Blog

Implementation of EMRs in Uganda; featuring Streamline.

Doctor in Uganda using Streamline EMR system on a computer at a hospital.

Technology and Healthcare Transformation

Technology has evolved from manual operations to basic computing, and now to advanced internet-based and AI-driven systems like EMRs. Globally, business operations—including healthcare—depend on digital technologies for efficiency, safety, and decision-making.

However, the success of advanced technology relies on IT infrastructure: the hardware, software, and networks that make systems usable and reliable. Without the right infrastructure, even the best systems remain theoretical and inapplicable.

Uganda’s Shift to Electronic Medical Records (EMRs)

For decades, Uganda’s healthcare facilities relied on paper-based systems, which created:

  1. Overloaded files and slow record retrieval

  2. Manual tallying for HMIS reports

  3. Late submissions, inaccuracies, and inconsistencies

The adoption of Electronic Medical Records (EMRs) promises to solve these challenges, improving efficiency, accuracy, and reporting. Yet, the biggest obstacle is infrastructure.

Why Infrastructure is Critical for EMRs

EMRs rely on a functioning IT backbone, including:

  1. Computers and servers

  2. Routers and networks

  3. Wired and wireless access

  4. Data centers and security systems

Without these, EMRs cannot run 24/7 or deliver reliable access to patient data. IT experts must assess each environment, recommend the necessary setup, and install infrastructure to guarantee uptime.

The Cost Barrier for Ugandan Health Facilities

In 2019, Innovation Streams Limited surveyed health facilities in Uganda:

  1. 80% of facilities hesitant to adopt Streamline EMR cited IT infrastructure costs as their main challenge.

  2. A typical hospital may need up to 20 computers and supporting materials.

  3. On average, this costs around $5,000 per hospital.

Why health facilities struggle:

  • Private facilities: Rely on self-financing and operate on tight budgets.

  • Government facilities: Lack IT infrastructure support in national budgets—funding is directed toward supplies and human resources.

This confirms that cost of IT infrastructure is the single biggest hindrance to EMR adoption in Uganda.

Streamline EMR: Designed for Resource-Constrained Settings

Despite these challenges, Streamline has proven its value:

  • 256,000 registered patients

  • 1,020+ clinicians and staff users

  • 457,500 patient visits recorded

Unique features:
  • Integrated health management across the full patient journey
  • Patient safety prompts to improve quality of care
  • Real-time, accurate reporting for HMIS compliance
  • Financial tracking of patient care
  • Monitoring of community-based health insurance schemes
  • Evidence-based training resources
  • Easy customization for local sustainability

Streamline has consistently shown that EMRs can transform care delivery, even in resource-poor environments.

The Way Forward for Uganda’s EMR Adoption

Government facilities: The Ministry of Health must allocate funds specifically for IT infrastructure in public hospitals.    

Private Not-for-Profit facilities: Should seek donor or NGO support for infrastructure financing.

Private For-Profit facilities: Can leverage asset financing or soft loans from financial institutions supporting healthcare digitization.

Conclusion: No Better Time for E-Health in Africa

Africa’s healthcare cannot afford to lag behind. The 21st century has brought robust e-health platforms like Streamline EMR, designed to thrive in resource-constrained settings.

For Uganda to fully embrace EMRs and improve patient outcomes, healthcare facilities must prioritize IT infrastructure—whether through government support, donor funding, or private financing. With the right foundation in place, Uganda’s healthcare system can finally transition from paper-based inefficiencies to digital excellence.