Skip to main content
SpringerLink
Log in
Book cover

International Conference on Social Implications of Computers in Developing Countries

ICT4D 2019: Information and Communication Technologies for Development. Strengthening Southern-Driven Cooperation as a Catalyst for ICT4D pp 63–75Cite as

System Use and User Satisfaction in the Adoption of Electronic Medical Records Systems: A Case of DHIS2 Tracker Implementation in Tanzania

  • Conference paper
  • First Online:

Part of the book series: IFIP Advances in Information and Communication Technology ((IFIPAICT,volume 551))

Abstract

The adoption of Electronic Medical Records Systems (EMRs) is on the rise in developing countries due to the need to ensure improved quality of healthcare through client continuum and monitoring and information sharing through collecting detailed, good quality and reliable information overtime. In spite the benefits of EMRs, their success depends on use and satisfaction of users with the system. Recently National Tuberculosis and Leprosy Program of Tanzania adopted an EMRs known as the DHIS2 Tracker to help with case management, improve reporting and reduce lost to follow-up cases.

This study therefore aimed to investigate factors influencing use and user satisfaction of DHIS2 Tracker by adapting both the DeLone & McLean Model with the Technology Acceptance Model. The research model consisted of six factors from which an online questionnaire using Google forms was developed and shared with users of the system. In order to assess the relationship between factors, nine hypotheses were developed and multiple regression analysis was conducted.

The analyzed data supported five out of nine hypotheses and indicates that system quality and attitude have positive significant influence on both system usage and user satisfaction, while use of the system has a positive significant influence on satisfaction. However, user background and information quality do not have significant influence on either use or satisfaction of DHIS2 Tracker. These findings help implementers understand areas of focus during implementation of DHIS2 Tracker.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD   109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Karimi, F., Poo, D.C.C., Ming, Y.: Clinical information systems end user satisfaction: the expectations and needs congruencies effects. J. Biomed. Inform. 53, 342–354 (2015)

    Article  Google Scholar 

  2. Palm, J., Colombet, I., Sicotte, C., Degoulet, P.: Determinants of user satisfaction with a clinical information system. AMIA Annual Symposium Proceedings, pp. 614–618 (2006)

    Google Scholar 

  3. Saghaeiannejad-Isfahani, S., Jahanbakhsh, M., Habibi, M., Mirzaeian, R., Nasirian, M., Rad, J.S.: A survey on the users’ satisfaction with the hospital information systems (HISs) based on DeLone and McLean’s model in the medical-teaching hospitals in Isfahan city. Acta Inform. Medica 22(3), 179–182 (2014)

    Article  Google Scholar 

  4. Karuri, J., Waiganjo, P., Orwa, D., Manya, A.: DHIS2: the tool to improve health data demand and use in Kenya. J. Health Inform. Dev. Ctries. 8(1), 38–60 (2014)

    Google Scholar 

  5. Mohammad, B., Kibria, G., Sujan, J., Santos, M., Taleb, A.: DHIS2 and e-TB manager interoperability: creating a stronger digital health system in Bangladesh, August 2017

    Google Scholar 

  6. Muhaise, H., Habinka, A.: Factors influencing district health information software version 2 success – a case of the greater Bushenyi. Am. Sci. Res. J. Eng. Technol. Sci. 26, 166–176 (2016)

    Google Scholar 

  7. Assyne, N., Riungu-Kalliosaari, L.: A framework for implementing cloud computing for record sharing and accessing in the Ghanaian healthcare sector. In: 2014 IST-Africa Conference and Exhibition, IST-Africa 2014, pp. 1–7 (2014)

    Google Scholar 

  8. Petter, S., DeLone, W., McLean, E.: Measuring information systems success: models, dimensions, measures, and interrelationships. Eur. J. Inf. Syst. 17(3), 236–263 (2008)

    Article  Google Scholar 

  9. Calisir, F., Calisir, F.: The relation of interface usability characteristics, perceived usefulness, and perceived ease of use to end-user satisfaction with enterprise resource planning (ERP) systems. Comput. Human Behav. 20(4), 505–515 (2004)

    Article  Google Scholar 

  10. DeLone, W.H., McLean, E.R.: The DeLone and McLean model of information systems success: a ten-year update. J. Manag. Inf. Syst. 19(4), 9–30 (2003). Spring

    Article  Google Scholar 

  11. Amin, I.M., Hussein, S.S., Isa, W.A.R.W.M.: Assessing user satisfaction of using hospital information system (HIS) in Malaysia. In: 2011 International Conference on Social Science and Humanity, vol. 5, pp. 210–213 (2011)

    Google Scholar 

  12. Yoon, H., Nah, J., Chin, W.: Measuring end user satisfaction with hospital’s mobile health system in Korea. Int. J. Sci. Technol. 6(6), 21–30 (2013)

    Google Scholar 

  13. Brown, S.A., Massey, A.P., Montoya-Weiss, M.M., Burkman, J.R.: Do I really have to? User acceptance of mandated technology. Eur. J. Inf. Syst. 11(4), 283–295 (2002)

    Article  Google Scholar 

  14. Kuipers, B.: Evaluation of a hospital information system (HIS) implementation success from a users’ perspective: a mixed method research. University Utrecht (2016)

    Google Scholar 

  15. Ojo, A.I.: Validation of the DeLone and McLean information systems success model. Heal. Inf. Res. 23(1), 60–66 (2017)

    Article  Google Scholar 

  16. Aggelidis, V.P., Chatzoglou, P.D.: Hospital information systems: measuring end user computing satisfaction (EUCS). J. Biomed. Inform. 45(3), 566–579 (2012)

    Article  Google Scholar 

  17. Lin, H.-H., Wang, Y.-S., Li, C.-R., Shih, Y.-W., Lin, S.-J.: The measurement and dimensionality of mobile learning systems success. J. Educ. Comput. Res. 55(4), 449–470 (2017)

    Article  Google Scholar 

  18. DeLone, W.H., McLean, E.R.: Information systems success: the quest for the dependent variable. Inf. Syst. Res. 3(1), 60–95 (1992)

    Article  Google Scholar 

  19. Doumpa, T.: Hospital information system evaluation. The University of Greenwich (2009)

    Google Scholar 

  20. Gelderman, M.: Factors affecting the success of management support systems: analysis and meta-analysis. IS/MAS Forum American Accounting Association, May 1995

    Google Scholar 

  21. Karahanna, E., Straub, D.W., Chervany, N.L.: Information technology adoption across time: a cross-sectional comparison of pre-adoption and post-adoption beliefs pre-adoption and post-adoption beliefs1. MIS Q. 2323468(2), 183–213 (1999)

    Article  Google Scholar 

  22. Tan, P.J.B.: Applying the UTAUT to understand factors affecting the use of English e-learning websites in Taiwan. SAGE Open 3(4) (2013). https://doi.org/10.1177/2158244013503837

Download references

Author information

Authors and Affiliations

  1. University of Dar es Salaam, Dar es Salaam, Tanzania

    Immaculate Ayebazibwe & Honest C. Kimaro

  2. University of Oslo, Oslo, Norway

    Jens J. Kaasbøll

Authors
  1. Immaculate Ayebazibwe
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Honest C. Kimaro
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Jens J. Kaasbøll
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Immaculate Ayebazibwe .

Editor information

Editors and Affiliations

  1. University of Oslo, Oslo, Norway

    Petter Nielsen

  2. University of Dar es Salaam, Dar es Salaam, Tanzania

    Honest Christopher Kimaro

Rights and permissions

Reprints and permissions

Copyright information

© 2019 IFIP International Federation for Information Processing

About this paper

Check for updates. Verify currency and authenticity via CrossMark

Cite this paper

Ayebazibwe, I., Kimaro, H.C., Kaasbøll, J.J. (2019). System Use and User Satisfaction in the Adoption of Electronic Medical Records Systems: A Case of DHIS2 Tracker Implementation in Tanzania. In: Nielsen, P., Kimaro, H.C. (eds) Information and Communication Technologies for Development. Strengthening Southern-Driven Cooperation as a Catalyst for ICT4D. ICT4D 2019. IFIP Advances in Information and Communication Technology, vol 551. Springer, Cham. https://doi.org/10.1007/978-3-030-18400-1_6

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-18400-1_6

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-18399-8

  • Online ISBN: 978-3-030-18400-1

  • eBook Packages: Computer ScienceComputer Science (R0)

Publish with us

Policies and ethics

Societies and partnerships

Search

Navigation