Browsing by Author "Kigombola, Andrew Joseph"

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    Assessment of usage and challenges of automated sms for genexpert TB diagnosis results notification: case study of Manyara and Tanga regions.
    (University of Dar es Salaam, 2018) Kigombola, Andrew Joseph
    Delays in Tuberculosis diagnosis is recognized as a hindrance in management and control. SMS based results notification system (XpertSMS) was installed in Tanga and Manyarato ensure rapid results dissemination to the healthcare workers (HCWs). But early reports and field assessments showed underutilization of the system. This study aimed to assess usage and challenges associated with the use of XpertSMS for delivering GeneXpert Lab results to the HCWs in the selected regions. Mixed method research approach was used. Three facilities were visited and 13 HCWs were conveniently chosen and interviewed on use, beliefs, attitude, perception and challenges related to using of XpertSMS. Review of documents such as registers, TB reports and manuals was done. The quantitative/descriptive analysis was done to supplement qualitative findings. In all three facilities the proportion of samples’ results sent over the XpertSMS was low. While actual usage was low (an average of 52%), intention to use the system was high. (84.6%). On the Perceived Usefulness (PU); 77% agreed the system improves job performance, 85% agreed the system simplifies work. On PEOU; 77% considered the system to easy to learn.84.6% of respondents had a positive attitude toward using the XpertSMS system. Also, TAT for TB results was reduced across all facilities. Lack of adequate IT support, inadequate users’ training, upload of results and multiple reporting systems were identified as challenges which hindered the optimal use of the system. The study concluded XpertSMS as a well-accepted and useful tool among HCWs. Low usage was caused by the aforementioned challenges.