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

18 Citations (Scopus)
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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.
Original languageEnglish
JournalHuman Resources for Health
Volume12
Issue number1
DOIs
Publication statusPublished - 23 Apr 2014

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

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