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Acceptability and Barriers to Use of the ASMAN Provider-Facing Electronic Platform for Peripartum Care in Public Facilities in Madhya Pradesh and Rajasthan, India: A Qualitative Study Using the Technology Acceptance Model-3

Author

Listed:
  • Gulnoza Usmanova

    (Jhpiego—An Affiliate of Johns Hopkins University, New Delhi 110020, India)

  • Ashley Gresh

    (Johns Hopkins University School of Nursing, Baltimore, MD 21205, USA)

  • Megan A. Cohen

    (Johns Hopkins University School of Medicine, Department of Gynecology and Obstetrics, Baltimore, MD 21287, USA)

  • Young-Mi Kim

    (Jhpiego—An Affiliate of Johns Hopkins University, Baltimore, MD 21231, USA)

  • Ashish Srivastava

    (Jhpiego—An Affiliate of Johns Hopkins University, New Delhi 110020, India)

  • Chandra Shekhar Joshi

    (Jhpiego—An Affiliate of Johns Hopkins University, New Delhi 110020, India)

  • Deepak Chandra Bhatt

    (Jhpiego—An Affiliate of Johns Hopkins University, New Delhi 110020, India)

  • Rachel Haws

    (Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA)

  • Rajni Wadhwa

    (Project Management Unit, ASMAN: Alliance for Saving Mothers and Newborns, Mumbai 400021, India)

  • Pompy Sridhar

    (MSD for Mothers, Mumbai 4000098, India)

  • Nupur Bahl

    (Reliance Foundation, Mumbai 400021, India)

  • Pratibha Gaikwad

    (Tata Trusts, Mumbai 400005, India)

  • Jean Anderson

    (Johns Hopkins University School of Medicine, Department of Gynecology and Obstetrics, Baltimore, MD 21287, USA)

Abstract

The evolving field of mobile health (mHealth) is revolutionizing collection, management, and quality of clinical data in health systems. Particularly in low- and middle-income countries (LMICs), mHealth approaches for clinical decision support and record-keeping offer numerous potential advantages over paper records and in-person training and supervision. We conducted a content analysis of qualitative in-depth interviews using the Technology Acceptance Model 3 (TAM-3) to explore perspectives of providers and health managers in Madhya Pradesh and Rajasthan, India who were using the ASMAN (Alliance for Saving Mothers and Newborns) platform, a package of mHealth technologies to support management during the peripartum period. Respondents uniformly found ASMAN easy to use and felt it improved quality of care, reduced referral rates, ensured timely referral when needed, and aided reporting requirements. The TAM-3 model captured many determinants of reported respondent use behavior, including shifting workflow and job performance. However, some barriers to ASMAN digital platform use were structural and reported more often in facilities where ASMAN use was less consistent; these affect long-term impact, sustainability, and scalability of ASMAN and similar mHealth interventions. The transitioning of the program to the government, ensuring availability of dedicated funds, human resource support, and training and integration with government health information systems will ensure the sustainability of ASMAN.

Suggested Citation

  • Gulnoza Usmanova & Ashley Gresh & Megan A. Cohen & Young-Mi Kim & Ashish Srivastava & Chandra Shekhar Joshi & Deepak Chandra Bhatt & Rachel Haws & Rajni Wadhwa & Pompy Sridhar & Nupur Bahl & Pratibha , 2020. "Acceptability and Barriers to Use of the ASMAN Provider-Facing Electronic Platform for Peripartum Care in Public Facilities in Madhya Pradesh and Rajasthan, India: A Qualitative Study Using the Techno," IJERPH, MDPI, vol. 17(22), pages 1-21, November.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:22:p:8333-:d:443129
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    References listed on IDEAS

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    1. Likoebe M. Maruping & Hillol Bala & Viswanath Venkatesh & Susan A. Brown, 2017. "Going beyond intention: Integrating behavioral expectation into the unified theory of acceptance and use of technology," Journal of the Association for Information Science & Technology, Association for Information Science & Technology, vol. 68(3), pages 623-637, March.
    2. Wendy J Graham & Affette McCaw-Binns & Stephen Munjanja, 2013. "Translating Coverage Gains into Health Gains for All Women and Children: The Quality Care Opportunity," PLOS Medicine, Public Library of Science, vol. 10(1), pages 1-3, January.
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