Workload in antenatal care before and after implementation of an electronic decision support system: an observed time-motion study of healthcare providers in Nepal
Time spent on ANC and related recordkeeping was low and did not change after implementation of the electronic decision support system. ANC and recordkeeping time was sensitive to day-to-day fluctuations in numbers of women attending for ANC at these rural facilities, which may have masked the intervention's effects. However, the large amount of non-work time observed suggests time constraints during the workday were not a major factor inhibiting use of the electronic decision support system.
Authors
- Emma Radovich (ORCID: https://orcid.org/0000-0002-8975-8015)
- Loveday Penn‐Kekana (ORCID: https://orcid.org/0000-0002-9758-4529)
- Rajani Shakya (ORCID: https://orcid.org/0009-0008-0894-0589)
- Abha Shrestha (ORCID: https://orcid.org/0000-0002-7992-7137)
- Giorgia Gon (ORCID: https://orcid.org/0000-0002-9741-7712)
- Christian Bottomley (ORCID: https://orcid.org/0000-0002-5241-8412)
- Ona McCarthy (ORCID: https://orcid.org/0000-0002-9902-6248)
- Oona M. R. Campbell (ORCID: https://orcid.org/0000-0002-9311-0115)
- Seema Das (ORCID: https://orcid.org/0000-0001-5170-1622)
- Sulata Karki (ORCID: https://orcid.org/0000-0002-2141-1517)
- Biraj Karmacharya (ORCID: https://orcid.org/0000-0002-7312-5758)
Institutions
- Dhulikhel Hospital (NP)
- London School of Hygiene & Tropical Medicine (GB)
- Kathmandu University (NP)
Publication Details
- Journal
- BMC Medical Informatics and Decision Making
- Published
- 2025-02-18
- DOI
- https://doi.org/10.1186/s12911-025-02868-1
- Citations
- 2
- Primary Topic
- Mobile Health and mHealth Applications
- Type
- article
- Field-Weighted Citation Impact
- 5.63
Funders
- London School of Hygiene and Tropical Medicine
- Department of Biotechnology, Ministry of Science and Technology, India
- Medical Research Council