Acceptability and Barriers to Use of the ASMAN Provider-Facing Electronic Platform for Peripartum Care in Public Facilities in Madhya Pradesh and Rajasthan, India: A Qualitative Study Using the Technology Acceptance Model-3

Gulnoza Usmanova, Ashley Gresh, Megan A. Cohen, Young-Mi Kim, Ashish Srivastava, Chandra Shekhar Joshi, Deepak Chandra Bhatt, Rachel Haws, Rajni Wadhwa, Pompy Sridhar, Nupur Bahl, Pratibha Gaikwad and Jean Anderson
Additional contact information
Gulnoza Usmanova: Jhpiego—An Affiliate of Johns Hopkins University, New Delhi 110020, India
Ashley Gresh: Johns Hopkins University School of Nursing, Baltimore, MD 21205, USA
Megan A. Cohen: Johns Hopkins University School of Medicine, Department of Gynecology and Obstetrics, Baltimore, MD 21287, USA
Young-Mi Kim: Jhpiego—An Affiliate of Johns Hopkins University, Baltimore, MD 21231, USA
Ashish Srivastava: Jhpiego—An Affiliate of Johns Hopkins University, New Delhi 110020, India
Chandra Shekhar Joshi: Jhpiego—An Affiliate of Johns Hopkins University, New Delhi 110020, India
Deepak Chandra Bhatt: Jhpiego—An Affiliate of Johns Hopkins University, New Delhi 110020, India
Rachel Haws: Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA
Rajni Wadhwa: Project Management Unit, ASMAN: Alliance for Saving Mothers and Newborns, Mumbai 400021, India
Pompy Sridhar: MSD for Mothers, Mumbai 4000098, India
Nupur Bahl: Reliance Foundation, Mumbai 400021, India
Pratibha Gaikwad: Tata Trusts, Mumbai 400005, India
Jean Anderson: Johns Hopkins University School of Medicine, Department of Gynecology and Obstetrics, Baltimore, MD 21287, USA

IJERPH, 2020, vol. 17, issue 22, 1-21

Abstract: The evolving field of mobile health (mHealth) is revolutionizing collection, management, and quality of clinical data in health systems. Particularly in low- and middle-income countries (LMICs), mHealth approaches for clinical decision support and record-keeping offer numerous potential advantages over paper records and in-person training and supervision. We conducted a content analysis of qualitative in-depth interviews using the Technology Acceptance Model 3 (TAM-3) to explore perspectives of providers and health managers in Madhya Pradesh and Rajasthan, India who were using the ASMAN (Alliance for Saving Mothers and Newborns) platform, a package of mHealth technologies to support management during the peripartum period. Respondents uniformly found ASMAN easy to use and felt it improved quality of care, reduced referral rates, ensured timely referral when needed, and aided reporting requirements. The TAM-3 model captured many determinants of reported respondent use behavior, including shifting workflow and job performance. However, some barriers to ASMAN digital platform use were structural and reported more often in facilities where ASMAN use was less consistent; these affect long-term impact, sustainability, and scalability of ASMAN and similar mHealth interventions. The transitioning of the program to the government, ensuring availability of dedicated funds, human resource support, and training and integration with government health information systems will ensure the sustainability of ASMAN.

Keywords: intrapartum care; maternal health; postpartum care; CDSS; mHealth; health information technology (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
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