Muzima Mobile Application for Screening Hypertension and Diabetes: A User Experience of the App Among Community Health Workers in Rwanda.

Mobile technology has become the leading utility in the social and well-being of people especially in low-resource settings. The use of mobile applications in healthcare promise to improve care and treatment. This study explored the user experience of muzima mobile application among community health workers in Rwanda. We used three data collection methods: observation, Key informant interviews and focus group discussions. We analysed data using thematic content analysis. We found that users were able to complete tasks in the app although some less experienced and older participants struggled to complete the tasks. Users felt that the application helped them to screen and manage patients with diabetes and hypertension in the community which reduced frequent visits to the health centers. Users felt that the application needs improvements in the workflow to facilitate the ease of use. They suggested to digitse other health programs implemented by community health workers. To improve the use and ensure wider implementation, there is a need to consider users' needs and concerns as discussed in this paper.

Nurses' Experience of Using an Electronic Medical Records - OpenMRS Module for the Management of Hypertension and Diabetes in Rwanda: A Qualitative Study.

The management of NCDs require a secure and continuous collection and use of patient data to improve care and treatment. The OpenMRS NCDs module was developed and piloted in three districts to ascertain the possibility of using it in early detection and management of Hypertension and Diabetes in Rwanda. This paper explored the user experience NCDs module of OpenMRS, an open sources EMR used in health centers of Rwanda. We used two methods to explore the user experience of the system among the nurses: Key informant interviews and observations. We analysed the data using thematic content analysis and drawn upon the views and expectations of the users to experience effective use of the system. We collected the data using the developed and piloted tools. In this study we interviewed 10 nurses and observed how they complete tasks in the system. In general, the nurses found that the system was useful because it simplified patient care and reporting. Some barriers related to the use of the system were slowness of the system, and turnover of trained users. We concluded that during the first 12 months of the pilot of the OpenMRS in 5 hospitals located in three districts, nurses were able to use the system with limited and manageable challenges. However, some challenges related to system design and navigations should be addressed before wider implementation.