Highpoints of Using EMR Instead of Paper-Based Records in Conflict-Affected EHO Settings
1.Improved data quality and data use
EMRs increase data completeness, accuracy, and timeliness, supporting evidence-based decision-making in public health and service planning.
2.Enhanced health information system (HIS) functionality
Digital records enable faster aggregation, analysis, and reporting compared to fragmented paper-based systems.
3.Reduced operational costs and security risks
EMRs decrease printing costs and reduce risks related to transporting paper records in insecure and mobile service delivery contexts.
4.Continuity of care and information
EMRs reduce data loss during displacement, clinic relocation, or facility closure, which commonly affect paper-based records in conflict settings.
5.Standardization and interoperability
EMRs support standardized indicators, reporting formats, and interoperability across EHO networks, improving coordination and referral systems.
6.Improved data visibility and accountability
Shared dashboards allow consistent data access at clinic, program, and coordination levels, strengthening governance and transparency.
7.Capacity building and digital literacy
EMR implementation enhances data literacy and basic IT skills among health workers and community-based staff.
Downslides of Using EMR
1. Limited digital literacy and human resource capacity
Low baseline IT skills among health workers create high training and supervision demands.
2.Increased workload in mobile and emergency service delivery
Health workers must balance service provision with learning and using EMRs, increasing workload and fatigue.
3.Infrastructure and connectivity constraints
Unstable electricity, internet access, and device availability limit reliable EMR use in remote and conflict-affected areas.
4.Cybersecurity and data protection risks
Weak digital security environments increase risks related to data breaches, surveillance, and patient confidentiality.
5.Phased implementation and parallel systems
EMRs cannot replace paper-based systems immediately, requiring dual reporting that increases complexity and resource use.
6.High implementation and sustainability costs
EMRs require long-term investment in hardware, software, training, and system maintenance, which may exceed available funding.