Perception of mothers and male partners on the use of electronic health data recording system attending reproductive and child health clinics in Kilimanjaro, Tanzania: A qualitative study

Introduction: Electronic health record systems (EHRSs) can promote maternal and perinatal healthcare through timely data capture, data accuracy, continuity of care, and service efficiency. It is unclear how clients to whom the data is collected perceive the process or understand its use. This study investigates the perception of using EHRSs during the perinatal period among mothers and male partners attending reproductive and child health (RCH) clinics in Kilimanjaro Region.Methods: A qualitative study was conducted between April and June 2024 using focus group discussions and in-depth interviews within reproductive and child health clinics around the community of Moshi District and Municipal. The research involved 29 respondents, including mothers who gave birth between March 2023 and March 2024, and 10 male escorting partners attending RCH clinics. Data was collected using interview guides and analysed thematically using NVivo 15 software. Data triangulation, reflexivity, and adherence to qualitative research standards were observed, ensuring that the study met ethical and methodological rigor. Addressing these components, our study established a trustworthy and robust system.Results: Findings showed that most participants had a positive opinion of EHRSs due to their efficacy and safety, reducing access time, ensuring continuity of care, boosting trust through confidentiality, longer data storage, and simplifying work. However, limited client awareness, privacy concerns, infrastructure problems, and financial limitations were some of the obstacles that might affect its adoption. Systems integration across healthcare facilities with training for clients and users, creating policy documents for ensuring sustainability and efficacy, were proposed.Conclusion: Our study reflects a representative range in the transition of EHRSs. Although some concerns around understanding, privacy issues, infrastructure, and technical capabilities were revealed, the positive outcomes indicate significant opportunities in improving the quality of care delivery through EHRS. Resolving challenges is crucial for a smoother transition and building trust in EHRS over time.