Location
Malawi University of Science & Technology, Malawi
Start Date
25-8-2022 3:15 PM
End Date
25-8-2022 3:40 PM
Description
The main objective of this study is to identify and test user expectations as potential antecedents and determinants of continuance intention towards use of Cstock mHealth in Malawi. Cstock mHealth is a rapid short message service (SMS) used by Health Surveillance Assistants (HSAs) to supply, re-supply, and report stock data of medical supplies through mobile phones. The study developed an integrated model based on Expectation Confirmation model (ECM) complimented by other theories from extant literature. A paper-based survey questionnaire was developed and administered randomly to 176 HSAs in health facilities in three districts (Chitipa, Rumphi, and Nkhata-bay) of Malawi. The data analysis followed the partial least squares method to structural equation modelling (PLS-SEM). The findings showed that out of 15 path relationships hypothesised, nine were accepted. The study also confirmed that satisfaction (SATIS) and post-usage usefulness (PUU) have direct influence on continuance intention towards Cstock mHealth. Further to this, the study showed that trust had positive influence on both SATIS and PUU. The unexpected results were that IS success model’s quality triads (system quality, information quality, and service quality) had no influence on SATIS. This was contrary to established existing literature that reports quality triads as dominant predictors of user satisfaction. The research model proposed in this study also revealed a coefficient of determination (R2) of 0.271, which was considered substantial. This study has shown the role that user expectations play in the continuance usage behaviour of mHealth in Malawi. The study implication is that mHealth policy-makers, designers and practitioners ought to focus on raising the user expectations to enhance successful adoption of future mHealth initiatives in developing countries.
Users Expectations as Determinants of Continuance Intention towards mHealth amongst health workers: Case of Cstock in Malawi
Malawi University of Science & Technology, Malawi
The main objective of this study is to identify and test user expectations as potential antecedents and determinants of continuance intention towards use of Cstock mHealth in Malawi. Cstock mHealth is a rapid short message service (SMS) used by Health Surveillance Assistants (HSAs) to supply, re-supply, and report stock data of medical supplies through mobile phones. The study developed an integrated model based on Expectation Confirmation model (ECM) complimented by other theories from extant literature. A paper-based survey questionnaire was developed and administered randomly to 176 HSAs in health facilities in three districts (Chitipa, Rumphi, and Nkhata-bay) of Malawi. The data analysis followed the partial least squares method to structural equation modelling (PLS-SEM). The findings showed that out of 15 path relationships hypothesised, nine were accepted. The study also confirmed that satisfaction (SATIS) and post-usage usefulness (PUU) have direct influence on continuance intention towards Cstock mHealth. Further to this, the study showed that trust had positive influence on both SATIS and PUU. The unexpected results were that IS success model’s quality triads (system quality, information quality, and service quality) had no influence on SATIS. This was contrary to established existing literature that reports quality triads as dominant predictors of user satisfaction. The research model proposed in this study also revealed a coefficient of determination (R2) of 0.271, which was considered substantial. This study has shown the role that user expectations play in the continuance usage behaviour of mHealth in Malawi. The study implication is that mHealth policy-makers, designers and practitioners ought to focus on raising the user expectations to enhance successful adoption of future mHealth initiatives in developing countries.
