Browsing by Author "Ayebazibwe, Immaculate"

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    System use and user satisfaction in the adoption of electronic medical record systems: a case of dhis2 tracker implementation in Tanzania
    (University of Dar es Salaam, 2019) Ayebazibwe, Immaculate
    The adoption of Electronic Medical Record 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 District Health Information Software version2 (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 was developed and shared with users. 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 (β=0.317, β=0.249) and attitude (β=0.328, β=0.323) had positive significant influence on both system usage and user satisfaction respectively, while use of the system (β=0.121) had 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. Qualitative results showed that the system met the needs and demands of all involved stakeholders. These findings help implementers understand areas of focus during implementation of DHIS2 Tracker.