Assessment of Attitude, Usability, And Sustainability of E-Health Technologies in Selected Health Facilities in Imo State, Nigeria

References

[1] Nabukenya J, Drumright L, Alunyu AE, Semwanga AR. Critical risk and success factors for sustainability of an electronic health data capture, processing and dissemination platform for Uganda. Health Informatics J. 2023;29(2).

[2] Li J, Talaei-Khoei A, Seale H, Ray P, MacIntyre CR. Health Care Provider Adoption of eHealth: Systematic Literature Review. Interact J Med Res. 2013;2(1):e7.

[3] (SPARC) SPARC. What Factors Hinder Progress Towards Strategic Purchasing for Healthcare in Imo state, South East Nigeria_ _ Strategic Purchasing Africa Resource Centre (SPARC) [Internet]. 2021. Available from: https://sparc.africa/2021/06/what-factors-hinder-progress-towards-strategic-purchasing-for-healthcare-in-imo-state-south-east-nigeria/

[4] Ivanova NG, Shcheblyakov ES, Farafontova EL, Pugatskiy M V. The Use Of Information And Communication Technologies In Education. 2020;0966(1):772–9.

[5] Jamie Ross, Fiona Stevenson RL& EM. Factors that influence the implementation of e-health: a systematic review of systematic reviews (an update) | Implementation Science | Full Text [Internet]. 2016. p. 146. Available from: https://implementationscience.biomedcentral.com/articles/10.1186/s13012-016-0510-7

[6] Abubakar I, Dalglish SL, Angell B, Sanuade O, Abimbola S, Adamu AL, et al. The Lancet Nigeria Commission: investing in health and the future of the nation. Lancet [Internet]. 2022;399(10330):1155–200. Available from: http://dx.doi.org/10.1016/S0140-6736(21)02488-0

[7] Mensah GA, Habtegiorgis Abate Y, Abbasian M, Abd-Allah F, Abdollahi A, Abdollahi M, et al. Global Burden of Cardiovascular Diseases and Risks, 1990-2022. J Am Coll Cardiol. 2023;82(25):2350–473.

[8] Adebayo PB, Oluwole OJ, Taiwo FT. COVID-19 and Teleneurology in Sub-Saharan Africa: Leveraging the Current Exigency. Front Public Heal. 2021;8(January):1–7.

[9] Botha M, Botha A, Herselman M. The Benefits and Challenges of e-Health Applications : A Content Analysis of the South African context. The International Conference on Computer Science, Computer Engineering, and Social Media. 2014. p. 121–31.

[10] Kechagias EP, Papadopoulos GA, Rokai I. Evaluating the Impact of Digital Health Interventions on Workplace Health Outcomes: A Systematic Review. Adm Sci. 2024;14(6).

[11] Afaya A, Bam V, Azongo TB, Afaya RA, Yakong VN, Kpodo GK, et al. “We are left with nothing to work with”; challenges of nurses working in the emergency unit at a secondary referral hospital: A descriptive qualitative study. PLoS One [Internet]. 2021;16(2 February):1–12. Available from: http://dx.doi.org/10.1371/journal.pone.0247062

[12] Mensah NK, Adzakpah G, Kissi J, Abdulai K, Taylor-Abdulai H, Johnson SB, et al. Health professionals’ perceptions of electronic health records system: a mixed method study in Ghana. BMC Med Inform Decis Mak [Internet]. 2024;24(1). Available from: https://doi.org/10.1186/s12911-024-02672-3

[13] Nonso Sunday O, Timothy Umeifekwem U. Addressing digital technology gap challenges: The Nigerian experience. Niger J Soc Dev [Internet]. 2023;11(1):95–100. Available from: www.arabianjbmr.com

[14] Ross J, Stevenson F, Lau R, Murray E. Factors that influence the implementation of e-health: A systematic review of systematic reviews (an update). Implement Sci [Internet]. 2016;11(1):1–12. Available from: http://dx.doi.org/10.1186/s13012-016-0510-7

[15] Zayyad MA, Toycan M. Factors affecting sustainable adoption of e-health technology in developing countries: An exploratory survey of Nigerian hospitals from the perspective of healthcare professionals. PeerJ. 2018;2018(3).

[16] Kaboré SS, Ngangue P, Soubeiga D, Barro A, Pilabré AH, Bationo N, et al. Barriers and facilitators for the sustainability of digital health interventions in low and middle-income countries: A systematic review. Front Digit Heal. 2022;4(November):1–16.

[17] J. Adebayo K, O. Ofoegbu E. Issues on E-health Adoption in Nigeria. Int J Mod Educ Comput Sci. 2014;6(9):36–46.

[18] Asah FN, Kaasbøll JJ, Anthun KS. Obstacles of eHealth Capacity Building and Innovation Promotion Initiative in African Countries. Stud Health Technol Inform. 2022;299(1):33–43.

[19] Archer N, Lokker C, Ghasemaghaei M, DiLiberto D. eHealth implementation issues in low-resource countries: Model, survey, and analysis of user experience. J Med Internet Res. 2021;23(6).

[20] Labrique AB, Wadhwani C, Williams KA, Lamptey P, Hesp C, Luk R, et al. Best practices in scaling digital health in low and middle income countries. Global Health. 2018;14(1):1–8.

[21] Mamuye A, Nigatu AM, Chanyalew MA, Amor L Ben, Loukil S, Moyo C, et al. Facilitators and Barriers to the Sustainability of eHealth Solutions in Low- And Middle-Income Countries: Descriptive Exploratory Study. JMIR Form Res. 2023;7:1–9.

[22] Putteeraj M, Bhungee N, Somanah J, Moty N. Assessing E-Health adoption readiness using diffusion of innovation theory and the role mediated by each adopter’s category in a Mauritian context. Int Health. 2022;14(3):236–49.

[23] G.B. Fanta & L. Pretorius. A CONCEPTUAL FRAMEWORK FOR SUSTAINABLE eHEALTH IMPLEMENTATION IN RESOURCE- CONSTRAINED SETTINGS G.B. Fanta 1* & L. Pretorius 1 ARTICLE INFO. South African J Ind Eng. 2018;29(November):132–47.

@article{1708629,
      author = {Egbuna Hyacinth Chukwuebuka, Oparaocha Evangeline Tochi,  Iwuala Chimezie Christian,  Dozie Winnie Ugonma, Ibe Nkechinyere Onyeka Sally; Nwoke Eunice Anyalewechi},
      title = {Assessment of Attitude, Usability, And Sustainability of E-Health Technologies in Selected Health Facilities in Imo State, Nigeria},
      journal = {Iconic Research And Engineering Journals},
      year = {2025},
      volume = {8},
      number = {11},
      pages = {1176-1186},
      issn = {2456-8880},
      url = {https://www.irejournals.com/formatedpaper/1708629.pdf},
      abstract = {The integration of e-health technologies in healthcare systems offers transformative opportunities to enhance service delivery, accessibility, and efficiency. This study assessed the awareness, availability, usability, and sustainability of e-health technologies among healthcare workers in Imo State, Nigeria. A mixed-methods, cross-sectional study was conducted involving 579 health workers and 16 policymakers from six hospitals. Quantitative data were analyzed using descriptive statistics and chi-square tests, while qualitative data underwent thematic analysis. The majority of respondents (55.4%) were very familiar with e-health technologies, with Electronic Health Records (31.1%) and Health Information Systems (26.3%) being the most common. However, the usability of e-health technologies was sporadic and inconsistent, with 81.7% of respondents not using them regularly. Despite challenges, 92.7% of respondents supported the ongoing use and integration of e-health technologies, and 90.8% believed in their sustainability. Increased training (91.7%) was identified as the most crucial factor in enhancing support. A strong association was found between the current state of electronic devices and personal use of e-health technologies (p=0.001). Key barriers included a lack of formal training, maintenance issues, internet connectivity, and limited awareness of government policies supporting e-health sustainability. The study highlights the need for comprehensive policies, financial support, and advocacy to ensure the long-term sustainability of e-health technologies in Imo State, Nigeria.},
      keywords = {E-health technologies, healthcare workers, Electronic Health Records, Health Information Systems, sustainability},
      month = {May},
  }