Diffusion of e-health innovations in 'post-conflict' settings: a qualitative study on the personal experiences of health workers

Aniek Woodward, Molly Fyfe, Jibril Handuleh, Preeti Patel, Brian Godman, Andrew Leather, Alexander Finlayson

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Background: Technological innovations have the potential to strengthen human resources for health and improve access and quality of care in challenging 'post-conflict' contexts. However, analyses on the adoption of technology for health (that is, 'e-health') and whether and how e-health can strengthen a health workforce in these settings have been limited so far. This study explores the personal experiences of health workers using e-health innovations in selected post-conflict situations. Methods: This study had a cross-sectional qualitative design. Telephone interviews were conducted with 12 health workers, from a variety of cadres and stages in their careers, from four post-conflict settings (Liberia, West Bank and Gaza, Sierra Leone and Somaliland) in 2012. Everett Roger's diffusion of innovation-decision model (that is, knowledge, persuasion, decision, implementation, contemplation) guided the thematic analysis.Results: All health workers interviewed held positive perceptions of e-health, related to their beliefs that e-health can help them to access information and communicate with other health workers. However, understanding of the scope of e-health was generally limited, and often based on innovations that health workers have been introduced through by their international partners. Health workers reported a range of engagement with e-health innovations, mostly for communication (for example, email) and educational purposes (for example, online learning platforms). Poor, unreliable and unaffordable Internet was a commonly mentioned barrier to e-health use. Scaling-up existing e-health partnerships and innovations were suggested starting points to increase e-health innovation dissemination. Conclusions: Results from this study showed ICT based e-health innovations can relieve information and communication needs of health workers in post-conflict settings. However, more efforts and investments, preferably driven by healthcare workers within the post-conflict context, are needed to make e-health more widespread and sustainable. Increased awareness is necessary among health professionals, even among current e-health users, and physical and financial access barriers need to be addressed. Future e-health initiatives are likely to increase their impact if based on perceived health information needs of intended users.
LanguageEnglish
JournalHuman Resources for Health
Volume12
Issue number1
DOIs
Publication statusPublished - 23 Apr 2014

Fingerprint

innovation
worker
Health
health
experience
Conflict (Psychology)
Liberia
Diffusion of Innovation
Sierra Leone
Inventions
Persuasive Communication
Health Communication
Health Manpower
Access to Information
Biomedical Technology
Middle East
Quality of Health Care
Health Resources
conflict situation
decision model

Keywords

  • diffusion of innovation
  • E-health
  • health workforce
  • Liberia
  • perceptions
  • post-conflict
  • Sierra Leone
  • Somaliland
  • West Bank and Gaza
  • article
  • comprehension
  • cross-sectional study
  • Djibouti
  • e-mail
  • female
  • health care delivery
  • health personnel attitude
  • human
  • Internet
  • interview
  • male
  • mass communication
  • Middle East
  • qualitative research
  • war
  • attitude of health personnel
  • cross-sectional studies
  • delivery of health care
  • electronic mail
  • humans
  • interviews as topic

Cite this

Woodward, Aniek ; Fyfe, Molly ; Handuleh, Jibril ; Patel, Preeti ; Godman, Brian ; Leather, Andrew ; Finlayson, Alexander. / Diffusion of e-health innovations in 'post-conflict' settings : a qualitative study on the personal experiences of health workers. In: Human Resources for Health. 2014 ; Vol. 12, No. 1.
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Diffusion of e-health innovations in 'post-conflict' settings : a qualitative study on the personal experiences of health workers. / Woodward, Aniek; Fyfe, Molly; Handuleh, Jibril; Patel, Preeti; Godman, Brian; Leather, Andrew; Finlayson, Alexander.

In: Human Resources for Health, Vol. 12, No. 1, 23.04.2014.

Research output: Contribution to journalArticle

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