Urban youth healthcare clinics within Nairobi slums are facing challenges in managing patient records efficiently. The traditional paper-based record systems have proven inadequate for the growing demand and complexity of care delivery. A mixed-methods approach was employed, including surveys, interviews, and data analysis using statistical software for evaluating DHR adoption rates and user feedback. A preliminary analysis showed that 75% of surveyed healthcare providers reported improved patient record management with digital systems, although there were occasional technical glitches affecting system reliability (95% confidence interval). The findings suggest a positive trend towards the adoption and performance of DHR in urban youth healthcare clinics within Nairobi slums. Further studies should explore long-term usability and cost-effectiveness to ensure sustainable implementation of digital health records. Digital Health Records, Urban Youth Healthcare Clinics, Nairobi Slums, User Satisfaction Treatment effect was estimated with $\text{logit}(p_i)=\beta_0+\beta^\top X_i$, and uncertainty reported using confidence-interval based inference.