Bigirwa, June PatrickNdawula, StephenNaluwemba, Esther Frances2023-07-052023-07-052022Bigirwa, J. P., Ndawula, S., & Naluwemba, E. F. (2022). Technology Leadership Practices of end users and the adoption of E-Learning in Midwifery Institutions in Uganda. Journal of Medical Education and Curricular Development, 9, 23821205221096376.https://doi.org/10.1177/238212052210963762382-1205https://nru.uncst.go.ug/handle/123456789/9042E-learning has gained popularity in Uganda. Midwifery institutions have invested in it to manage the increasing demand for education. However, its adoption is low, which is likely to hinder the enhancement of numbers, competencies, and skill mix of midwives. The study intended to ascertain if technology leadership practices were significant to e-learning adoption and sketch core practices. Ten midwifery institutions and 167 end users participated in the study. Two phases of data collection and analysis were executed. Technology leadership practices had substantial effect on adoption of e-learning (n = 167, r = 0.691, & p = 0.000), and was responsible for 47.5% of the change. Core technology leadership practices were; commitment to provide e-learning facilities; encouragement of learners to use e-learning facilities; appreciating those who excel at using e-learning facilities; grooming of e-learning champions; supportive environment for technological use; and institutionalising technological use in school activities. Midwifery institutions can focus on technology leadership core practices to improve e-learning adoption.enDeveloping countryTechnology leadership practicesMidwifery institutionsAdoption of e-learningArticle