani S, Ouhadj S, Agag F. Evaluation of the Oran university hospital information system. Santé Publique (Paris). 2013;25(5):617-26.

AbouZahr C, Boerma T. Health information systems: the foundations of public health. Bull World Health Organ. 2005;83(8):578-3.

Sory ST, Baguiya A, Coulibaly A, Kouanda S, Sondo B. Evaluation de la performance du système d’information hospitalier du Centre Hospitalier Universitaire Yalgado Ouédraogo de Ouagadougou, Burkina Faso. Sci Tech Sci la santé. 2017;40(1):135-50.

Senafekesh B, Tesfahun Y, Mulusew A, Binyam T. Health Professionals readiness to implement electronic medical record system at three hospitals in Ethiopia: a cross sectional study. BMC Med Inform Decis Mak. 2014;14(115):1-8.

Kruse CS, Smith B, Vanderlinden H, and Nealand A. Security Techniques for the Electronic Health Records. J Med Syst. 2017;41(127):1-9.

République du Burundi. Ministère de la Santé Publique et de la lutte contre le Sida. Plan National de Développement de l’Informatique de la Santé (PNDIS). 2015;26-9.

Donabedian A, Wheeler JR, Wyszewianski L. Quality, cost, and health: an integrative model. Med Care. 1982;20(10):975-92.

Munezero F, Ahanhanzo GY, Charles SJ, Leodegal B. Hospital Information System in the Context of the Use of Electronic Medical Record in Burundi. Universal J Public Health. 2021;9(2):94-101.

World Health Organization-WHO. Framework and standards for country health information systems. Second edition. Health Metrics Network. 2008;15-45.

Anwer Aqil BA, Lippeveld T, Moussa T. Outils PRISM: Guide de l’Utilisateur. 2012 ;41-7.

Cucciniello M, Lapsley I, Nasi G, Pagliari C. Understanding key factors affecting electronic medical record implementation: A sociotechnical approach. BMC Health Serv Res. 2015;15(268):1-19.

Msiska KEM, Kumitawa A, and Kumwenda B. Factors affecting the utilisation of electronic medical records system in Malawian central hospitals. Malawi Med J. 2017;29(3):247-53.

Ologeanu-Taddei R, Paré G. Technologies de l’information en santé : un regard innovant et pragmatique. Systèmes d’information Manag. 2017;22(1):3-8.

Kavuma M. The usability of electronic medical record systems implemented in sub-Saharan Africa: A literature review of the evidence. J Med Internet Res. 2019;6(1):1-27.

Jawhari B, Ludwick D, Keenan L, Zakus D, Hayward R. Benefits and challenges of EMR implementations in low resource settings: A state-of-the-art review. BMC Med Informatics Decision Making. 2016;16(116):1-12.