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About CIN

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Counties Across


The Clinical Information Network (CIN) was initiated in 2013

With initial funding from Wellcome Trust as a partnership involving KEMRI Wellcome Trust Research Programme (KEMRI-Wellcome), the Ministry of Health (MOH), the Kenya Paediatrics Association (KPA) through Kenya Paediatric Research Consortium (KEPRECON), and participating County Hospitals in Kenya. .

Improving Hospital Care for Children and Newborns

CIN works to support the use of information to improve hospital care for children and newborns admitted to county hospitals by building connections across the network and examining ways to implement better care. As it does this it works to further guide evidence-informed policy, and practice in hospitals in Kenya.  

Our Progress

CIN began working in paediatric wards and progressed to involve newborn units which are now integral parts of the system. For each ward a paediatrician or Medical Officer and the lead nurse act as the focal persons and work together with the hospital’s Health Records Information Officers and data clerks.

The network has enabled hospitals to adopt use of:

University engagement at Kemri Wellcome

Standardise Medical Records

Standardised admission and discharge medical records,

Public engagement enhances our research at Kemri Wellcome

Generate Feedback on Hospitals

Use routine data to generate feedback on hospitals’ progress to prompt continuous improvement,

We conduct high quality, internationally recognised research in our Labaratories

Understand Patient Outcomes

Understand patient outcomes, and to evaluate interventions.

CIN involves adoption of  standardised admission (Paediatric Admission Record-PAR)  and discharge medical records as routine inpatient medical records, abstraction of data from inpatient medical records into bespoke REDCap databases hosted on computers in the hospital by data clerks based at each hospital. Deidentified data are securely shared and stored on a KEMRI-Wellcome server and at multiple stages efforts are made to remove obvious data entry errors and reduce missing entries. The primary data belongs to the participating hospitals while the deidentified copy shared with KEMRI-Wellcome is processed with routine analytics to produce three-monthly audit and feedback reports that are shared with CIN partner hospitals. Hospital practices are evaluated against recommendations in national treatment guidelines (the Kenya Basic Paediatric Protocols). 

The problem
The Solution

Data from CIN is also used for routine observational research under governance from the KEMRI research committee and oversight from collaborating partners. 

CIN Footprint Across Kenya

CIN has operations in fourteen counties across the country. The counties include:

  • Bungoma
  • Busia
  • Embu
  • Kakamega
  • Kiambu
  • Kirinyaga
  • Kisumu
  • Machakos
  • Nairobi
  • Nakuru
  • Nyeri
  • Trans Nzoia
  • The participating hospitals: are:
  • Bungoma County Referral Hospital
  • Busia County Referral Hospital
  • Embu Level 5 Teaching & Referral Hospital
  • Homa Bay County Teaching & Referral Hospital
  • Jaramogi Oginga Odinga Teaching & Referral Hospital
  • Kakamega County General Teaching & Referral Hospital
  • Karatina Sub-County Hospital
  • Kenyatta National Hospital
  • Kerugoya County Hospital
  • Kiambu Level 5 Hospital
  • Kisii County Hospital
  • Kisumu County & Referral Hospital
  • Kitale County Referral Hospital
  • Machakos Level 5 Hospital
  • Mama Lucy Kibaki Hospital
  • Mbagathi County Hospital
  • Migori County Hospital
  • Naivasha County Referral Hospital
  • Nakuru Level 5 Hospital
  • Nyeri County Referral Hospital
  • Pumwani Maternity Hospital
  • Thika Level 5 Hospital
  • Vihiga County Referral Hospital