Abstract：
BACKGROUND: There is an unmet need for One Health (OH) surveillance and reporting systems for antimicrobial resistance (AMR) in resource poor settings. District health information system, version 2 (DHIS2), is a globally recognized digital surveillance platform which has not been widely utilized for AMR data yet. Our study aimed to understand the local stakeholders\' viewpoints on DHIS2 as OH-AMR surveillance platform in Jimma, Ethiopia which will aid its further context specific establishment.
METHODS: We performed an exploratory qualitative study using semi-structured key informant interviews (KIIs) in Jimma Zone at Southwest Ethiopia. We interviewed 42 OH professionals between November 2020 and February 2021. Following verbatim transcription of the audio recordings of KIIs, we conducted thematic analysis.
RESULTS: We identified five major themes which are important for understanding the trajectory of OH-AMR surveillance in DHIS2 platform. The themes were: (1) Stakeholders\' current knowledge on digital surveillance platforms including DHIS2. (2) Stakeholders\' perception on digital surveillance platform including DHIS2. (3) Features suggested by stakeholders to be included in the surveillance platform. (4) Comments from stakeholders on system implementation challenges. (5) Stakeholders\' perceived role in the process of implementation. Despite several barriers and challenges, most of the participants perceived and suggested DHIS2 as a suitable OH-AMR surveillance platform and were willing to contribute at their current professional roles.
CONCLUSIONS: Our study demonstrates the potential of the DHIS2 as a user friendly and acceptable interoperable platform for OH-AMR surveillance if the technology designers accommodate the stakeholders\' concerns. Piloting at local level and using performance appraisal tool in all OH disciplines should be the next step before proceeding to workable format.
METHODS: We performed an exploratory qualitative study using semi-structured key informant interviews (KIIs) in Jimma Zone at Southwest Ethiopia. We interviewed 42 OH professionals between November 2020 and February 2021. Following verbatim transcription of the audio recordings of KIIs, we conducted thematic analysis.
RESULTS: We identified five major themes which are important for understanding the trajectory of OH-AMR surveillance in DHIS2 platform. The themes were: (1) Stakeholders\' current knowledge on digital surveillance platforms including DHIS2. (2) Stakeholders\' perception on digital surveillance platform including DHIS2. (3) Features suggested by stakeholders to be included in the surveillance platform. (4) Comments from stakeholders on system implementation challenges. (5) Stakeholders\' perceived role in the process of implementation. Despite several barriers and challenges, most of the participants perceived and suggested DHIS2 as a suitable OH-AMR surveillance platform and were willing to contribute at their current professional roles.
CONCLUSIONS: Our study demonstrates the potential of the DHIS2 as a user friendly and acceptable interoperable platform for OH-AMR surveillance if the technology designers accommodate the stakeholders\' concerns. Piloting at local level and using performance appraisal tool in all OH disciplines should be the next step before proceeding to workable format.
摘要：
背景：在资源匮乏的环境中，对OneHealth（OH）监测和报告抗菌素耐药性（AMR）系统的需求尚未满足。区卫生信息系统,版本2(DHIS2)，是全球公认的数字监控平台，尚未广泛用于AMR数据。我们的研究旨在了解当地利益相关者对DHIS2作为JimmaOH-AMR监测平台的观点，埃塞俄比亚将协助其进一步的具体背景建立。
方法：我们在埃塞俄比亚西南部的Jimma区使用半结构化关键线人访谈（KIIs）进行了一项探索性定性研究。我们在2020年11月至2021年2月期间采访了42名OH专业人员。在对KIIs的录音进行逐字转录之后，我们进行了专题分析。
结果：我们确定了五个主要主题，这些主题对于理解DHIS2平台中OH-AMR监测的轨迹很重要。主题是：（1）利益相关者对包括DHIS2在内的数字监控平台的最新知识。(2)利益相关者对包括DHIS2在内的数字监控平台的感知。(3)利益相关者建议纳入监控平台的特征。（4）利益相关者对系统实施挑战的评论。(5)利益相关者在实施过程中的角色感知。尽管有一些障碍和挑战，大多数参与者认为并建议DHIS2作为合适的OH-AMR监测平台,并愿意为他们目前的专业角色做出贡献.
结论：我们的研究表明，如果技术设计人员能够满足利益相关者的关注，DHIS2具有作为用户友好且可接受的可互操作平台进行OH-AMR监测的潜力。在采用可行的格式之前，应在地方一级进行试点并在所有OH学科中使用绩效评估工具。
方法：我们在埃塞俄比亚西南部的Jimma区使用半结构化关键线人访谈（KIIs）进行了一项探索性定性研究。我们在2020年11月至2021年2月期间采访了42名OH专业人员。在对KIIs的录音进行逐字转录之后，我们进行了专题分析。
结果：我们确定了五个主要主题，这些主题对于理解DHIS2平台中OH-AMR监测的轨迹很重要。主题是：（1）利益相关者对包括DHIS2在内的数字监控平台的最新知识。(2)利益相关者对包括DHIS2在内的数字监控平台的感知。(3)利益相关者建议纳入监控平台的特征。（4）利益相关者对系统实施挑战的评论。(5)利益相关者在实施过程中的角色感知。尽管有一些障碍和挑战，大多数参与者认为并建议DHIS2作为合适的OH-AMR监测平台,并愿意为他们目前的专业角色做出贡献.
结论：我们的研究表明，如果技术设计人员能够满足利益相关者的关注，DHIS2具有作为用户友好且可接受的可互操作平台进行OH-AMR监测的潜力。在采用可行的格式之前，应在地方一级进行试点并在所有OH学科中使用绩效评估工具。
