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BackgroundBotswana has made significant investments in its health care information infrastructure, including vertical programs for child health and nutrition, HIV care, and tuberculosis. However, effectively integrating the more than 18 systems in place for data collection and reporting has proved to be challenging. The Botswana Health Data Collaborative Roadmap Strategy (2020-24) states that “there exists parallel reporting systems and data is not integrated into the mainstream reports at the national level,” seconded by the Botswana National eLearning strategy (2020), which states that “there is inadequate information flow at all levels, proliferation of systems, reporting tools are not synthesized; hence too many systems are not communicating.” ObjectiveThe objectives of this study are to (1) create a visual representation of how data are processed and the inputs and outputs through each health care system level; (2) understand how frontline workers perceive health care data sharing across existing platforms and the impact of data on health care service delivery. MethodsThe setting included a varied range of 30 health care facilities across Botswana, aiming to capture insights from multiple perspectives into data flow and system integration challenges. The study design combined qualitative and quantitative methodologies, informed by the rapid assessment process and the technology assessment model for resource limited settings. The study used a participatory research approach to ensure comprehensive stakeholder engagement from its inception. Survey instruments were designed to capture the intricacies of data processing, sharing, and integration among health care workers. A purposive sampling strategy was used to ensure a wide representation of participants across different health care roles and settings. Data collection used both digital surveys and in-depth interviews. Preliminary themes for analysis include perceptions of the value of health care data and experiences in data collection and sharing. Ethical approvals were comprehensively obtained, reflecting the commitment to uphold research integrity and participant welfare throughout the study. ResultsThe study recruited almost 44 health care facilities, spanning a variety of health care facilities. Of the 44 recruited facilities, 27 responded to the surveys and participated in the interviews. A total of 75% (112/150) of health care professionals participating came from clinics, 20% (30/150) from hospitals, and 5% (8/150) from health posts and mobile clinics. As of October 10, 2023, the study had collected over 200 quantitative surveys and conducted 90 semistructured interviews. ConclusionsThis study has so far shown enthusiastic engagement from the health care community, underscoring the relevance and necessity of this study’s objectives. We believe the methodology, centered around extensive community engagement, is pivotal in capturing a nuanced understanding of the health care data ecosystem. The focus will now shift to the analysis phase of the study, with the aim of developing comprehensive recommendations for improving data flow within Botswana's health care system. International Registered Report Identifier (IRRID)DERR1-10.2196/52411

BackgroundThe COVID-19 pandemic brought challenges requiring timely health data sharing to inform accurate decision-making at national levels. In Botswana, we adapted and integrated the Research Electronic Data Capture (REDCap) and the District Health Information System version 2 (DHIS2) platforms to support timely collection and reporting of COVID-19 cases. We focused on establishing an effective COVID-19 data flow at the national public health laboratory, being guided by the needs of health care professionals at the National Health Laboratory (NHL). This integration contributed to automated centralized reporting of COVID-19 results at the Ministry of Health (MOH). ObjectiveThis paper reports the experiences, challenges, and lessons learned while designing, adapting, and implementing the REDCap and DHIS2 platforms to support COVID-19 data management at the NHL in Botswana. MethodsA participatory design approach was adopted to guide the design, customization, and implementation of the REDCap platform in support of COVID-19 data management at the NHL. Study participants included 29 NHL and 4 MOH personnel, and the study was conducted from March 2, 2020, to June 30, 2020. Participants’ requirements for an ideal COVID-19 data management system were established. NVivo 11 software supported thematic analysis of the challenges and resolutions identified during this study. These were categorized according to the 4 themes of infrastructure, capacity development, platform constraints, and interoperability. ResultsOverall, REDCap supported the majority of perceived technical and nontechnical requirements for an ideal COVID-19 data management system at the NHL. Although some implementation challenges were identified, each had mitigation strategies such as procurement of mobile Internet routers, engagement of senior management to resolve conflicting policies, continuous REDCap training, and the development of a third-party web application to enhance REDCap’s capabilities. Lessons learned informed next steps and further refinement of the REDCap platform. ConclusionsImplementation of REDCap at the NHL to streamline COVID-19 data collection and integration with the DHIS2 platform was feasible despite the urgency of implementation during the pandemic. By implementing the REDCap platform at the NHL, we demonstrated the possibility of achieving a centralized reporting system of COVID-19 cases, hence enabling timely and informed decision-making at a national level. Challenges faced presented lessons learned to inform sustainable implementation of digital health innovations in Botswana and similar resource-limited countries.

Background: Social media use by libraries has facilitated communication and marketing of services to user communities. The City of Cape Town Libraries adopted social media usage in the 2015–2016 financial year. This study is set out to assess librarians’ perception and response to the implementation and adoption of social media for library services. Objectives: The research sought to appraise the City of Cape Town public librarians’ experiences of social media use in the provision of information services, evaluate librarians’ perceptions of social media use for information provision services and recommend ways in which social media information services provision can be improved upon. Method: A quantitative research method and a descriptive survey research design approach was adopted for the study, and a web-based questionnaire was used for data collection. The study was anchored on the technological acceptance model, and employed total enumeration sampling to collect data from the 102 City of Cape Town librarians-in-charge. Results: City of Cape Town librarians have positive perception and acceptance towards the use of social media to perform library-related duties. Librarians utilised social media in engaging with library users, including marketing of library services, and promotion of library events. Experiences including lack of guidance in dealing with copyright issues and organisational policy favouring a single social media platform were reported. Conclusion: Library services through is vastly positive but expansion across multiple social media platforms is necessary to encourage further engagement with users. A third construct: preference of choice is proposed for the TAM model.

One of the core objectives of public libraries is the unrestricted provision of information resources and services to meet the information and educational needs of individuals and societies. Social media has grown very popular to become a basic component for everyday living. The aim of this study was to assess the use of social media platforms for information services provision in public libraries in Cape Town, South Africa in order to establish the opportunities and challenges. Using the technology acceptance model (TAM), the study sought to evaluate social media platform usage; ascertain the information resources/services and type of content shared on social media platforms by public libraries in Cape Town; as well as appraise the challenges and opportunities in the use of social media in public library services at the municipal public libraries. The descriptive survey research was quantitatively used to survey 102 public libraries in Cape Town. The research findings revealed that services including promotion and marketing of library services, updates on new arrivals, and live streaming of library activities were provided through social media. Policy at the libraries places a limit on social media use to a single social media platform by public librarians for official library services provision. This research adds to the scarce literature on the use of social media in public libraries in developing countries especially those in Africa where Internet penetration is still low by identifying challenges and opportunities. Library users have not been included in this study and their views of library services through social media are not captured in this report. The results by implication interpreted the TAM model by incorporating a new construct: preference of choice, informed by the study findings. [ABSTRACT FROM AUTHOR]