Unveiling barriers to EHR implementation for effective decision support in tanzanian primary healthcare: Insights from practitioners

Abstract

This study investigates the barriers to implementing electronic health records (EHR) systems for decision support in Tanzanian primary healthcare (PHC) facilities and proposes strategies to address these challenges. A qualitative, inductive approach was used, guided by the Diffusion of Innovations (DOI) theory, the Technology Acceptance Model (TAM), and the Sociotechnical Systems theory. Using snowball sampling, data were collected from 14 participants through semi-structured interviews in Dodoma, Tanzania. Thematic analysis identified key barriers. Critical barriers to EHR implementation include lack of leadership support, poor network infrastructure, increased workload, and resistance to technology due to concerns over professional autonomy. Technical challenges, such as system downtime and lack of skilled personnel, hinder EHR use, resulting in inefficiencies and incomplete system adoption, negatively affecting patient outcomes. This study offers unique insights into barriers to EHR adoption in Tanzanian PHC facilities. Grounded in multiple theoretical frameworks, the findings contribute to health informatics discourse in low-resource settings and provide practical recommendations for improving EHR implementation. The study’s implications are relevant for policymakers, healthcare leaders, and IT developers in similar contexts.