A national scale-up of EMR in Malawi continues to happen in high burden ART facilities. This indicates that the HIV/AIDS Department sees the benefits of reporting the EMR during its supervision visits. Despite the above-stated limitations, this study has exposed the fact that there is no evidence that EMR has a direct care benefit surrounding the prescription of CPT. This is a contribution to the body of knowledge in the country but also in the developing world where descriptions of systems are done
without any evaluation of their impact. The indication that the EMR did not influence prescription of CPT brings to light the need to implement the recommendations stated in section 5.5 above if the benefits of the EMR implementation work are to be realised.
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ANNEXE 1: ETHICAL CLEARANCE CERTIFICATE
ANNEXE 2: CARE FRAMEWORK
ANNEXE 3: LETTER OF APPROVAL