Assessing the Training Gaps and Support Needs of Healthcare Providers Regarding the Effective Use of Electronic Community Health Information System in Awendo and Nyatike Sub Counties, Migori County, Kenya Based on TAM Framework

Purpose: The effective implementation of Electronic Community Health Information Systems (e-CHIS) in low-resource settings is critically dependent on the digital proficiency of healthcare providers. This study investigated the training gaps and support needs that influence e-CHIS adoption in Migori County, Kenya. Methodology: A cross-sectional mixed-methods design was employed, collecting quantitative data from 357 healthcare providers via a structured survey, with data analyzed using descriptive/inferential statistics and bivariate correlation in SPSS. This was complemented by qualitative insights from 14 key informant interviews and 25 focus group discussions, which were transcribed verbatim and analyzed using thematic and content analysis. Findings: While analysis revealed near-universal training coverage (96.4%) and high ratings of training quality (94.2% good/excellent), significant implementation barriers persisted. A striking 85.2% of health care providers experienced technical challenges while 91.6% reported technical infrastructure as a major barrier. Furthermore, a pronounced disparity in access to technical support was found between sub-counties (Awendo 59.7% vs. Nyatike 85.0%). TAM analysis confirmed a strong correlation between Perceived Ease of Use and Perceived Usefulness (r=0.870, p