title: Knowledge and Utilization of Computers Among Health Professionals in a Developing Country: A Cross-Sectional Study.
abstract: BACKGROUND
  Incorporation of information communication technology in health care has gained wide acceptance in the last two decades. Developing countries are also incorporating information communication technology into the health system including the implementation of electronic medical records in major hospitals and the use of mobile health in rural community-based health interventions. However, the literature on the level of knowledge and utilization of information communication technology by health professionals in those settings is scarce for proper implementation planning.
  
  
  OBJECTIVE
  The objective of this study is to assess knowledge, computer utilization, and associated factors among health professionals in hospitals and health institutions in Ethiopia.
  
  
  METHODS
  A quantitative cross-sectional study was conducted on 554 health professionals working in 7 hospitals, 19 primary health centers, and 10 private clinics in the Harari region of Ethiopia. Data were collected using a semi-structured, self-administered, and pre-tested questionnaire. Descriptive and logistic regression techniques using SPSS version 16.0 (IBM Corporation) were applied to determine the level of knowledge and identify determinants of utilization of information communication technology.
  
  
  RESULTS
  Out of 554 participants, 482 (87.0%) of them responded to the questionnaire. Among them, 90 (18.7%) demonstrated good knowledge of computers while 142 (29.5%) demonstrated good utilization habits. Health professionals who work in the primary health centers were found to have lower knowledge (3.4%) and utilization (18.4%). Age (adjusted odds ratio [AOR]=3.06, 95% CI 0.57-5.37), field of study (AOR=3.08, 95% CI 1.65-5.73), level of education (AOR=2.78, 95% CI 1.43-5.40), and previous computer training participation (AOR=3.65, 95% CI 1.62-8.21) were found to be significantly associated with computer utilization habits of health professionals.
  
  
  CONCLUSIONS
  Computer knowledge and utilization habits of health professionals, especially those who work in primary health centers, were found to be low. Providing trainings and continuous follow-up are necessary measures to increase the likelihood of the success of implemented eHealth systems in those settings.
authors.affiliation: Harar Health Science College, Harar, Ethiopia.
authors.forename: Kalid
authors.identifier: http://orcid.org/0000-0003-4527-1384
authors.initials: K
authors.lastname: Alwan
authors.forename: Tadesse
authors.identifier: http://orcid.org/0000-0002-1839-3522
authors.initials: T
authors.lastname: Awoke
authors.forename: Binyam
authors.identifier: http://orcid.org/0000-0002-1813-167X
authors.initials: B
authors.lastname: Tilahun
keywords: Ethiopia; computer literacy; eHealth success; health professionals