{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T04:19:01Z","timestamp":1793852341699,"version":"4.6.1"},"reference-count":30,"publisher":"BMJ","issue":"7","license":[{"start":{"date-parts":[[2025,7,13]],"date-time":"2025-07-13T00:00:00Z","timestamp":1752364800000},"content-version":"unspecified","delay-in-days":12,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000030","name":"US Centers for Disease Control and Prevention","doi-asserted-by":"crossref","award":["NU2GGH002226"],"award-info":[{"award-number":["NU2GGH002226"]}],"id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100000030","name":"US Centers for Disease Control and Prevention","doi-asserted-by":"crossref","award":["NU2GGH002360"],"award-info":[{"award-number":["NU2GGH002360"]}],"id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2025,6,21]]},"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate and compare documentation completeness of HIV-related data by age group (children, adolescents and adults) in Haiti\u2019s Electronic Medical Record (EMR) system.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Cross-sectional evaluation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>EMR data for 36\u2009965 enrolment visits, and 123\u2009608 return visits from 58 facilities in Haiti (from 2016 to 2022).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Children, adolescents and adults accessing HIV care and treatment services in Haiti.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main exposure measure<\/jats:title>\n                    <jats:p>Health facility attendance for HIV-related healthcare.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main outcome measure<\/jats:title>\n                    <jats:p>Level of data completeness, as a measure of data quality. We developed Composite Completeness Scores (CCS scores) to measure data completeness. Lower scores meant lower completeness. Generalised linear models were used to investigate factors associated with completeness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>At the enrolment visit, most patients were adults (81.6%) and female (56.7%). Most facilities were health centres (75.9%). The overall average enrolment visit CCS score was 54.0%. At enrolment, being a child (CCS score difference=\u22127.08, 95%\u2009CI: \u221211.31 to \u22122.86) and a more recent year of enrolment (\u22126.01, 95%\u2009CI: \u221211.69 to \u22120.33) were significantly associated with lower completeness scores than being an adult and having an earlier year of enrolment, respectively. The overall average return visit CCS score was 49.6%. At the return visit, children (\u22126.76, 95%\u2009CI: \u221210.07 to \u22123.45) had significantly lower average completeness scores than adults. For first viral load documentation, children had lower odds of completeness compared with adults (adjusted OR=0.21, 95%\u2009CI: 0.16 to 0.28). Sex, year of enrolment, facility ownership (public, private, mixed), total patient volume and duration of EMR use were not significantly associated with completeness of documentation at the enrolment and return visits.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>We observed disparities in electronic data completeness by age group, which may be indicative of digital health disparities. Documentation was particularly poor among children and declined over time for enrolment visits. Further research is needed to understand and address these documentation gaps.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2024-087654","type":"journal-article","created":{"date-parts":[[2025,7,14]],"date-time":"2025-07-14T03:45:49Z","timestamp":1752464749000},"page":"e087654","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Comparative analysis of HIV data completeness in Haiti\u2019s iSant\u00e9 Plus Electronic Medical Record system across children, adolescents and adults: a cross-sectional evaluation of 2016\u20132022 data"],"prefix":"10.1136","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4429-2274","authenticated-orcid":false,"given":"Beryne","family":"Odeny","sequence":"first","affiliation":[{"name":"Department of Surgery, Washington University in St Louis, St Louis, Missouri, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean Guy","family":"Honor\u00e9","sequence":"additional","affiliation":[{"name":"Centre Ha\u00eftien pour le Renforcement du Syst\u00e8me de Sant\u00e9 (CHARESS), Port-au-Prince, Haiti"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean Gabriel","family":"Balan","sequence":"additional","affiliation":[{"name":"Centre Ha\u00eftien pour le Renforcement du Syst\u00e8me de Sant\u00e9 (CHARESS), Port-au-Prince, Haiti"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James P","family":"Hughes","sequence":"additional","affiliation":[{"name":"University of Washington, Seattle, Washington, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bradley","family":"Wagenaar","sequence":"additional","affiliation":[{"name":"University of Washington, Seattle, Washington, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"Gloyd","sequence":"additional","affiliation":[{"name":"Department of Global Health, University of Washington, Seattle, Washington, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kemar","family":"C\u00e9lestin","sequence":"additional","affiliation":[{"name":"Centre Ha\u00eftien pour le Renforcement du Syst\u00e8me de Sant\u00e9 (CHARESS), Port-au-Prince, Haiti"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marinho","family":"Elisma","sequence":"additional","affiliation":[{"name":"Centre Ha\u00eftien pour le Renforcement du Syst\u00e8me de Sant\u00e9 (CHARESS), Port-au-Prince, Haiti"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kesner","family":"Francois","sequence":"additional","affiliation":[{"name":"Programme National de Lutte contre le VIH\/SIDA (PNLS), Port-au-Prince, Haiti"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6693-9278","authenticated-orcid":false,"given":"Nancy","family":"Puttkammer","sequence":"additional","affiliation":[{"name":"I-TECH, Department of Global HEalth, University of Washington School of Public Health, Seattle, Washington, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2025,7,13]]},"reference":[{"key":"2025121407482315000_15.7.e087654.1","doi-asserted-by":"publisher","DOI":"10.1093\/heapol\/czp010"},{"key":"2025121407482315000_15.7.e087654.2","unstructured":"In danger: UNAIDS global AIDS update. Geneva: Joint United Nations Programme on HIV\/ AIDS; 2022. Available: https:\/\/www.unaids.org\/sites\/default\/files\/media_asset\/2022-global-aids-update_en.pdf [Accessed 11 Oct 2024]."},{"key":"2025121407482315000_15.7.e087654.3","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1007\/s40124-015-0087-7","article-title":"Paediatric HIV: Progress on Prevention, Treatment and Cure","volume":"3","author":"Kim","year":"2015","journal-title":"Curr Pediatr Rep"},{"key":"2025121407482315000_15.7.e087654.4","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.07.049908"},{"key":"2025121407482315000_15.7.e087654.5","unstructured":"UNAIDS . Country factsheets. HIV and AIDS estimates. Haiti; 2021. Available: https:\/\/www.unaids.org\/en\/regionscountries\/countries\/haiti [Accessed 11 Oct 2022]."},{"key":"2025121407482315000_15.7.e087654.6","unstructured":"PEPFAR . Haiti country operational plan (COP\/ROP) 2022 strategic direction summary. Available: https:\/\/www.state.gov\/wp-content\/uploads\/2022\/09\/Haiti-COP22-SDS.pdf [Accessed 7 Jun 2022]."},{"key":"2025121407482315000_15.7.e087654.7","doi-asserted-by":"crossref","first-page":"57","DOI":"10.4269\/ajtmh.17-0116","article-title":"Retention Throughout the HIV Care and Treatment Cascade: From Diagnosis to Antiretroviral Treatment of Adults and Children Living with HIV-Haiti, 1985-2015","volume":"97","author":"Auld","year":"2017","journal-title":"Am J Trop Med Hyg"},{"key":"2025121407482315000_15.7.e087654.8","unstructured":"PEPFAR . HAITI country operational plan (COP\/ROP) 2016 strategic direction summary. 2016. 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