An electronic patient referral application A case study from Zambia

By Niamh Darcy, Christopher E Kelley, Eileen Reynolds, Gordon Cressman, Wm. Perry Killam

Electronic medical records (EMRs) benefit health systems, especially in low-income developing countries. EMR systems can give medical personnel access to patients’ records and can reduce time needed for data management and record keeping.

The report discusses the design, implementation, and results of an installed electronic perinatal patient-referral system supporting health personnel who referred patients through a closed-network, Web-based system in the Lusaka health district in Zambia. It demonstrates how the patient referral module laid the groundwork for a larger EMR system.


Darcy, N., Kelley, C. E., Reynolds, E., Cressman, G., & Killam, W. P. (2010). An electronic patient referral application: A case study from Zambia. (RTI Press Publication No. RR-0011-1003). Research Triangle Park, NC: RTI Press.

© 2019 RTI International. This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.


Niamh DarcyNiamh Darcy, MSc, is an information and communication technologies program manager in RTI’s International Development Group.

Christopher E KelleyChris Kelley, BA, is a senior programmer/analyst within RTI’s International Development Group.

Eileen ReynoldsEileen Reynolds, MA, is an information and communication technologies and monitoring and evaluation specialist in RTI’s International Development Group.

Gordon CressmanMr. Cressman has more than 20 years of experience in information and communications technologies, 19 of them as a professional in international development. He is experienced in every phase of ICT systems design and implementation, including assessment, strategic planning, operational planning, systems integration, procurement, installation, training, and operation. His ICT applications experience spans health, education, and governance. He has helped organizations in 13 developing countries to improve their ICT systems through sustainable strategies sensitive to local constraints.

Wm. Perry Killam

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