Knowledge and Attitude Towards ICT Among Medical Record Unit Workers, Northwest Ethiopia, 2018: Institutional Based Cross-Sectional Study
International Journal of Wireless Communications and Mobile Computing
Volume 8, Issue 1, June 2020, Pages: 1-8
Received: Mar. 30, 2020; Accepted: Apr. 14, 2020; Published: May 14, 2020
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Maru Meseret, Department of Health Informatics, College of Health Science, Debre Markos University, Debre Markos, Ethiopia
Mihret Tesfu, Department of Public Health, College of Health Science, Debre Markos University, Debre Markos, Ethiopia
Mulunesh Alemayehu, Department of Public Health, College of Health Science, Debre Markos University, Debre Markos, Ethiopia
Yihalem Abebe, Department of Public Health, College of Health Science, Debre Markos University, Debre Markos, Ethiopia
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Background: - In Ethiopian medical care system, medical record unit is an entry to medical care services which is 100% run by non-medical health care workers. Therefore, looking at their knowledge and attitude towards ICT as a pre-requisite to electronic medical record system is mandatory. Methods: Institutional based cross-sectional study design was conducted from November 15, 2017 to 30, and 2017 G. C. Descriptive statistics like frequency tables and percentages were used to present descriptive data. At bivariable analysis, the effect of each independent variable was tested at individual level holding other variables constant against the dependent variable. Finally, variables with p-value<0.2 were taken to multivariate analysis and existence of association was declared for variables with p-value<0.05 at 95% confidence interval. Result: A total of 261 study participants were involved in the study with a response rate of 91.3%. The mean age of the participants was 26 (SD=±6.8) and 111 (42.5%) of their age group was ≤25 years of old. Of all the study participants, 169 (64.8%) of them had adequate knowledge. However, only 141 (54%) of the study participants had favorable attitude towards ICT. At multivariate analysis only residence (AOR=2.56, 95% CI [1.28, 5.10]), workload (AOR=3.67, 95% CI [1.92, 7.00]) and basic computer training (AOR=14.5, 95% CI [6.82, 30.9]) were identified as factors affecting knowledge towards ICT while residence (AOR=7.04, 95% CI [3.5, 14.17]), experience (AOR=1.99, 95% CI [1.06, 3.72]), workload (AOR=2.84, 95% CI [1.5, 5.38]) and availability of a computer (AOR=9.16, 95% CI [4.17, 20.11]) were factors affecting attitude towards ICT. Conclusion and recommendations: The level of knowledge and attitude towards ICT among non-health care provider medical unit workers was very low as per expectations and compared to literatures reviewed in this research. Recruiting additional medical record unit workers, giving training, availing computer, creating a mechanism experience sharing and on job training were recommended to improve the problem.
Knowledge, Attitude, ICT, Associated Factors, Ethiopia
To cite this article
Maru Meseret, Mihret Tesfu, Mulunesh Alemayehu, Yihalem Abebe, Knowledge and Attitude Towards ICT Among Medical Record Unit Workers, Northwest Ethiopia, 2018: Institutional Based Cross-Sectional Study, International Journal of Wireless Communications and Mobile Computing. Vol. 8, No. 1, 2020, pp. 1-8. doi: 10.11648/j.wcmc.20200801.11
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Ibrahim Taiwo Adeleke et al. ICT knowledge, Utilization and Perception among Healthcare Providers at National Hospital Abuja, Nigeria. Health Information Technology in Developing Nations: Challenges and Prospects Health Information Technology.. American Journal of Health Research. 2015; 3 (1-1).
Dzenowagis. Connecting for health: Global vision, local insight. Geneva: WHO; 2005.
WHO. Electronic Health Records: Manual for Developing Countries: Western Pacific Region. Manila, Philippines: World Health Organization, Regional Office for the Western Pacific Publication Office; 2006.
Eysenbach G. ‘What is e-health?’. J Med Internet Res. 2001; 3 (2).
Mon D. Defining the Differences between the CPR, EMR, and EHR. Journal of AHIMA. 2004.
Amatayakul MK. Electronic Health Records: A Practical Guide for Professionals and Organizations. Journal of AHIMA. 2004.
Federal Democratic Republic of Ethiopia Ministry of Health. Concept Notes and Status of ICT Programmers Implementation. 2009.
Ethiopian Federal Ministry of Health. Information Revolution Roadmap. 2016.
Emans E, Rajinder M, Veena B. An Exploratory Study to Assess the Computer Knowledge, Attitude and Skill among Nurses in Health care Setting of a Selected Hospital, Ludhiana, Punjab, India: MEDINFO: 1304-1307. 2004.
Biruk et al. Health Professionals readiness to implement electronic medical record system at three hospitals in Ethiopia: a cross sectional study. BMC Medical Informatics and Decision Making. 2014 14: 115.
Felix Sukums et al. Health workers’ knowledge of and attitudes towards computer applications in rural African health facilities. Global Health Action 2014 (7).
Mohammed et al. Knowledge and utilization of computer among health workers in Addis Ababa hospitals, Ethiopia: computer literacy in the health sector. BMC Research Notes. 2013; 6: 106.
McGrath D., Herbst K., Fraser HS. Electronic Medical Record (EMR) systems for HIV care in resource poor settings: report from an international workshop. International Conference of AIDS 2004.
Alavi M, Leidner DE. Knowledge Management and Knowledge Management Systems: Conceptual Foundations and Research Issues. MIS Quarterly. 2001; 25: 107-136.
Dubow J. Improving health, connecting people: the role of ICTs in the health sector of developing countries. InfoDev. 2006.
Mansell R, When U. Knowledge Societies: Information Technology for Sustainable Development, OUP, Oxford. 1998.
Opit LJ. How should information on health care be generated and used?. World Health Forum 1987 (8).
Finau SA. National health information system in the Pacific islands: In search of a future. Health Policy and Planning. 1994; 9 (2).
Gebre-Mariam M. Exploring Challenges in Patient Monitoring and Clinical Information Management of Antiretroviral Therapy (ART) and the Perceived Usefulness of Electronic Medical Records (EMR system) in
HIV Care in Ethiopia. MSc thesis. Ontario, Canada: Western University. 2010.
WHO. Patient monitoring guidelines for HIV care and antiretroviral therapy (ART) 2005.
Asemahagn MA. Challenges of ICTs Utilization among Health Professionals: The Case of Public Hospitals in Addis Ababa, Ethiopia.. SM J Public Health Epidemiol. 2015; 1 (3).
Andualem et. al. The Attitude towards and Use of Electronic Medical Record System by Health Professionals at a Referral Hospital in Northern Ethiopia: Cross-Sectional Study. J Health Inform Afr. 2015; 3 (1).
Bellamy C. ‘Moving to e-Government: The role of ICTs in the public sector’, in Public Management and Governance, T. Bovaird & E. Loffler (eds), London, Routledge, 113-25. 2003.
Kalid Alwan, Tadesse Awoke, Binyam Tilahun. Knowledge and Utilization of Computers Among Health Professionals in a Developing Country: A Cross-Sectional Study. JMIR Human Factors 2015; 2 (1).
Gund et al. Attitudes among healthcare professionals towards ICT and home follow-up in chronic heart failure care. BMC Medical Informatics and Decision Making 2012; 12: 138.
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