Bramo, Senait Samuel and Desta, Amare and Syedda, Munavvar (2022) Acceptance of information communication technology-based health information services: Exploring the culture in primary-level health care of South Ethiopia, using Utaut Model, Ethnographic Study. Digital Health, 8. ISSN 2055-2076
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10.1177_20552076221131144.pdf - Published Version Available under License CC-BY-NC Creative Commons Attribution Non-commercial. Download (1MB) | Preview |
Abstract
Introduction: In sub-Saharan African countries including Ethiopia, the acceptance of Information Communication Technology (ICT) in health is at the proof-of-concept level with a few unsustainable piecemeal of pilot projects. Thus, a desirable willingness of acceptance among healthcare providers is a paramount. Material and Methods: Eight months elapsed ethnographic study design was conducted using participant observation and key informant interviews. The data were entered on Qualitative Data Analysis mine software version 1.4. The quotes and field notes were thematized. The Unified Technology Acceptance and Use Theory (UTAUT) is validated and used to generate new meanings. Results: This study highlighted the different instances of technology acceptance. Although the primary-level healthcare (PLHC) providers displayed tendencies to accept ICTs-based health information services consistent with the UTAUT dimensions such as the degree of simplicity associated with performance expectancy, use/effort expectancy, facilitating conditions, social issue, individual variation, and organization culture there are instances that disputed acceptance. For instance, the gains in data quality and reporting secondary to the use of District Health Information System Two (DHIS-II) are not influenced by acceptance. Rather PLHC providers are burnt-out of additional clerical duties of filling data on the DHIS-2. Furthermore, ICT acceptance is influenced by individual variations and the unique culture of primary level facilities such as leadership commitment. Conclusions: On this basis, we conclude that the willingness to accept ICT-based health information services at the primary level is not limited to those factors discussed in the UTAUT model.
| Item Type: | Article |
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| Additional Information: | ** Embargo end date: 19-10-2022 ** From SAGE Publishing via Jisc Publications Router ** History: received 04-05-2022; accepted 20-09-2022; epub 19-10-2022. ** Licence for this article starting on 19-10-2022: https://creativecommons.org/licenses/by-nc/4.0/ ** Peer reviewed: TRUE |
| Uncontrolled Keywords: | Original research, health care providers, ICT-based health information, primary-level health care, willingness to accept |
| Subjects: | D History General and Old World > DT Africa R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine Z Bibliography. Library Science. Information Resources > ZA Information resources > ZA4050 Electronic information resources |
| Divisions: | Institutes and Academies > Institute of Inner City Learning |
| SWORD Depositor: | JISC Publications Router |
| Depositing User: | JISC Publications Router |
| Date Deposited: | 24 Oct 2022 14:33 |
| Last Modified: | 21 Apr 2023 14:58 |
| URI: | https://repository.uwtsd.ac.uk/id/eprint/2124 |
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