End Users' Initial Perceptions of mHealth in Nigeria: An Investigation of Primary Healthcare Workers' Attitudes to the IMPACT App

Mobile health (mHealth) is perceived as a “silver bullet” solution to many of the existing healthcare delivery issues in developing regions. However, the design, development, piloting, implementation, and maintenance activities associated with mHealth are significant. Fundamental to the success of mHealth is stakeholder support within the healthcare system. A qualitative exploratory approach using interviews, presentations, and focus groups was pursued to investigate primary healthcare (PHC) workers' initial perceptions of the proposed IMPACT app to support the assessment of sick young children in the community in Nsukka, Enugu State, Nigeria. PHC workers welcomed the prospect of using the IMPACT app. However, they were keen to highlight local infrastructural challenges and lack of access to training as barriers to the wider rollout of the IMPACT app. Through investigating PHC workers' initial perceptions, mHealth projects may be better designed to positively influence end users' commitment and motivation to use mHealth as part of their roles in the future.