This study investigates the utilization and practice of Electronic Health Records (EHR) in Somali hospitals through
a national survey. Employing a cross-sectional survey design, the research captures a snapshot of EHR adoption across various
healthcare institutions, both public and private, in different regions of Somalia. The sample includes 35 hospitals, representing
a diverse mix of general hospitals, specialized hospitals, and clinics. Data collection was conducted using self-administered
questionnaires and semi-structured interviews, providing both quantitative and qualitative insights into EHR usage. The study
reveals that 63% of the hospitals have adopted EHR systems, with significant benefits observed, such as improved accuracy of
patient records, enhanced efficiency in clinical workflows, and better coordination of care. However, challenges such as
technical issues, financial constraints, and a lack of technical expertise were also identified as major barriers to effective EHR
implementation. The findings underscore the critical need for targeted interventions to support hospitals in overcoming these
barriers and fully realizing the potential benefits of EHR systems. The study concludes that while there is a growing recognition
of the importance of EHRs in improving healthcare delivery in Somalia, substantial efforts are needed to address the existing
challenges.
Keywords - Electronic health records, HER adaptation, Healthcare technologies, Digital health systems.