{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T01:56:50Z","timestamp":1772243810813,"version":"3.50.1"},"reference-count":0,"publisher":"IOS Press","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2010]]},"abstract":"<jats:p>Problem: There is limited experience with broad-based use of handheld technologies for clinical care during home visits in sub-Saharan Africa. Objective: We describe the design, development, implementation, and evaluation of a PDA\/GPS-based system currently used during home visits in Western Kenya. Results: The system, built on Pendragon Forms, was used to create electronic health records for over 40,000 individuals over a three-month period. Of these, 1900 represented cases where the individual had never received care for the identified condition in an established care facility. On a five-point scale, and compared to paper-and-pen systems, end-users felt that the handheld system was faster (4.4 &amp;plusmn; 0.9), easier to use (4.5 &amp;plusmn; 0.8), and produced higher quality data (4.7 &amp;plusmn; 0.7). Projected over three years to cover two million people, use of the handheld technologies would cost about $0.15 per person &amp;ndash; compared to $0.21 per individual encounter entered manually into a computer from a paper form. Conclusion: A PDA\/GPS system has been successfully and broadly implemented to support clinical care during home-based visits in a resource-limited setting.<\/jats:p>","DOI":"10.3233\/978-1-60750-588-4-525","type":"book-chapter","created":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T12:07:49Z","timestamp":1740139669000},"source":"Crossref","is-referenced-by-count":0,"title":["Leapfrogging Paper-Based Records Using Handheld Technology: Experience from Western Kenya"],"prefix":"10.3233","author":[{"family":"Were Martin C.","sequence":"additional","affiliation":[]},{"family":"Kariuki James","sequence":"additional","affiliation":[]},{"family":"Chepng'eno Viola","sequence":"additional","affiliation":[]},{"family":"Wandabwa Margaret","sequence":"additional","affiliation":[]},{"family":"Ndege Samson","sequence":"additional","affiliation":[]},{"family":"Braitstein Paula","sequence":"additional","affiliation":[]},{"family":"Wachira Juddy","sequence":"additional","affiliation":[]},{"family":"Kimaiyo Sylvester","sequence":"additional","affiliation":[]},{"family":"Mamlin Burke","sequence":"additional","affiliation":[]}],"member":"7437","container-title":["Studies in Health Technology and Informatics","MEDINFO 2010"],"original-title":[],"deposited":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T12:30:10Z","timestamp":1740141010000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.medra.org\/servlet\/aliasResolver?alias=iospressISSNISBN&issn=0926-9630&volume=160&spage=525"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010]]},"references-count":0,"URL":"https:\/\/doi.org\/10.3233\/978-1-60750-588-4-525","relation":{"is-cited-by":[{"id-type":"doi","id":"10.1186\/s12911-020-1059-6","asserted-by":"object"}]},"ISSN":["0926-9630"],"issn-type":[{"value":"0926-9630","type":"print"}],"subject":[],"published":{"date-parts":[[2010]]}}}