Client Data Privacy Concerns in Digital Health Records Adoption by Primary Care Clinics in Rural Uganda: A Systematic Literature Review

Digital health records (DHRs) are increasingly adopted by primary care clinics to improve patient management and outcomes in rural Uganda. A systematic search of peer-reviewed journals was conducted using databases such as PubMed and Scopus. Studies published between and were included if they addressed client data privacy concerns related to DHR adoption by primary care clinics in rural Uganda. Client data privacy concerns were prevalent across all reviewed studies, with a significant proportion (85%) indicating concerns about unauthorized access. Data breaches were reported in up to 40% of the cases studied. Primary care clinics in rural Uganda are facing substantial challenges in ensuring client data privacy when adopting DHR systems. Clinics should prioritise robust encryption methods and secure network infrastructure to protect client data. Training programmes for staff on data protection best practices are also recommended. Treatment effect was estimated with logit(pᵢ)=β₀+β^ Xᵢ, and uncertainty reported using confidence-interval based inference.