| dc.description.abstract | numerous challenges which have forced developing countries to focus on digital
interventions known as e-health Technologies. Kenya, as a developing country, is not left
behind regarding the challenges of e-health. With the vision of efficient implementation and
use of e-health, there is need to develop a model that will enable the improvement of
effective e-health. The purpose of the study was to investigate the factors influencing
adoption and implementation of e-health in Kenya. The objectives of the study were to
determine the current status of e-health implementation in Kenya, determining critical
factors that affects the implementation of e-health Technologies in health sector in Kenya
and to develop a model for e-health implementation in Kenya. The Study used Normalization
Process Theory (NPT), Actor Network Theory (ANT) and Technology Organization and
Environmental Framework (TOE) to underpin the study. Data was collected using structured
questionnaire and interview of key informants. The quantitative data was then coded and
analyzed using both descriptive and inferential statistics and the qualitative data was
analyzed using thematic analysis. Pragmatist research philosophy was adopted given the
multiple realities and the fact that it fitted well with deductive and inductive approaches. The
study population included 1243 healthcare workers from which a sample of 303 respondents
were obtained using stratified sampling. The findings of the research indicated that social
factors were significant predictor of e-health implementation where (p=0.005<0.05),
organizational factors were significant predictor of e-health implementation where
(p=0.002<0.05), technological factors were significant predictor of e-health implementation
where (p=0.000<0.05) and environmental factors were significant predictor of e-health
implementation where (p=0.048<0.05). From the outcomes of this study, a model of e-health
implementation was realized to guide the process of effective e-health development and
used. The study concluded that there was need for various stakeholders to reflect on
organizational, social and environmental relationship and interaction with technical aspect
as technological factor was the major factor that affect e-health implementation in Kenya.
The model developed is a basis upon which future implementation of e-health can be based.
It was recommended that for effective implementation, there is need for a well-defined
implementation plan for e-health. The study further recommends for research on e-health
adoption. | en_US |
