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Abstract：
BACKGROUND: IT has brought remarkable change in bridging the digital gap in resource-constrained regions and advancing the health care system worldwide. Community-based information systems and mobile apps have been extensively developed and deployed to quantify and support health services delivered by community health workers. The success and failure of a digital health information system depends on whether and how it is used. Ethiopia is scaling up its electronic community health information system (eCHIS) to support the work of health extension workers (HEWs). For successful implementation, more evidence was required about the factors that may affect the willingness of HEWs to use the eCHIS.
OBJECTIVE: This study aimed to assess HEWs\' intentions to use the eCHIS for health data management and service provision.
METHODS: A cross-sectional study design was conducted among 456 HEWs in 6 pilot districts of the Central Gondar zone, Northwest Ethiopia. A Unified Theory of Acceptance and Use of Technology model was used to investigate HEWs\' intention to use the eCHIS. Data were cleaned, entered into Epi-data (version 4.02; EpiData Association), and exported to SPSS (version 26; IBM Corp) for analysis using the AMOS 23 Structural Equation Model. The statistical significance of dependent and independent variables in the model was reported using a 95% CI with a corresponding P value of <.05.
RESULTS: A total of 456 HEWs participated in the study, with a response rate of 99%. The mean age of the study participants was 28 (SD 4.8) years. Our study revealed that about 179 (39.3%; 95% CI 34.7%-43.9%) participants intended to use the eCHIS for community health data generation, use, and service provision. Effort expectancy (β=0.256; P=.007), self-expectancy (β=0.096; P=.04), social influence (β=0.203; P=.02), and hedonic motivation (β=0.217; P=.03) were significantly associated with HEWs\' intention to use the eCHIS.
CONCLUSIONS: HEWs need to be computer literate and understand their role with the eCHIS. Ensuring that the system is easy and enjoyable for them to use is important for implementation and effective health data management.
OBJECTIVE: This study aimed to assess HEWs\' intentions to use the eCHIS for health data management and service provision.
METHODS: A cross-sectional study design was conducted among 456 HEWs in 6 pilot districts of the Central Gondar zone, Northwest Ethiopia. A Unified Theory of Acceptance and Use of Technology model was used to investigate HEWs\' intention to use the eCHIS. Data were cleaned, entered into Epi-data (version 4.02; EpiData Association), and exported to SPSS (version 26; IBM Corp) for analysis using the AMOS 23 Structural Equation Model. The statistical significance of dependent and independent variables in the model was reported using a 95% CI with a corresponding P value of <.05.
RESULTS: A total of 456 HEWs participated in the study, with a response rate of 99%. The mean age of the study participants was 28 (SD 4.8) years. Our study revealed that about 179 (39.3%; 95% CI 34.7%-43.9%) participants intended to use the eCHIS for community health data generation, use, and service provision. Effort expectancy (β=0.256; P=.007), self-expectancy (β=0.096; P=.04), social influence (β=0.203; P=.02), and hedonic motivation (β=0.217; P=.03) were significantly associated with HEWs\' intention to use the eCHIS.
CONCLUSIONS: HEWs need to be computer literate and understand their role with the eCHIS. Ensuring that the system is easy and enjoyable for them to use is important for implementation and effective health data management.
摘要：
背景：IT在弥合资源受限地区的数字鸿沟和推进全球医疗保健系统方面带来了显着变化。已经广泛开发和部署了基于社区的信息系统和移动应用程序，以量化和支持社区卫生工作者提供的卫生服务。数字健康信息系统的成败取决于是否以及如何使用它。埃塞俄比亚正在扩大其电子社区健康信息系统（eCHIS），以支持健康推广工作者（HEW）的工作。为了成功实施，对于可能影响HEW使用eCHIS意愿的因素，需要更多的证据。
目的：本研究旨在评估HEW使用eCHIS进行健康数据管理和服务提供的意图。
方法：在中央冈达区6个试点地区的456个HEW中进行了横断面研究设计，埃塞俄比亚西北部。采用统一的接受和使用技术模型理论来研究HEW使用eCHIS的意图。数据被清理，输入Epi-data（4.02版；EpiDataAssociation），并导出到SPSS（26版；IBM公司），使用AMOS23结构方程模型进行分析。模型中因变量和自变量的统计学显著性使用95%CI报告,相应P值<.05。
结果：共有456名HEW参加了这项研究，响应率为99%。研究参与者的平均年龄为28（SD4.8）岁。我们的研究显示，约有179名(39.3%;95%CI34.7%-43.9%)参与者打算使用eCHIS进行社区健康数据生成，使用,和服务提供。期望努力（β=0.256；P=0.007），自我期望(β=0.096；P=.04)，社会影响力(β=0.203；P=0.02)，和享乐主义动机(β=0.217；P=0.03)与HEW使用eCHIS的意图显著相关。
结论：HEW需要具备计算机知识，并了解其在eCHIS中的作用。确保系统易于使用，对于实施和有效的健康数据管理非常重要。
目的：本研究旨在评估HEW使用eCHIS进行健康数据管理和服务提供的意图。
方法：在中央冈达区6个试点地区的456个HEW中进行了横断面研究设计，埃塞俄比亚西北部。采用统一的接受和使用技术模型理论来研究HEW使用eCHIS的意图。数据被清理，输入Epi-data（4.02版；EpiDataAssociation），并导出到SPSS（26版；IBM公司），使用AMOS23结构方程模型进行分析。模型中因变量和自变量的统计学显著性使用95%CI报告,相应P值<.05。
结果：共有456名HEW参加了这项研究，响应率为99%。研究参与者的平均年龄为28（SD4.8）岁。我们的研究显示，约有179名(39.3%;95%CI34.7%-43.9%)参与者打算使用eCHIS进行社区健康数据生成，使用,和服务提供。期望努力（β=0.256；P=0.007），自我期望(β=0.096；P=.04)，社会影响力(β=0.203；P=0.02)，和享乐主义动机(β=0.217；P=0.03)与HEW使用eCHIS的意图显著相关。
结论：HEW需要具备计算机知识，并了解其在eCHIS中的作用。确保系统易于使用，对于实施和有效的健康数据管理非常重要。
