Provision Of Health Care Services Research Articles

Discrete choice modelling of hypertension patients’ preferences for attributes of a public medical facility in Ibadan, Nigeria

BackgroundNot much is known about hypertension patients’ preferences for attributes of public medical facilities in Nigeria and how these preferences influence their choices of medical facilities for treatment. An understanding of what these patients want especially in terms of service delivery could contribute to improved hypertension control.ObjectiveThis study aimed to determine hypertension patients’ preferences for attributes of a public medical facility in Ibadan, Nigeria.MethodsA Discrete Choice Experiment (DCE) that utilized three hypothetical medical facilities was used for the study. A simple random sample (SRS) of 150 eligible hypertension patients was selected from a secondary medical facility in Ibadan, Nigeria. An efficient D-optimal choice design was adopted and used in generating nine hypothetical choice sets for the experiment. Each patient was expected to study the nine sets carefully and choose an option from each of the sets. The first choice set was repeated as the tenth set to examine respondents’ consistency. The DCE questionnaires were administered using a one-to-one interview method. A mixed logit regression modeling technique was used to obtain parameter and Willingness to Pay (WTP) estimates.ResultsThe patients preferred medical facilities with waiting time before consultation with medical doctors to be between thirty minutes and one hour. The attribute level ‘‘a lot of information’’ was the most preferred. The patients were unwilling to pay for the “little or no drugs and diagnostic equipment” attribute level. A negative and significant coefficient for cost indicated that higher out-of-pocket costs negatively affected hypertension patients’ choice of a public medical facility.ConclusionHypertension patients attending a public medical facility in Ibadan, Nigeria preferred a facility with access to comprehensive information about their health in addition to reasonable waiting times, availability of a lot of drugs and diagnostic equipment, and reduced out-of-pocket costs. Provision of healthcare services that align with these preferences could enhance patient satisfaction thus contributing to improved hypertension control.

Self-Collected Testing for Sexually Transmitted Infections: A National Text Message Survey of Adolescents and Young Adults

We aimed to analyze adolescent and young adults' (AYAs) perspectives on using sexually transmitted infection (STI) self-collection kits to help guide the provision and implementation of accessible and confidential reproductive health-care services for those who experience the burden of STIs and STI-related morbidity. We utilized MyVoice, a nationwide text message survey of AYAs, to pose 6 open-ended questions on their perceptions and use of STI self-collection kits. Two independent reviewers used inductive content analysis to develop a codebook and analyze responses, and a third settled any coding discrepancies through discussion to reach consensus. Code frequencies and demographic data were summarized using descriptive statistics. We collected responses from 763 participants. Individuals who answered at least one question were included in the sample. Responses indicated that most (n= 695, 91.1%) participants would use free STI self-collection kits. Participants who would not use an STI self-collection kit (n= 45, 5.9%) cited concerns about test result accuracy and discomfort with specimen collection. Survey respondents were amenable to using free, STI self-collection kits; however, some were concerned about accuracy. There is an urgent need to prioritize and increase the accessibility of STI testing among youth. STI self-collection kits are an effective and accessible option that addresses barriers to reproductive health-care services-stigma, inconvenience, and lack of privacy. A social media campaign focusing on AYAs may increase knowledge and use of STI self-collection kits through dissemination of accurate information, stigma reduction, and provision of accessible resources that empower AYAs to prioritize their sexual health.

Healthcare Service Needs for Refugees, Asylum Seekers and Residents with Precarious Immigration Status in Canada: A Scoping Review

Context: According to the World Bank (2023), 184 million people, constituting 2.3% of the world’s population, migrated globally. Even though over 23% of Canada’s population are immigrants (of whom 130,125 were refugees in 2021), recent data on the demographics, vulnerabilities, and healthcare needs of Canadian refugees, refugee claimants, and residents with precarious immigration status in Canada are scant. Objective: Conduct a scoping review for the last 10 years to understand the trends of influx and vulnerabilities and identify the unique healthcare and well-being needs of these equity-deserving immigrants living in Ontario since it is the destination province for 50% of Canada’s immigrants, with Toronto as a primary destination. Methods: A scoping review study was conducted in 2024 by reviewing peer-reviewed articles from databases and an environmental scan of government reports and documents published in the last 10 years. Structured scoping review principles and the Preferred Reporting Item for Systematic Review and Meta-analysis extension for Scoping Review (PRISMA—ScR) model were used to ensure the robustness of the data. Articles focusing on Canada and countries with comparable economies and immigration laws were reviewed. After charting, the data were thematically analyzed. Results: The number of refugees in Canada has consistently increased. Findings indicated that this group experienced social disparities, including vulnerable socio-economic status, food insecurity, social exclusion, and resettlement stressors compounded by trust issues, cultural recognition, and linguistic barriers. Studies report a higher prevalence of chronic diseases such as anemia, diabetes, high blood pressure and mental health issues such as mood disorders, anxiety, depression, and PTSD. Findings also suggested that this group experienced substantial barriers to health care, including inadequate cancer screening, suboptimal chronic hepatitis management, and underutilization of psychiatric care, attributed to a lack of awareness about opportunities, cultural stigma, and language challenges. Conclusion: Study findings underscore the necessity for targeted healthcare services in Canada to meet the identified needs of refugees and residents with precarious status. The findings impact the planning of the current healthcare system to accommodate the needs of the population dynamics and train the healthcare service providers. Moreover, policymakers must develop the infrastructure (including healthy public policy) to face the future. Policymakers should focus on improving awareness, accessibility, and cultural competency in healthcare provision. More focused and culturally appropriate research is required to identify the unique needs and opportunities to support this equity-deserving population. The study recommends preparing the community to support the increasing numbers of refugees, understand their needs, and incorporate the government to strengthen the services with policy and resources.

DIKOApp: An AI-Based Diagnostic System for Knee Osteoarthritis.

The diagnosis of knee osteoarthritis is challenging due to its complex nature and various contributing factors. With the advancement of artificial intelligence (AI) technology, some computer vision-based methods have been developed to address this task. However, when applied in practice, these methods encounter numerous challenges. Training a powerful AI model to effectively analyze a wide range of medical images is crucial. On the other hand, collecting and accurately labeling a significant number of medical images in the real world is necessary. Specifically, when dealing with knee images from specific regions like Vietnam, certain unique biological characteristics make it difficult to utilize and trust previously published studies. To effectively address these challenges, we introduce DIKOApp, an automatic diagnostic application for knee osteoarthritis based on the DIKO framework, trained on a dataset specifically built for the Vietnamese population. This framework is designed with two stages that leverage medical knowledge and computer vision techniques. The DIKO framework leverages efficient data sampling and augmentation framework to handle medical images in the real world more effectively. When evaluated using a real-world knee image dataset from Vietnamese individuals, the DIKO model demonstrates impressive performance with an accuracy of 89.34% and an F1-score of 0.88. By utilizing the capabilities of the DIKO framework, DIKOApp shows practical and promising real-world potential, enabling doctors and healthcare service providers to diagnose pathological conditions more accurately while requiring less diagnostic time, thereby improving the lives of patients.

Telemedicine Sebagai Media Konsultasi Layanan Kesehatan Bagi Masyarakat di Wilayah Pesisir

Telemedicine has emerged as an innovative solution for providing healthcare services, particularly in coastal areas that often face limitations in access and medical facilities. In coastal regions, the main challenges include the long distance from healthcare centers, limited infrastructure, and difficulties in accessing adequate medical care. Telemedicine, by utilizing communication technology to deliver remote medical services, offers an effective way to address these barriers. The purpose of this study is to evaluate the implementation of telemedicine as a health consultation medium for communities in coastal regions. The method used is book reference (reference from books and research journals). The data collection techniques employed in this study include gathering literature, reading, sorting data, taking notes, identifying, and validating the accuracy of the data for subsequent use in analysis. The results of the study show that telemedicine has a very strong aspect related to communication. In terms of utility, telemedicine offers a significant solution to the problem of disparities in healthcare services by utilizing communication channels that transform how people interact in the context of healthcare. Through telemedicine, healthcare providers can reach patients located in distant or remote areas, thereby expanding access and improving the quality of care.

What are the challenges that social prescribers face when supporting people within dementia and how can these be addressed? A qualitative study.

Evidence suggests that social prescribing might have a positive impact on identity, control, creativity and quality of life in people with dementia. While evidence on the benefits of social prescribing is accumulating, there is a sparsity of research on the experiences of social prescribers. This study aims to identify the challenges that social prescribers face when supporting people with dementia and their families and strategies to address these. A qualitative study involving 24 social prescribers from all regions in England. Semi-structured interviews investigated challenges and strategies that social prescribers experience in their own practice. Data were analysed through thematic analysis. Results on "Challenges" and the respective "Strategies" are presented in a chronological order that reflects the different stages of contact with and support for the client with dementia, from referral to discharge. This study identified unique barriers that social prescribers face when working with people with dementia, particularly around communication, motivation, engagement and overdependency. It identified person and system-level strategies that can be used to address these challenges. These include expanding opportunities for dementia training, offering in-person support, including social prescribing in annual dementia reviews, and increasing integration of services within Integrated Care Systems and collaborations between health care service providers and with the third sector. Improving delivery and effectiveness of services is crucial to ensure that social prescribing fulfils its ethos of personalised care approach for all, including people with dementia, as envisioned in the NHS long term plan.

Development of a core patient-reported outcome set for use in HIV care at the individual patient level in Montreal: protocol for a two-phased multimethod project

IntroductionThere is international interest in using patient-reported outcome measures in HIV care to improve the well-being of people with HIV, but the prioritisation of specific outcomes and measures remains unclear....

EFFECT OF WORKLOAD ON FATIGUE IN NURSES IN THE HOSPITAL OF SURAKARTA IN 2023

introduction : Workload is a factor that influences nurses' ability to provide healthcare services. The diverse nursing tasks, which involve handling patients with various medical conditions and varying levels of dependency, can create a significant burden for nurses. Excessive workload can lead to fatigue, which in turn can reduce performance and increase the risk of errors in work. This study uses a quantitative approach with a cross-sectional design. The sample consists of all the nurses working in the InpatientWard of Surakarta General Hospital, totaling 95 individuals, representing the entire population. Results : The results of the statistical analysis using the Chi-Square test indicate an Asymp Sig value of 0.695, which is greater than 0.05. This suggests that there is no significant relationship between the level of education and the level of nurse fatigue. In other words, differences in education level do not affect the level of fatigue experienced by nurses, based on the statistical tests conducted..

Optimizing the Fulfillment of Prisoners' Health Rights: A Case Study at Class IIA Correctional Facility

This study explores the fulfillment of health rights for inmates at the Class IIA Watampone Correctional Facility, focusing on the provision of adequate healthcare services and the challenges faced in ensuring prisoners' health rights. Despite the legal frameworks guaranteeing the right to health for all citizens, including inmates, significant discrepancies remain in the quality of healthcare provided in correctional facilities. Using an empirical approach, this research examines the existing healthcare systems, resources, and challenges in the prison environment, relying on observations and interviews with correctional officers and healthcare personnel. The study highlights the impact of overcrowding, insufficient healthcare staff, and lack of specialized services as key barriers to effective healthcare delivery. It also emphasizes the need for increased investment in medical infrastructure, staff training, and collaboration with national health systems to address these challenges. The findings underscore the importance of meeting the healthcare needs of inmates to fulfill legal obligations, improve rehabilitation outcomes, and promote public health. The study concludes with recommendations for improving healthcare conditions in prisons to ensure that inmates receive the care they are entitled to, which is crucial for their reintegration into society and the reduction of recidivism.

Harnessing deliberative regulation to address inequities in accessing healthcare services in England.

System-level decisions around the commissioning and provision of healthcare services in England have contributed to barriers in accessing the National Health Service. In this article, we ask how to better regulate resource allocation to ensure greater equity in access to healthcare services. First, we focus on the Health and Care Act 2022, which, drawing on principles of deliberative regulation to address health inequalities, initiates a shift away from previous regulatory approaches towards a collaborative decision-making model. We then shed light on the systemic factors creating and maintaining access barriers by considering shortcomings in previous regulatory approaches. With these in mind, we consider whether deliberative regulation-providing communities with resources to create normative solutions to intrinsic issues-could help address these systemic challenges. To assess the potential of laws or policies to achieve greater equity in healthcare, we also introduce an evaluative framework based on deliberative principles. We apply this framework to a case study of an Integrated Care System to gauge the extent to which the Health and Care Act 2022 has indeed been effectively adopting a deliberative approach by intentionally engaging marginalized communities in decision-making and devising accountability mechanisms for the allocation of healthcare resources.

Effect of Gender Preference for Healthcare Services Providers by Caregivers on Immunization Coverage in Zamfara State, Northern Nigeria

Effect of Gender Preference for Healthcare Services Providers by Caregivers on Immunization Coverage in Zamfara State, Northern Nigeria

Estimating Cost Savings of Care Coordination for Older Adults: Evidence from the Iowa Return to Community Program.

In response to rising costs associated with providing health care services to Americans over 65 years old, policymakers have called for the expansion of care coordination programs to reduce total spending while improving patient outcomes and provider efficiency. This study uses a Markov Chain model to estimate financial impacts associated with the implementation of a care coordination program across the state of Iowa. Estimates revealed an association between the implementation of the Iowa Return to Community (IRTC) and a reduction in health care service use, which yielded per capita cost savings of $7,920.24 over a 5-year span. Subgroup analysis showed that inclusion of informal care partners enhances these savings, as they contributed to reduced inpatient hospital use and deferred nursing home admissions. The continued expansion of the IRTC appears as a viable strategy to curtail aggregate health care spending while supporting older adults stay at home.

Investigate the efficiency of primary care facilities in emergency situations by application of geographical and demographic standards using GIS

Background This study applied geographical standards (coverage distance) and demographic standards to investigate the capabilities of primary healthcare facilities to cover the largest area of the study area and the service area that can be accessed. This study was conducted to find out the sufficient number of primary healthcare (PHC) centers required to provide healthcare services to the entire community. Methods Data was obtained by applying geographic information system (GIS) techniques to analyze primary care facilities using the demographic and geographic standards for primary care facilities. Results PHC centers cover 79% of the study area according to the geographical standard. The study area needs 41 additional centers to cover the shortfall in service provision per the demographic and geographic standards. Conclusions A significant deficiency in the number of primary care centers found in the study area compared to the large population at the geographical and demographic standards level.

Antecedents For the Adoption of Telemedicine in India: Scale development and validation

Background: Telemedicine is increasingly recognized as a promising solution to healthcare challenges in India, particularly in remote areas. However, the country's vast population and geographic diversity present significant obstacles to providing accessible and high-quality healthcare services to all citizens. By leveraging technology, telemedicine has the potential to bridge this gap and enable remote delivery of medical services. Objective: This study aims to develop and validate a scale that assesses the factors influencing the adoption of telemedicine in the Indian context. Understanding these factors is crucial for identifying key drivers and barriers to telemedicine adoption in India. Design: Quantitative methods were employed for scale development. The instrument development process involved several stages: factor identification, item generation, pre-testing, pilot testing, and scale validation. A structured questionnaire was administered to healthcare professionals, industry experts, and patients who have used or intend to use telemedicine. Setting: Confirmatory factor analysis and subsequent tests, such as reliability and validity tests were conducted to establish the internal consistency of the scales. These statistical analyses aimed to identify underlying factors and ensure accurate measurement of latent variables that affect the adoption of telemedicine. Results: The study established a robust scale to assess the five key factors, which are the vital explanatory variables in telemedicine adoption in India. These meticulously validated scales, encompassing technology, government policy, user attitudes, societal demand, and healthcare professional perspectives, demonstrate high reliability and validity in understanding the adoption dynamics of telemedicine in the context of India. Conclusion: This research offers a validated scale for assessing telemedicine adoption in India, crucial for healthcare service providers, policy makers, and researchers in this field. It enables informed decisions in implementing telemedicine, addressing unique challenges and opportunities, and significantly contributing to optimizing healthcare delivery across India's diverse socio-economic and geographical landscape.

Satisfaction of Patients with Multiple Sclerosis Towards the Provision of Healthcare Services at a Tertiary Care Setting in Saudi Arabia.

Multiple sclerosis (MS) is an autoimmune-mediated neurological disorder and the most frequent neurological disability in young adults. Assessing MS patient satisfaction with care is necessary to evaluate healthcare service quality and factors impacting it. We aimed to determine the satisfaction of patients with MS towards the provision of healthcare services, and the factors affecting their satisfaction. We conducted a cross-sectional survey from November 2022 to December 2022 at King Saud Medical City, Saudi Arabia. The study participants completed the CANHELP Lite27 questionnaire, which consists of 21 items. A total of 300 patients with MS participated in this study. The majority were female (80%), with an average age of 31.6 years and a mean disease duration of 5.22 years. Overall, satisfaction was moderate (63.59 ± 14.54). Patients were most satisfied with general aspects of care (72.00 ± 16.46), doctor relationships (68.58 ± 14.88), and communication (67.72 ± 17.60), but less so with decision-making (64.98 ± 18.37) and illness management (59.60 ± 16.31). Correlation analysis revealed a negative association between disease duration and satisfaction across all domains (correlation coefficient ranged from -0.290 to -0.206, p < 0.01), while age showed no significant correlation (p > 0.05). Multiple linear regression identified age as positively influencing satisfaction, while longer disease duration had a negative impact. Higher education and marital status were associated with increased satisfaction, while employment status and having children showed mixed results. This research uncovered significant insights regarding MS patient satisfaction within healthcare services. Despite moderate satisfaction levels overall, specific interventions are necessary to address shortcomings in decision-making and illness management. The negative correlation between disease duration and satisfaction across all domains underscores the evolving needs of MS patients over time. Future research could examine the effectiveness of illness management programs in improving MS patient satisfaction.

Comorbidity Among Adults With Epilepsy - United States, 2021-2022.

While it is known that epilepsy often co-occurs with psychiatric disorders, few studies have examined nonpsychiatric comorbidity. We analyzed 2021 and 2022 National Health Interview Survey Sample Adult data. Compared with adults with no epilepsy, the 1.2% of US adults (about 3.0 million) with active epilepsy had a higher prevalence of nearly all 21 conditions examined and were more likely to have 4 or more co-occurring chronic conditions. Health care and social service providers can promote healthy behaviors and preventive screening for common comorbidities, improve access to care, and refer people with epilepsy to evidence-based self-management programs.

Global, regional and national burden of osteoarthritis in 1990–2021: a systematic analysis of the global burden of disease study 2021

ObjectivesTo describe the prevalence and incidence of osteoarthritis as well as years lived with disability (YLDs) due to osteoarthritis in 204 countries and territories from 1990 to 2021 by age, sex and socio-demographic index (SDI, a composite of socio-demographic factors).MethodsData were acquired from the Global Burden of Diseases, Injuries, and Risk Factors Study 2021 (GBD 2021). The burden of osteoarthritis was estimated for 204 countries and territories from 1990 to 2021by incidence, prevalence and YLDs. All estimates are presented as numbers and age-standardised rates per 100 000 population, with uncertainty intervals (UIs). All the data were analyzed by age–sex–SDI–year groups.ResultsIn 2021, globally, the age-standardised prevalence rate of osteoarthritis increased from 6393.1(95% UI 5683.2 to 7059.5) in 1990 to 6967.3(95% UI 6180.7 to 7686.1) in 2021.Addtionally, the age-standardised incidence rate increased from 489.8(95% UI 541.5 to 433.1) in 1990 to 535.0(95% UI 472.4 to 592.0) in 2021. In addition, the age-standardised YLD rate of osteoarthritis increased from 222.8(95% UI 106.7 to 450.3) in 1990 to 244.5(95% UI 117.1 to 493.1). The global prevalence and YLDs were higher in females than in males and increased with age, peaking at the > 95 years age group. Simultaneously, a positive association was found between the age-standardised YLD rate and the SDI at the regional and national levels.ConclusionsOsteoarthritis is a major public health challenge that can cause significant problems for individuals and society. The burden osteoarthritis increased in most countries between 1990 and 2021. This trend is expected to continue as life expectancy increases and the global population ages. Increasing public awareness of the risk factors and the importance of osteoarthritis management, along with providing healthcare services to the growing number of people with osteoarthritis, are recommended to manage the future burden of this disease.

Knowledge and perceptions of the roles of anesthesiologists as providers of healthcare services: toward better-educated patients

BackgroundIn modern healthcare systems, the scope of practice for anesthesiologists is expanding within and beyond the traditional perioperative care continuum. This study was conducted to assess the knowledge and perceptions of perioperative patients of the roles of anesthesiologists as providers of healthcare services in different Palestinian hospitals. The study also assessed associations between the patients' different demographic and clinical variables and their knowledge and perceptions about the roles of anesthesiologists.MethodThis study was conducted using a cross-sectional design and a questionnaire among perioperative patients admitted for elective surgeries in five major public and private hospitals in the Nablus, Tulkarm, Jenin, and Salfit governorates of the West Bank of Palestine. The data were collected between September 2023 and December 2023.ResultsOf the 500 patients invited, 411 patients completed the questionnaire, giving a response rate of 82.2%. The overall knowledge score of the patients about the roles of anesthesiologists was 59.4% (18.8%). The majority of the patients lacked awareness about the roles of anesthesiologists outside the operating room. There was a low positive correlation between the self-rated general health and overall knowledge score (Pearson's r = 0.17, p-value < 0.001). Similarly, knowledge scores were significantly higher for the patients who had a university education (p-value = < 0.001) and had a degree in one of the medical/health fields (p-value = < 0.001). On the other hand, the patients who lived in refugee camps (p-value = 0.048), had a blue-collar job (p-value = 0.005), and were scheduled to receive orthopedic surgeries (p-value = 0.035) had significantly lower knowledge scores.ConclusionThe findings of this study showed that perioperative patients in Palestine had inadequate knowledge about anesthesia and the roles of anesthesiologists, especially outside the operating room. Efforts should be made to improve the knowledge and perception of perioperative patients about anesthesia and the roles of anesthesiologists as providers of healthcare services. These efforts should be tailored to target uneducated patients, who have blue-collar jobs, live in refugee camps, and are scheduled to receive orthopedic surgeries.

Enhancing Patient Satisfaction by Healthcare Service Providers: A Systematic Literature Review

Aims: The aim of this study is to identify the primary determinants and emerging trends that influence patient experiences patient experiences. Study Design: Through a systematic review of scholarly literature, an investigation examines the pivotal elements that drive patient satisfaction outcomes in innovative healthcare service delivery contexts. Place and Duration of Study: The study was conducted in healthcare service innovation. The duration of the study around six months by analyzing articles published between 2019 and 2023 in Scopus-indexed academic journals. Methodology: Following the PRISMA guidelines, this study analyzed 54 peer-reviewed articles to examine the relationship between service quality, communication, digital transformation, physical environment, waiting time, and healthcare accessibility on patient satisfaction. Results: The findings emphasize the increasing trend toward patient-centered care and the integration of technology to improve service delivery. These results underscore the importance of continuous service improvement and innovation in healthcare to meet patient expectations and enhance satisfaction. The study concludes that addressing these key factors is essential for healthcare providers to achieve higher patient loyalty, better health outcomes, and a competitive advantage. Future study should focus on further integrating digital solutions and patient-centered approaches to drive improvements in customer satisfaction in healthcare settings. Conclusion: The review indicates that service quality, characterized by reliability, responsiveness, and empathy, is the most significant determinant of customer satisfaction. Communication between healthcare providers and patients is also identified as a critical factor, with clear and empathetic interactions significantly enhancing patient trust and satisfaction. Digital transformation, including telemedicine and electronic health records, emerges as a key innovation in improving service efficiency, reducing waiting times, and expanding access to care. The physical environment and waiting times are also noted as important contributors to patient satisfaction, influencing their overall experience in healthcare facilities.

INCREASING MANAGEMENT EFFICIENCIES AND EFFECTIVENESS OF HIV/AIDS PROJECTS USING DIGITAL HEALTH INTERVENTIONS IN KENYA: A QUALITATIVE INQUIRY

Objective: The study explored perceptions on how digital health interventions could be used to improve management efficiencies and effectiveness of HIV/AIDS projects in Kenya. Theoretical Framework: The Unified Theory of Acceptance and Use of Technology was employed. Method: A total of 32 healthcare service providers who were on duty (during the period of data collection January-February 2022) at comprehensive care centers providing HIV/AIDS care and treatment services in eight high volume public health facilities in Kisumu county, Kenya were purposively sampled and subjected to a key informant interview guide. The participants were healthcare service providers who had been at the health facility for at least one year and had experienced the use of any digital health intervention. The study explored views on knowledge about the digital health interventions and perceptions on the impact of the interventions. Results and Discussion: Most users perceived the digital health interventions to have increased management efficiencies in terms of keeping appointments by clients, reduction in turnaround times of receiving laboratory results, increased accountability for drugs and improved reporting due to real time data on the digital health interventions. Overall, digital health interventions resulted in faster, evidence based and appropriate clinical management decisions. Research Implications: Technology has a critical role in improving project management practices by enhancing efficiencies and effectiveness in processes and service delivery. Originality/Value: This study contributes to the literature on digital health which is a new area of interest particularly in Sub-Saharan Africa and Kenya in particular.