Utilization of Computers and Mobile Technology by Community Health Workers in Obala Health District, Cameroon: Challenges and Implications for Performance

Aim: Community Health Workers (CHWs) are increasingly recognized for their role in addressing health workforce gaps in underserved communities. Although digital technologies are widely used to improve healthcare delivery, CHWs often face barriers such as limited access to devices and inadequate skills, affecting their capacity to provide quality services to larger populations. This study sought to identify the reasons for the limited use of computers and mobile devices by CHWs in implementing community health programs and to assess the association between technology adoption and performance. Methods: A cross-sectional survey design was used with a sample of 86 CHWs selected through a purposive sampling method. Data were collected via structured questionnaires and analyzed using descriptive statistics and correlation analysis in SPSS version 25. Results: Eighty-nine percent of CHWs owned a mobile phone, yet only 25% reported receiving training on its use for health service delivery. Nonee owned personal computers and 94% reported a lack of access to facility-based computers. A positive correlation (r = 0.525, p < 0.05) was found between access to mobile phones and frequency of use in CHW activities. Conclusion: CHWs strongly agreed that health facilities should enable access to use computers at the health facility/institution to prepare and submit their reports and embrace ICT usage. Recommendation: Standardized ICT training should be integrated into CHW curricula, with access to facility-based digital tools ensured and supportive supervision strengthened.