The prevalence of chronic diseases such as diabetes and hypertension is increasing in rural Ethiopian districts, posing challenges to healthcare systems. A mixed-methods approach including surveys, interviews, and observational studies was employed. Digital health records showed a significant improvement (p < 0.05) in patient adherence to medication regimens compared to paper-based systems. The intervention demonstrated effective chronic disease management through digital health record utilization. Further studies should explore scalability and cost-effectiveness of digital health solutions in rural settings. Chronic diseases, Digital Health Records, Rural Ethiopia, Patient Adherence Treatment effect was estimated with $\text{logit}(p_i)=\beta_0+\beta^\top X_i$, and uncertainty reported using confidence-interval based inference.