IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v18y2021i12p6196-d570880.html
   My bibliography  Save this article

Barriers to the Digitization of Health Information: A Qualitative and Quantitative Study in Kenya and Lao PDR Using a Cloud-Based Maternal and Child Registration System

Author

Listed:
  • Tarek Numair

    (Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki 852-8523, Japan
    Department of Ecoepidemiology, Institute of Tropical Medicine, Nagasaki University, Nagasaki 852-8523, Japan)

  • Daniel Toshio Harrell

    (Department of Ecoepidemiology, Institute of Tropical Medicine, Nagasaki University, Nagasaki 852-8523, Japan
    Dell Medical School, The University of Texas in Austin, Austin, TX 78712, USA)

  • Nguyen Tien Huy

    (School of Tropical Medicine and Global Health, Nagasaki University, Nagasaki 852-8523, Japan)

  • Futoshi Nishimoto

    (School of Tropical Medicine and Global Health, Nagasaki University, Nagasaki 852-8523, Japan)

  • Yvonne Muthiani

    (Nairobi Research Station, Nagasaki University-Institute of Tropical Medicine—Kenya Medical Research Institute (NUITM-KEMRI) Project, Nairobi 19993-00202, Kenya
    Health Sciences Unit, Faculty of Social Sciences, Tampere University, 33014 Tampere, Finland)

  • Samson Muuo Nzou

    (Nairobi Research Station, Nagasaki University-Institute of Tropical Medicine—Kenya Medical Research Institute (NUITM-KEMRI) Project, Nairobi 19993-00202, Kenya
    Centre for Microbiology Research, Kenya Medical Research Institute (KEMRI), Nairobi 54840-00200, Kenya)

  • Angkhana Lasaphonh

    (Savannakhet Provincial Health Department, Savannakhet 13000, Laos)

  • Khomsonerasinh Palama

    (Savannakhet Provincial Health Department, Savannakhet 13000, Laos)

  • Tiengkham Pongvongsa

    (Savannakhet Provincial Health Department, Savannakhet 13000, Laos)

  • Kazuhiko Moji

    (School of Tropical Medicine and Global Health, Nagasaki University, Nagasaki 852-8523, Japan)

  • Kenji Hirayama

    (Department of Immunogenetics, Institute of Tropical Medicine, Nagasaki University, Nagasaki 852-8523, Japan)

  • Satoshi Kaneko

    (Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki 852-8523, Japan
    Department of Ecoepidemiology, Institute of Tropical Medicine, Nagasaki University, Nagasaki 852-8523, Japan
    Nairobi Research Station, Nagasaki University-Institute of Tropical Medicine—Kenya Medical Research Institute (NUITM-KEMRI) Project, Nairobi 19993-00202, Kenya)

Abstract

Digitalization of health information can assist patient information management and improve health services even in low middle-income countries. We have implemented a mother and child health registration system in the study areas of Kenya and Lao PDR to evaluate barriers to digitalization. We conducted in-depth interviews with 20 healthcare workers (HCWs) who used the system and analyzed it qualitatively with thematic framework analysis. Quantitatively, we analyzed the quality of recorded data according to missing information by the logistic regression analysis. The qualitative analysis identified six themes related to digitalization: satisfaction with the system, mothers’ resistance, need for training, double work, working environment, and other resources. The quantitative analysis showed that data entry errors improved around 10% to 80% based on odds ratios in subsequent quarters compared to first quarter periods. The number of registration numbers was not significantly related to the data quality, but the motivation, including financial incentives among HCWs, was related to the registration behavior. Considering both analysis results, workload and motivation to maintain high performance were significant obstacles to implementing a digital health system. We recommend enhancing the scope and focus on human needs and satisfaction as a significant factor for digital system durability and sustainability.

Suggested Citation

  • Tarek Numair & Daniel Toshio Harrell & Nguyen Tien Huy & Futoshi Nishimoto & Yvonne Muthiani & Samson Muuo Nzou & Angkhana Lasaphonh & Khomsonerasinh Palama & Tiengkham Pongvongsa & Kazuhiko Moji & Ke, 2021. "Barriers to the Digitization of Health Information: A Qualitative and Quantitative Study in Kenya and Lao PDR Using a Cloud-Based Maternal and Child Registration System," IJERPH, MDPI, vol. 18(12), pages 1-15, June.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:12:p:6196-:d:570880
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/18/12/6196/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/18/12/6196/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Maria Antonopoulou & Theodore Kotsilieris, 2019. "A Literature Review of User Satisfaction Models Towards Information System Success," International Journal of E-Services and Mobile Applications (IJESMA), IGI Global, vol. 11(2), pages 71-87, April.
    2. Dina Metwally, 2014. "Patients' Satisfaction with Primary Health Care in Egypt: Exploring the Gap between Rural and Urban Governorates," Journal of Social and Development Sciences, AMH International, vol. 5(4), pages 221-230.
    3. Bernard Rosner & Robert J. Glynn & Mei-Ling T. Lee, 2006. "The Wilcoxon Signed Rank Test for Paired Comparisons of Clustered Data," Biometrics, The International Biometric Society, vol. 62(1), pages 185-192, March.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Angelos I. Stoumpos & Fotis Kitsios & Michael A. Talias, 2023. "Digital Transformation in Healthcare: Technology Acceptance and Its Applications," IJERPH, MDPI, vol. 20(4), pages 1-44, February.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Somnath Datta & Glen A. Satten, 2008. "A Signed-Rank Test for Clustered Data," Biometrics, The International Biometric Society, vol. 64(2), pages 501-507, June.
    2. Anna Urbanek & Anna Losa & Monika Wieczorek-Kosmala & Karel Hlaváček & Aleš Lokaj, 2023. "Did the Quality of Digital Communication Skills in Education Improve after the Pandemic? Evidence from HEIs," Sustainability, MDPI, vol. 15(15), pages 1-22, August.
    3. Bagkavos, Dimitrios & Patil, Prakash N., 2021. "Improving the Wilcoxon signed rank test by a kernel smooth probability integral transformation," Statistics & Probability Letters, Elsevier, vol. 171(C).
    4. Slepicka, Jessie, 2022. "Reassessing the missing link in general deterrence research: A behavioral economic approach," Journal of Criminal Justice, Elsevier, vol. 82(C).
    5. del Campo, Cristina & Urquía-Grande, Elena & Pascual-Ezama, David, 2023. "Internationalizing the business school: A comparative analysis of English-medium and Spanish-medium instruction impact on student performance," Evaluation and Program Planning, Elsevier, vol. 98(C).
    6. Sandipan Dutta, 2022. "Robust Testing of Paired Outcomes Incorporating Covariate Effects in Clustered Data with Informative Cluster Size," Stats, MDPI, vol. 5(4), pages 1-13, December.
    7. Jasleen Kaur & Khushdeep Dharni, 2022. "Assessing efficacy of association rules for predicting global stock indices," DECISION: Official Journal of the Indian Institute of Management Calcutta, Springer;Indian Institute of Management Calcutta, vol. 49(3), pages 329-339, September.
    8. Haataja, Riina & Larocque, Denis & Nevalainen, Jaakko & Oja, Hannu, 2009. "A weighted multivariate signed-rank test for cluster-correlated data," Journal of Multivariate Analysis, Elsevier, vol. 100(6), pages 1107-1119, July.
    9. Brigitte Fong Yeong Woo & Wilson Wai San Tam & Taiju Rangpa & Wei Fong Liau & Jennifer Nathania & Toon Wei Lim, 2022. "A Nurse-Led Integrated Chronic Care E-Enhanced Atrial Fibrillation (NICE-AF) Clinic in the Community: A Preliminary Evaluation," IJERPH, MDPI, vol. 19(8), pages 1-15, April.
    10. Thuy-Ninh Dao & Po-Han Chen & The-Quan Nguyen, 2020. "Enhancement of Mutual Recognition and Mobility of BIM Experts in ASEAN Countries," Sustainability, MDPI, vol. 12(18), pages 1-20, September.
    11. Hamza Zubair & Ampol Karoonsoontawong & Kunnawee Kanitpong, 2022. "Effects of COVID-19 on Travel Behavior and Mode Choice: A Case Study for the Bangkok Metropolitan Area," Sustainability, MDPI, vol. 14(15), pages 1-26, July.
    12. Saif Uddin & Montaha Behbehani & Nazima Habibi & Scott W. Fowler & Hanan A. Al-Sarawi & Carlos Alonso-Hernandez, 2023. "Microplastics Residence Time in Marine Copepods: An Experimental Study," Sustainability, MDPI, vol. 15(20), pages 1-12, October.
    13. Peng Zeng & Ming Wei & Xiaoyang Liu, 2020. "Investigating the Spatiotemporal Dynamics of Urban Vitality Using Bicycle-Sharing Data," Sustainability, MDPI, vol. 12(5), pages 1-14, February.
    14. Dohyun Kim & Sungmin You & Soonwon So & Jongshill Lee & Sunhyun Yook & Dong Pyo Jang & In Young Kim & Eunkyoung Park & Kyeongwon Cho & Won Chul Cha & Dong Wook Shin & Baek Hwan Cho & Hoon-Ki Park, 2018. "A data-driven artificial intelligence model for remote triage in the prehospital environment," PLOS ONE, Public Library of Science, vol. 13(10), pages 1-14, October.
    15. Lan Wang & Runze Li, 2009. "Weighted Wilcoxon-Type Smoothly Clipped Absolute Deviation Method," Biometrics, The International Biometric Society, vol. 65(2), pages 564-571, June.
    16. Ana Lazcano & Pedro Javier Herrera & Manuel Monge, 2023. "A Combined Model Based on Recurrent Neural Networks and Graph Convolutional Networks for Financial Time Series Forecasting," Mathematics, MDPI, vol. 11(1), pages 1-21, January.
    17. Maul, D. & Schiereck, D., 2017. "The bond event study methodology since 1974," Publications of Darmstadt Technical University, Institute for Business Studies (BWL) 80723, Darmstadt Technical University, Department of Business Administration, Economics and Law, Institute for Business Studies (BWL).

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:18:y:2021:i:12:p:6196-:d:570880. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.