Adoption of Health Information Systems by health workers in developing countries — Contextualizing UTAUT

Kenya recently implemented the web-based DHIS2 system as the national Health Information System (HIS) that will facilitate effective management of health information from health facilities in the country. For maximum benefits to be reaped from this implementation, it is important that the DHIS2 gains acceptance from all categories of targeted users. This paper describes a research model that has been adapted from UTAUT to explain the factors that are hypothesized to affect adoption of DHIS2 in Kenya, and by extension the factors that will affection adoption of HIS in developing countries context. Among other modifications, the new model extends UTAUT by adding Computer Anxiety and Training Adequacy as important direct determinants of intention to use and actual use of HIS respectively. Once validated, the model will inform health policy makers and system developers on approaches that can enhance use of HIS in developing countries context.