Abstract
Digital tools are meant to make HIV care easier to deliver, so this study asked whether they are actually used in the wards and consulting rooms of the Bamenda Health District, North-West Region of Cameroon, and what stands in the way. Three hundred and eighty-eight people took part: 263 patients living with HIV and the health personnel who care for them, drawn from public and private facilities across the district. Fifty-seven per cent of patients had received a text message reminding them when to take their medication, making the SMS the most useful digital tool in the study, while only 22.8% said a computer was used during their consultation and 45.6% had used at least one digital tool to reach a health worker. Almost every health worker, 97.6%, used some digital tool in caring for HIV clients, yet 41.6% were still writing patient records into paper logbooks. Dama was the tool named most often for keeping records, and staff reached for Excel and DHIS2 to work with the data afterwards. The barriers named were not attitudes: patients cited having no device, poor network coverage and the price of data bundles, and health personnel cited no training on the tools, no electricity and again the price of data. The authors ask the Ministry of Public Health to strengthen implementation of the National Digital Health Strategic Plan, with investment in ICT infrastructure inside health facilities and continuous training on DHIS2, electronic medical records and telemedicine.
Keywords
How to cite
Cite the published version in World Journal of AIDS, 2026, 16(2), 29-45 where you can.
Declarations
- Type
- Research article
- Competing interests
- None declared.
- Funding
- None declared.
These are the authors' own statements. The repository records them and does not verify them.
Version history
Version 1 · Posted 30 April 2026 · Current versionPublished version, archived from the journal.