Table 2 Barriers for using electronic forms and smartphones by health extension workers and midwives (N = 23)
Reasons related | Reasons | Frequency number (%) |
|---|---|---|
Electronic forms, application and smartphone | Electronic forms were vast and take a long time to complete | 11 (47.8%) |
Problem with user name and password setting | 5 (21.7%) | |
Electronic forms had required questions which cannot be skipped; for example, LMP | 4 (17.4%) | |
Smartphone froze or locked up | 9 (39.1%) | |
Smartphone’s battery ran out of charge | 5 (21.7%) | |
Smartphone had insensitive screen or keys | 3 (13.0%) | |
Health workers’ behaviour | Ran out of mobile top-up balance | 10 (43.5%) |
Health worker changed smartphone’s date and time setting (Julian and Gregorian calendar confusion) | 9 (39.1%) | |
Accidentally deleted installed electronic forms and/or ODK application from smartphone | 7 (30.4%) | |
Health workers’ reluctance or negligence to use electronic forms | 5 (21.7%) | |
Accidentally inactivated smartphone’s GPRS network | 4 (17.4%) | |
Lost the smartphone | 1 (4.3%) | |
Health system | Health workers were not at their working place for attending training somewhere out of their working place | 19 (82.6%) |
Health workers had to enter the data of a woman in two or more forms (electronic, paper and other), which was time consuming | 18 (78.3%) | |
Workload and high number of patient flow | 15 (65.2%) | |
Health workers were not at their health facility for social reasons such as wedding, mourning or funeral | 9 (39.1%) | |
Heath workers had annual leave | 7 (30.4%) | |
Priority was for filling out paper forms over electronic forms | 7 (30.4%) | |
Main focus was for recording ANC and negligence on keeping delivery and PNC records | 2 (8.7%) |