The perceptions and acceptance of health management information system by health data managers in Rwanda: A Cross Sectional Study

Abstract Background Health Management Information System (HMIS) has the unlimited potential to enhance the quality of healthcare. However, technology can be implemented and still face resistance from users. Since the introduction of Rwanda's HMIS, studies are still scarce to assess its adoption and level of acceptance from the end-users' perspective. This study aimed to assess the perceived usefulness and acceptance of HMIS by Health Data Managers (HDMs) in Rwanda. A cross-sectional study was conducted using the Technology Acceptance Model (TAM) to assess HMIS usage. A mixed-method approach was used to collect data from 280 HDMs. Data analysis utilized descriptive statistics for distribution and ANOVA to test the correlations between perceptions, institutional factors, technology, and the acceptability of HMIS. Results Perceived usefulness (PU), perceived ease of use (PEU), and technology factors were significantly inter-correlated with each other and with the acceptance of the HMIS system. The degree of HMIS acceptance by HDMs is at 64.4%. HDMs' perceived usefulness (PU) of HMIS highlights its core functionalities. Conclusion The significance of HMIS usefulness and acceptance among HDMs in Rwanda is evident but requires further improvement such as continuous training on the use of Health Management Information System, making the system more user-friendly, increasing user support when needed, and ensuring timely communication of updates. HDMs acknowledge the positive influence of HMIS on their achievements.