Pharmacy Professionals’ Acceptance of Electronic Health Commodity Management Information Systems: An Evaluation of Health Facilities in Addis Ababa
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Date
2023
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Addis Ababa University
Abstract
Introduction: The electronic Health Commodity Management Information System (e-
HCMIS), also known as DAGU, was developed locally to help in improving the health
commodity supply chain in Ethiopia. However, there is paucity of information on the
acceptability of the system for the end users.
Objective: To investigate pharmacy professionals’ acceptance of the e-HCMIS and
identify its determinants in public hospitals of Addis Ababa.
Methods: A facility-based cross-sectional descriptive study, following a sequential
explanatory mixed method approach with both qualitative and quantitative methods of data
collection, was done. The study included 10 public hospitals in Addis Ababa. The
quantitative approach used structured questionnaire based on extended Technology
Acceptance Model 3 (TAM-3). Key informant interviews were done to clarify and
contextualize the quantitative findings. Structural equation modeling with maximum
likelihood estimation were used to analyze quantitative data. Qualitative interviews were
thematically evaluated.
Results: There were a total of 237 survey respondents, response rate of the study was
96.19%. TAM-3 explained 49.2% of the variance of behavioral intention to use e-HCMIS.
The study found that Perceived Usefulness and Perceived ease of use were significant
predictors of behavioral intention. Job relevance was a predominant factor for perceived
usefulness; perceived enjoyment and computer anxiety were predominant factor for
perceived ease of use. The qualitative study revealed perceived usefulness, management
support, ownership and perceived ease of use were the major determinants of behavioral
intention.
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Conclusion and Recommendation: Given the importance of perceived usefulness and
perceived ease of use, including a more user friendly design and scaling up the level of
application of the system are recommended
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Keywords
e-HCMIS, DAGU, digitalization, acceptance, technology acceptance model