Evidence map›Paper›PMID 42158177›Full record

ArticleFrontiers in digital health2026

Differential acceptance of a national digital health platform among community and frontline health workers in Cote d'Ivoire: a cross-sectional study.

Kadidiatou Raïssa Kourouma, Anatole Mian, Abdoul Gadiry Fadiga, Syntyche Bayo, Alimata Sow Diakité, Karin Källander, Eyram Adzra, Stéphane Yapi Yépié, Vincent Gnangui, Sébastien Gokou and 10 more

Abstract read
In one paragraph

Article in Frontiers in digital health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors.

Kadidiatou Raïssa KouroumaInstitut National de Santé Publique, Abidjan, Cote d'Ivoire.
Anatole MianInstitut National de Santé Publique, Abidjan, Cote d'Ivoire.
Abdoul Gadiry FadigaUnited Nations Children's Fund, Cote d'Ivoire Country Office, Abidjan, Cote d'Ivoire.
Syntyche BayoInstitut National de Santé Publique, Abidjan, Cote d'Ivoire.
Alimata Sow DiakitéUnited Nations Children's Fund, Cote d'Ivoire Country Office, Abidjan, Cote d'Ivoire.
Karin KällanderUnited Nations Children's Fund, New York, NY, United States.
Eyram AdzraUnited Nations Children's Fund WCARO, Dakar, Senegal.
Stéphane Yapi YépiéUnited Nations Children's Fund, Cote d'Ivoire Country Office, Abidjan, Cote d'Ivoire.
Vincent GnanguiDirection de la Santé Communautaire et de la Promotion de la Santé, Abidjan, Cote d'Ivoire.
Sébastien GokouDirection Régionale de la Santé du Poro, Korhogo, Cote d'Ivoire.
Lama KaramokoDirection Régionale de la Santé du Poro, Korhogo, Cote d'Ivoire.
Ulrich DjololoDirection Régionale de la Santé du Poro, Korhogo, Cote d'Ivoire.
Bakary KouaméDirection Régionale de la Santé du Poro, Korhogo, Cote d'Ivoire.
Ngondo DiomandéDirection Régionale de la Santé du Poro, Korhogo, Cote d'Ivoire.
Souleymane YéoDirection Régionale de la Santé du Poro, Korhogo, Cote d'Ivoire.
Sékou SoumahoroDirection Régionale de la Santé du Poro, Korhogo, Cote d'Ivoire.
Françoise KadjaDirection de la Santé Communautaire et de la Promotion de la Santé, Abidjan, Cote d'Ivoire.
Adama PongathiéDirection de l'Information Sanitaire, Abidjan, Cote d'Ivoire.
Franck Simon BléhiriDirection de l'Informatique et de la Santé Digitale, Abidjan, Cote d'Ivoire.
William YavoInstitut National de Santé Publique, Abidjan, Cote d'Ivoire.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Mobile-based digital health solutions are critical technologies that play a significant role in improving the quality of healthcare services. Cote d'Ivoire is digitizing its community-based health information system (CHIS), piloting the mHealth.ci that is composed of an eCHIS and other tools for community health workers (CHWs) and frontline health workers (FHWs) in the Poro health region. This study aimed to compare the determinants of the mHealth.ci acceptance between these two categories of end-users in Cote d'Ivoire. Methods: We conducted a cross-sectional analytic study from February to March 2025, in the five pilot health districts of the Poro Health Region, using a combined Technology Acceptance Model (TAM) and Louart S et al. framework. Key determinants included perceived usefulness, ease of use, advantages, disadvantages, social influence, personal emotion, context, attitude, intention to use, and actual use. A total of 280 trained end-users (80 FHWs and 200 CHWs) participated in the study. The data was analyzed with R. Results: Of 280 participants, 85% were male, with an average age of 42 ± 9 years. Significant socio-demographic differences existed between CHWs and FHWs (e.g., CHWs were older, less educated, and had less prior mobile app experience, Conclusion: The study provides important insights into mHealth.ci acceptance and emphasizes the necessity of adapting training and supervision approaches to the distinct needs of different end-user categories to foster successful adoption of mHealth.ci.

Indexed as

acceptancecommunity health workersCote d'Ivoiredigital healthfrontline health workersmHealth.ciWest Africa

Identifiers

PMID42158177
PMCPMC13180953

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LicenceCC BY
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.