Table 1.

Key local health care challenges addressed by Stre@mline.

Issue and problem		Stre@mline response
Follow-up for long-term treatments
	High number of patients lost to follow-up	Monitoring of follow-up attendance, facilitation of contacting patients to ensure good on-going care in place
Medicines
	Severe shortages of drugs	Live monitoring of stock levels of medicines and triggering ordering in good time to avoid stock-outs
	Drugs often expire in storage, wasting valuable resources	Warns pharmacists of drugs due to expire in 2 months, facilitating better resource planning by pharmacists and prescribers
	Auditing of drug prescribing errors is often poor or erratic	Facilitates 100% capture of prescribing errors through built-in linkage to the Uganda National Drug Authority drug reactions reporting system
Triage
	Triage often poorly done, especially in children	Incorporates the World Health Organization Emergency Triage, Assessment, and Treatment (ETAT) tool and the locally developed Kisiizi Early Warning System
	Paper-based triage systems were often omitted or only partially done	Ensures that 100% children are properly triaged using ETAT tool as it uses mandatory fields. Users rapidly learn the new routine and comply happily as they see the benefits.
Medical records
	Often incomplete, poor quality records were kept	Captures key data relating to a patient’s symptoms, investigations, treatment, and follow-up
	Patients often forget to bring previous notes, images, etc, and may end up undergoing unnecessary duplicate tests	Allows files to be stored (eg, x-rays, clinical letters, and photographs, for immediate access in future)
Customization
	Commercial systems are often difficult and expensive to customize to local requirements	Stre@mline is designed to allow free, easy, and comprehensive customization by local institutions to ensure that the system is optimal for the local environment