Digital Vaccination Records: Exploring Stakeholder Perceptions in Gauteng, South Africa
DOI:
https://doi.org/10.23962/ajic.i29.13756Abstract
Electronic health (eHealth) is one of the focus areas of the South African Department of Health (DoH), with the ultimate goal being the development of an electronic health record (EHR) for every citizen. A commonly used subset of eHealth data, vaccination records, is still not yet fully digitised in South Africa. This study aimed to determine the perceptions of key stakeholders (doctors, nurses, parents, and school administrators) about a digital system for vaccination records for minors in South Africa’s Gauteng Province. Using a prototype online, cloud-based vaccine records management system created during the research, called e-Vaccination, quantitative and qualitative interaction-related data from 118 participants was collected using a five-point Likert-scale questionnaire. The questionnaire was based on Lund’s (2001) USE user perception framework, which considers usefulness, satisfaction, ease of use, and ease of learning. This study found that the participants supported the use of the digital vaccine records management system, with an emphasis on five identified factors: user friendliness, graphical design, practicality, user experience, and usability. Accordingly, this article recommends that policymakers and system designers carefully consider these factors in the design and development of South Africa’s digital vaccination records management system.
References
Department of Health (DoH). (2012). eHealth Strategy South Africa. https://www.health-e.org.za/wp-content/uploads/2014/08/South-Africa-eHealth-Strategy-2012-2017.pdf
DoH. (2018). Road to Health Book. https://sidebyside.co.za/resources/road-to-health-book
DoH. (2020a). National Digital Health Strategy for South Africa 2019-2024. http://www.health.gov.za/wpcontent/uploads/2020/11/national-digital-strategy-for-south-africa-2019-2024-b.pdf
DoH. (2020b). What is MomConnect? http://www.health.gov.za/index.php/mom-connect#momconnect
Gliem, J. A., & Gliem, R. R. (2003). Calculating, interpreting, and reporting Cronbach’s alpha reliability coefficient for Likert-type scales. In 2003 Midwest Research to Practice Conference in Adult, Continuing, and Community Education (pp. 82–88). Columbus, OH. https://scholarworks.iupui.edu/bitstream/handle/1805/344/Gliem+&+Gliem.pdf?sequence=1
Global Alliance for Vaccines and Immunisations (GAVI). (2020). Could COVID-19 accelerate the digitisation of vaccine records? https://www.gavi.org/vaccineswork/could-covid-19-accelerate-digitisation-vaccine-records
Health Enabled. (2021). South Africa digital health dashboard. http://healthenabled.org/wordpress/south-africa-digital-health-dashboard
Holtz, B., & Krein, S. (2011). Understanding nurse perceptions of a newly implemented electronic medical record system. Journal of Technology in Human Services, 29(4), 247–262. https://doi.org/10.1080/15228835.2011.639931
Houde, S., & Hill, C. (1997). What do prototypes prototype? In Martin G. Helander, Thomas K. Landauer & P.V. Prabhu (Eds.), Handbook of human-computer interaction (pp. 367–381). Elsevier. https://doi.org/10.1016/B978-044481862-1.50082-0
Lund, A. M. (2001). Measuring usability with the USE questionnaire. Usability Interface, 8(2), 3–6.
Moonsamy, W. (2021). An investigation into digital vaccination records for minors in Gauteng, South Africa. MSc dissertation, University of South Africa (UNISA). Motara, F., Moeng, S., Mohamed, A., & Punwasi, J. (2021). Medical disaster related to CMJAH fire. Wits Journal of Clinical Medicine, 3(2), 139–140. https://doi.org/10.18772/26180197.2021.v3n2a8
Nyatuka, D. R., & De la Harpe, R. (2021). Design considerations for patient‐centered eHealth interventions in an underserved context: A case of health and wellbeing services within Nairobi’s informal settlements in Kenya. The Electronic Journal of Information Systems in Developing Countries, 88(3). https://doi.org/10.1002/isd2.12164
Republic of South Africa (RSA). (2013). Protection of Personal Information Act (POPIA) 4 of 2013. https://www.gov.za/sites/default/files/gcis_document/201409/3706726-11act4of2013protectionofpersonalinforcorrect.pdf
Rutherford, A. (2000). Introducing ANOVA and ANCOVA: A GLM approach (Introducing statistical methods). SAGE. https://0-ebookcentral-proquest-com.oasis.unisa.ac.za/lib/unisa1-ebooks/reader.action?docID=254651
Singh, S., & Travica, B. (2018). E-Government systems in South Africa: An infoculture perspective. The Electronic Journal of Information Systems in Developing Countries, 84(4), e12030. https://doi.org/10.1002/isd2.120300
Smith, M. L., Madon, S., Anifalaje, A., Lazarro-Malecela, M., & Michael, E. (2008). Integrated health information systems in Tanzania: Experience and challenges. The Electronic Journal of Information Systems in Developing Countries, 33(1), 1–21. https://doi.org/10.1002/j.1681-4835.2008.tb00227.x
South African Government. (2021a). Electronic Vaccination Data System (EVDS) self registration portal. https://www.gov.za/covid-19/vaccine/evds
South African Government. (2021b, July 13). Health on the impact of violent protests on health services. https://www.gov.za/speeches/health-impact-violent-protests-health-services-13-jul-2021-0000
Syms, C. (2019). Principal components analysis. In B. Fath (Ed.), Encyclopedia of ecology (pp. 566–573). Elsevier. https://doi.org/10.1016/B978-0-12-409548-9.11152-2
UCLA Institute for Digital Research and Education (UCLA IDRE). (2020). Principal components analysis: SPSS annotated output. https://stats.idre.ucla.edu/spss/output/principal_components/
World Health Organisation (WHO). (2019). Immunization. https://www.who.int/news-room/facts-in-pictures/detail/immunization
Downloads
Published
Issue
Section
License
Copyright (c) 2022 Wesley Moonsamy, Shawren Singh
This work is licensed under a Creative Commons Attribution 4.0 International License.
How to Cite
- Abstract 584
- PDF 118