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

Woodward, A; Fyfe, M; Handuleh, J; Patel, P; Godman, B; Leather, A; Finlayson, A; (2014) Diffusion of e-health innovations in 'post-conflict' settings: a qualitative study on the personal experiences of health workers. Hum Resour Health, 12. p. 22. ISSN 1478-4491 DOI: https://doi.org/10.1186/1478-4491-12-22

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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. 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. 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. 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.

Item Type: Article
Faculty and Department: Distance Learning
Academic Services & Administration > Distance Learning

Faculty of Public Health and Policy
Research Centre: Health in Humanitarian Crises Centre
PubMed ID: 24754997
Web of Science ID: 335187200002
URI: http://researchonline.lshtm.ac.uk/id/eprint/2019586


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