Telehealth Utilisation in HIV Care Services in Harare, Zimbabwe: Awareness and Acceptability among Healthcare Workers

Abstract

Access to healthcare in developing countries is generally poor due to limited health facilities and shortage of healthcare workers. Recent developments in technology and telehealth promise to address challenges of access to health facilities through remote service provision. However, the level of awareness and acceptability of telehealth in HIV care among healthcare workers in Zimbabwe is not well known. The main objective of this study is to assess the level of awareness and acceptability of telehealth among healthcare workers involved in HIV care in Harare, Zimbabwe. A cross-sectional survey was employed to conveniently sample and interview 395 healthcare workers from 15 public healthcare facilities and 34 private healthcare facilities in Harare. A pretested questionnaire was employed to collect data. Logistic regression analysis was carried out to establish possible association of the independent variable and dependent variables (awareness and acceptance). All statistical analyses were performed using SPSS software version 28.0.1.1. Of the 395 healthcare workers interviewed, 87% were aware of telehealth, while 85% found it acceptable. Logistic regression analysis identified educational level, and type of profession to be significantly (p < 0.05) associated with telehealth awareness. There was an association between telehealth acceptance and level of education (p < 0.05). Lack of resources was a major barrier to telehealth utilisation. The findings of this study reveal high awareness and acceptability of telehealth in HIV care among healthcare workers in Harare. The findings provide optimism for telehealth uptake and the promotion of telehealth as an important intervention in HIV care. Keywords: Acceptability, Awareness, HIV care, Telehealth.