Browsing by Author "Ashaba, Justus"
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Item Beyond Monitoring Functionality to Results Evaluation of eHealth interventions: Development and Validation of an eHealth evaluation framework(Health Informatics Journal, 2022) Ashaba, Justus; Nabukenya, JosephineEvidencing eHealth interventions, benefits generates data as a basis for assessing whether observed changes in behavior, processes or healthcare outcomes can be attributed to the eHealth interventions. Generating such evidence requires the use of frameworks or some other type of organizing schemes to help in guiding the process and making sense of eHealth systems and the findings. The frameworks available in literature do not clearly guide on how to monitor eHealth implementation and evaluate eHealth implementation results. This study aimed to develop and validate an eHealth evaluation framework to guide the process of monitoring eHealth implementations and evaluation of eHealth results in terms of outcomes and impact on healthcare in developing countries. The Design Science Research Methodology was followed to conduct this study. Recommendations from an eHealth evaluation exploratory study in Uganda and other eHealth evaluation literature formed key inputs into the design and development of the framework. The framework consists of a generic reference model with eHealth monitoring and evaluation dimensions, performance indicators, and guidelines on how to conduct eHealth monitoring and evaluation. The eHealth evaluation framework received high acceptance (>80%) as regards its fitness for purpose during its validation.Item An Exploratory Study on the Evaluation of eHealth Interventions in Uganda: Practices, Challenges and Insights(2020) Nabukenya, Josephine; Ashaba, JustusThe application of information and communication technology is becoming more popular in healthcare management evidencing improvement of effectiveness, access, quality, and efficiency of the healthcare systems. With increased investment and implementation of eHealth across the world, there is a need to evidence its value. That is, its evaluation is required in order to get the most benefits out of them. To this end, this research study investigates the practices, challenges, and insights regarding the evaluation of eHealth implementations in Uganda.A qualitative approach was employed to conduct the study investigation with key eHealth implementers in Uganda considered as respondents to establish an understanding of their perspectives with respect to ehealth evaluation practices and challenges faced, as well as to derive insights from these perspectives in relation to the World Health Organization (WHO) understanding of digital health evaluation. Results show that Uganda has implemented various eHealth initiatives; however less to none evaluation is undertaken, as it is not a key activity with most of the eHealth implementers. The focus is put on monitoring the ehealth initiatives’ functionality and adoption rather than their outcome and impact.Accordingly, the study recommends the need for an evaluation framework following the WHO global digital health evaluation framework guidelines to elucidate the notion of evaluation, its characteristics, and measurement indicators regards the outcome and impact of ehealth implementations in healthcare and service delivery for Uganda’s health system.