TY - JOUR
T1 - Acceptability and barriers to use of the asman provider-facing electronic platform for peripartum care in public facilities in Madhya Pradesh and Rajasthan, India
T2 - A qualitative study using the technology acceptance model-3
AU - Usmanova, Gulnoza
AU - Gresh, Ashley
AU - Cohen, Megan
AU - Kim, Young Mi
AU - Srivastava, Ashish
AU - Joshi, Chandra Shekhar
AU - Bhatt, Deepak Chandra
AU - Haws, Rachel
AU - Wadhwa, Rajni
AU - Sridhar, Pompy
AU - Bahl, Nupur
AU - Gaikwad, Pratibha
AU - Anderson, Jean
N1 - Publisher Copyright:
© 2020 by the authors. Licensee MDPI, Basel, Switzerland.
PY - 2020/11/2
Y1 - 2020/11/2
N2 - 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.
AB - 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.
KW - CDSS
KW - Health information technology
KW - Intrapartum care
KW - MHealth
KW - Maternal health
KW - Postpartum care
UR - http://www.scopus.com/inward/record.url?scp=85095968768&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85095968768&partnerID=8YFLogxK
U2 - 10.3390/ijerph17228333
DO - 10.3390/ijerph17228333
M3 - Article
C2 - 33187163
AN - SCOPUS:85095968768
SN - 1661-7827
VL - 17
SP - 1
EP - 21
JO - International journal of environmental research and public health
JF - International journal of environmental research and public health
IS - 22
M1 - 8333
ER -