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Table 2 Summary of key themes and subthemes identified in the qualitative analysis

From: Health worker experiences on the integration of digital health tools for HPV vaccination and cervical cancer services in Rwanda

Theme

Subthemes

Description

End –user experience, acceptability, and satisfaction with digital health interventions

Ease of use

This theme highlights the overall experiences of end users with digital health interventions, including levels of acceptability and satisfaction. The key features contributing to this sentiment were ease of use, improvements in data quality and security, and time-saving benefits. Although the interventions were generally well received, some users expressed mixed opinions based on the specific systems they used and emphasized the role of other factors in improving service coverage

Improvement over paper registries and enhanced data quality and security

Time saving and increased access to data

Diverse perspectives on the digital health interventions

Systemic and operational challenges in the adaptation and integration of digital health interventions within existing healthcare systems

 

This theme outlines the systemic and operational challenges faced during the transition from paper-based to digital health systems. The adaptation process encountered hurdles such as user resistance, limited digital literacy, inadequate infrastructure, and unreliable internet connectivity. Financial constraints also delayed the acquisition of necessary equipment and servers. Despite the initial resistance, most users adapted over time, though challenges such as poor Internet access and insufficient technical support persisted

The need for investment in personnel and development of data management capacities for digital health interventions

Staffing

This theme highlights the ongoing need for personnel investment, training, and development of robust data management capacities to support digital health interventions. Additionally, system functionalities, such as interoperability and online capability, require further enhancement to prevent data loss and improve real-time data tracking

System functionalities

Ongoing capacity building for digital health interventions

The critical role of leadership commitment, technical support, and supervision in facilitating digital health intervention success

 

This theme emphasizes the vital role of leadership commitment, technical support, and robust supervision in the successful implementation of digital health interventions