Health workers’ knowledge of and attitudes towards computer applications in rural African health facilities
Identifieur interne : 000421 ( Pmc/Curation ); précédent : 000420; suivant : 000422Health workers’ knowledge of and attitudes towards computer applications in rural African health facilities
Auteurs : Felix Sukums [Allemagne, Tanzanie] ; Nathan Mensah [Allemagne, Ghana] ; Rose Mpembeni [Tanzanie] ; Jens Kaltschmidt [Allemagne] ; Walter E. Haefeli [Allemagne] ; Antje Blank [Allemagne]Source :
- Global Health Action [ 1654-9716 ] ; 2014.
Abstract
The QUALMAT (Quality of Maternal and Prenatal Care: Bridging the Know-do Gap) project has introduced an electronic clinical decision support system (CDSS) for pre-natal and maternal care services in rural primary health facilities in Burkina Faso, Ghana, and Tanzania.
To report an assessment of health providers’ computer knowledge, experience, and attitudes prior to the implementation of the QUALMAT electronic CDSS.
A cross-sectional study was conducted with providers in 24 QUALMAT project sites. Information was collected using structured questionnaires. Chi-squared tests and one-way ANOVA describe the association between computer knowledge, attitudes, and other factors. Semi-structured interviews and focus groups were conducted to gain further insights.
A total of 108 providers responded, 63% were from Tanzania and 37% from Ghana. The mean age was 37.6 years, and 79% were female. Only 40% had ever used computers, and 29% had prior computer training. About 80% were computer illiterate or beginners. Educational level, age, and years of work experience were significantly associated with computer knowledge (
Given the low levels of computer knowledge among rural health workers in Africa, it is important to provide adequate training and support to ensure the successful uptake of electronic CDSSs in these settings. The positive attitudes to computers found in this study underscore that also rural care providers are ready to use such technology.
Url:
DOI: 10.3402/gha.v7.24534
PubMed: 25361721
PubMed Central: 4212075
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Haefeli</name><affiliation wicri:level="1"><nlm:aff id="AF0001">Department of Clinical Pharmacology & Pharmacoepidemiology, Heidelberg University Hospital, Heidelberg, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Clinical Pharmacology & Pharmacoepidemiology, Heidelberg University Hospital, Heidelberg</wicri:regionArea></affiliation></author><author><name sortKey="Blank, Antje" sort="Blank, Antje" uniqKey="Blank A" first="Antje" last="Blank">Antje Blank</name><affiliation wicri:level="1"><nlm:aff id="AF0001">Department of Clinical Pharmacology & Pharmacoepidemiology, Heidelberg University Hospital, Heidelberg, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Clinical Pharmacology & Pharmacoepidemiology, Heidelberg University Hospital, Heidelberg</wicri:regionArea></affiliation></author></analytic><series><title level="j">Global Health Action</title><idno type="ISSN">1654-9716</idno><idno type="eISSN">1654-9880</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="st1"><title>Background</title><p>The QUALMAT (Quality of Maternal and Prenatal Care: Bridging the Know-do Gap) project has introduced an electronic clinical decision support system (CDSS) for pre-natal and maternal care services in rural primary health facilities in Burkina Faso, Ghana, and Tanzania.</p></sec><sec id="st2"><title>Objective</title><p>To report an assessment of health providers’ computer knowledge, experience, and attitudes prior to the implementation of the QUALMAT electronic CDSS.</p></sec><sec id="st3"><title>Design</title><p>A cross-sectional study was conducted with providers in 24 QUALMAT project sites. Information was collected using structured questionnaires. Chi-squared tests and one-way ANOVA describe the association between computer knowledge, attitudes, and other factors. Semi-structured interviews and focus groups were conducted to gain further insights.</p></sec><sec id="st4"><title>Results</title><p>A total of 108 providers responded, 63% were from Tanzania and 37% from Ghana. The mean age was 37.6 years, and 79% were female. Only 40% had ever used computers, and 29% had prior computer training. About 80% were computer illiterate or beginners. Educational level, age, and years of work experience were significantly associated with computer knowledge (<italic>p</italic><0.01). Most (95.3%) had positive attitudes towards computers – average score (±SD) of 37.2 (±4.9). Females had significantly lower scores than males. Interviews and group discussions showed that although most were lacking computer knowledge and experience, they were optimistic about overcoming challenges associated with the introduction of computers in their workplace.</p></sec><sec id="st5"><title>Conclusions</title><p>Given the low levels of computer knowledge among rural health workers in Africa, it is important to provide adequate training and support to ensure the successful uptake of electronic CDSSs in these settings. 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Glob Health Action</journal-id><journal-id journal-id-type="iso-abbrev">Glob Health Action</journal-id><journal-id journal-id-type="publisher-id">GHA</journal-id><journal-title-group><journal-title>Global Health Action</journal-title></journal-title-group><issn pub-type="ppub">1654-9716</issn><issn pub-type="epub">1654-9880</issn><publisher><publisher-name>Co-Action Publishing</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">25361721</article-id><article-id pub-id-type="pmc">4212075</article-id><article-id pub-id-type="publisher-id">24534</article-id><article-id pub-id-type="doi">10.3402/gha.v7.24534</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject></subj-group></article-categories><title-group><article-title>Health workers’ knowledge of and attitudes towards computer applications in rural African health facilities</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Sukums</surname><given-names>Felix</given-names></name><xref ref-type="aff" rid="AF0001">1</xref><xref ref-type="aff" rid="AF0002">2</xref></contrib><contrib contrib-type="author"><name><surname>Mensah</surname><given-names>Nathan</given-names></name><xref ref-type="aff" rid="AF0001">1</xref><xref ref-type="aff" rid="AF0003">3</xref></contrib><contrib contrib-type="author"><name><surname>Mpembeni</surname><given-names>Rose</given-names></name><xref ref-type="aff" rid="AF0004">4</xref></contrib><contrib contrib-type="author"><name><surname>Kaltschmidt</surname><given-names>Jens</given-names></name><xref ref-type="aff" rid="AF0001">1</xref></contrib><contrib contrib-type="author"><name><surname>Haefeli</surname><given-names>Walter E.</given-names></name><xref ref-type="aff" rid="AF0001">1</xref></contrib><contrib contrib-type="author"><name><surname>Blank</surname><given-names>Antje</given-names></name><xref ref-type="aff" rid="AF0001">1</xref><xref ref-type="corresp" rid="cor1">*</xref></contrib></contrib-group><aff id="AF0001"><label>1</label>Department of Clinical Pharmacology & Pharmacoepidemiology, Heidelberg University Hospital, Heidelberg, Germany</aff><aff id="AF0002"><label>2</label>Directorate of Information and Communication Technology, Muhimbili University of Health and Allied Sciences (MUHAS), Dar es Salaam, Tanzania</aff><aff id="AF0003"><label>3</label>Navrongo Health Research Centre, Navrongo, Ghana</aff><aff id="AF0004"><label>4</label>Department of Epidemiology and Biostatistics, School of Public Health and Social Sciences, Muhimbili University of Health and Allied Sciences (MUHAS), Dar es Salaam, Tanzania</aff><author-notes><corresp id="cor1"><label>*</label>Correspondence to: Antje Blank, Department of Clinical Pharmacology & Pharmacoepidemiology, Heidelberg University Hospital, Im Neuenheimer Feld 410, D-69120 Heidelberg, Germany, Email: <email xlink:href="antje.blank@med.uni-heidelberg.de">antje.blank@med.uni-heidelberg.de</email></corresp><fn><p>Responsible Editor: Jennifer Williams, Umeå University, Sweden.</p></fn></author-notes><pub-date pub-type="epub"><day>27</day><month>10</month><year>2014</year></pub-date><pub-date pub-type="collection"><year>2014</year></pub-date><volume>7</volume><elocation-id content-type="doi">10.3402/gha.v7.24534</elocation-id><history><date date-type="received"><day>03</day><month>4</month><year>2014</year></date><date date-type="rev-recd"><day>26</day><month>9</month><year>2014</year></date><date date-type="accepted"><day>28</day><month>9</month><year>2014</year></date></history><permissions><copyright-statement>© 2014 Felix Sukums et al.</copyright-statement><copyright-year>2014</copyright-year><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/4.0/"><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><abstract><sec id="st1"><title>Background</title><p>The QUALMAT (Quality of Maternal and Prenatal Care: Bridging the Know-do Gap) project has introduced an electronic clinical decision support system (CDSS) for pre-natal and maternal care services in rural primary health facilities in Burkina Faso, Ghana, and Tanzania.</p></sec><sec id="st2"><title>Objective</title><p>To report an assessment of health providers’ computer knowledge, experience, and attitudes prior to the implementation of the QUALMAT electronic CDSS.</p></sec><sec id="st3"><title>Design</title><p>A cross-sectional study was conducted with providers in 24 QUALMAT project sites. Information was collected using structured questionnaires. Chi-squared tests and one-way ANOVA describe the association between computer knowledge, attitudes, and other factors. Semi-structured interviews and focus groups were conducted to gain further insights.</p></sec><sec id="st4"><title>Results</title><p>A total of 108 providers responded, 63% were from Tanzania and 37% from Ghana. The mean age was 37.6 years, and 79% were female. Only 40% had ever used computers, and 29% had prior computer training. About 80% were computer illiterate or beginners. Educational level, age, and years of work experience were significantly associated with computer knowledge (<italic>p</italic><0.01). Most (95.3%) had positive attitudes towards computers – average score (±SD) of 37.2 (±4.9). Females had significantly lower scores than males. Interviews and group discussions showed that although most were lacking computer knowledge and experience, they were optimistic about overcoming challenges associated with the introduction of computers in their workplace.</p></sec><sec id="st5"><title>Conclusions</title><p>Given the low levels of computer knowledge among rural health workers in Africa, it is important to provide adequate training and support to ensure the successful uptake of electronic CDSSs in these settings. The positive attitudes to computers found in this study underscore that also rural care providers are ready to use such technology.</p></sec></abstract><kwd-group><kwd>computers</kwd><kwd>computer knowledge</kwd><kwd>attitude towards computers</kwd><kwd>rural health services</kwd><kwd>health personnel</kwd><kwd>maternal health services</kwd><kwd>sub-Saharan Africa</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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