Title:	DETERMINANTS OF A SUSTAINABLE USE OF THE HEALTH INFORMATION SYSTEM IN THE SUB-SAHARAN AFRICA CONTEXT
Author(s):	Edison Wazoel Lubua and Philip D. Pretorius
ISBN:	978-989-8533-74-6
Editors:	Miguel Baptista Nunes, Pedro Isaías and Philip Powell
Year:	2018
Edition:	Single
Keywords:	Determinants of the Use, Sustainable Use, Health (Hospital) Information System, Africa
Type:	Full Paper
First Page:	177
Last Page:	184
Language:	English
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Paper Abstract:	This study was done in Tanzania, a close representation of the Africa Sub-Sahara. The intention of the study was to evaluate user factors determining the sustainable use of the Health Information System in the Sub-Saharan context. A sustainable use supports the achievement of corporate objectives. Our review of the literature identified four (4) variables cited to decide the use of the information system: Self-efficacy, the degree of system resistance, the approach used to deploy a Health Information System, and the extent which the use of the Health Information System is perceived to support corporate objectives. These were used in hypotheses formulation. This study followed the quantitative procedures. The survey design was adopted, where data were collected through a closed survey questionnaire. Both systematic and random sampling methods were used in obtaining a scientifically acceptable sample. Analytical models engaged in the analysis included: One Way ANOVA and Ordinal regression. They tested the categorical and causal relationship between variables. The following results were observed: Self-efficacy determined the degree of resistance and the extent which the use of the Health Information System supports corporate objectives, user resistance determined the extent which the use of the Health Information System supports corporate objectives, and the relevance of the approach used to implement the Health Information System determines the extent which the use supports corporate objectives. Moreover, the implementation of the Health Information System is not in a good shape. This is the reason why the majority of respondents want to drop it. It is more striking to learn that the category of respondents who are more conversant with the system are more eager to drop it than their counterpart.
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