Abstract of Dissertation

Keyword : ANMOL Application; Mobile Tablet; Auxiliary Nurse Midwives; Technology Acceptance Theories; Madhya Pradesh

Objective : Not Available

Background : Madhya Pradesh lack of operators led to the shifting of data entering tasks to auxiliary nurse midwives (ANMs). However, the limited training and supportive supervision ANMs receive compromise the quality of their services. To improve their performance, the government of Madhya Pradesh implemented a project named ANMOL Application in 14 districts in 2017, providing a mobile tablet to ANMs with an application consisting of electronic patient registration “ANMOL”. As it was Madhya Pradesh first point-of-care ANMOL Application project, the study’s objective was to explore whether AMWs would accept and use the ANMOL Application and tablet.

Methodology : In a qualitative explorative design, perceptions of all ANMs participating in the study (n=75) were explored through focus groups. The study was analyzed on the basis of responses given by ANMs. The study was guided by a conceptual framework based on technology acceptance theories that claim that acceptance predicts use. The framework’s premise is that AMWs will accept ANMOL Application if they are perceived as easy to use, as useful. However, barriers and facilitators in the implementation context are expected to influence the use of ANMOL Application tools directly.

Recommendations : Our study suggests that acceptance of ANMOL Application by ANMs in Sehore and Bhopal was high, but some technical issues discourage them to work on it. ANMO Application generally perceived as easy to use, useful. However, ANMs admitted needing ongoing training, technical support, and supervisory support. Internet network problems represented the key contextual barrier. This study especially highlights, however, that acceptance and use of ANMOL Application by ANMs in Madhya Pradesh were notably determined by their belief in ANMOL Application and their public-spirited professionalism, which were in turn reinforced by an ethos of service and support by ANMs. Despite the barriers they encountered, ANMs were determined to embrace ANMOL Application.