| dc.description.abstract | Information and communications technology development are not of particular breakthrough technologies, but rather those of rapid and continuous improvement in price-performance of both computing and communications, the explosion of bandwidth capacity in fixed and mobile networks, and the emergence and development of the internet and internet-based applications. The purpose of the study was to establish the factors influencing adoption of ICT in public hospitals in Nairobi, Kenya, to determine the influence of training on the adoption of ICT in public hospitals in Nairobi County, to determine the influence of infrastructure on the adoption of ICT in public hospitals in Nairobi County, to determine the influence of availability of funds on the adoption of ICT in public hospitals in Nairobi County and to determine the influence of ICT staff attitude on the adoption of ICT in public hospitals in Nairobi County. The study was guided by innovation- diffusion theory, technology acceptance theory and contingency theory. The study employed a descriptive research design where it targeted 7 public hospitals. The sample consisted of ICT managers, record keepers, clerks, cashiers and laboratory technologists. The study sample size comprised of 100 staffs who were engaged in the study. The data collected was analysed using descriptive statistics (measures of central tendency and measures of variations) to achieve the objectives of the study. The quantitative data generated was analyzed using descriptive statistics with the help of Statistical Package for Social Sciences (SPSS) version 20. From the research findings, the study revealed that majority of the respondents as shown by 64.71% had served the institution for more than 9 years whereas 29.41% of the respondents had served the institution for a period of 6 to 8 years, 3.53% had served the institution for 3 to 5 years and only 2.35% of the respondents had served the institution for a period of less than 2 years. The study found that, the cost of ICT training materials is considered to be among the problems that negatively affects the implementation of ICT in most health facilities. The study further revealed that medical equipment management involves other essential activities which ensure that equipment is effectively planned and budgeted for, procured, and operated. The study found that installation of ICT infrastructure is a major drawback to the adoption of ICT. Developments in ICT technological infrastructure in hospitals have drastically influenced the competitive business environment in health sector as proved by the emergence and strengthening of the global economy, and the transformation of industrial economies to knowledge-and-information-based service economies. On the influence of ICT staff attitude on ICT adoption, the study found that ICT adoption has been perceived to challenge the traditional management hierarchy and change both the location and the nature of decision making in most public hospitals. The study recommends that the ministry of health to improve the current ICT status for health sector. The Sector should attain any tangible and observable ICT diffusion levels. The government should increase the ICT budget to address adoption challenges in public hospitals in Nairobi as the survey found that high cost of funding ICT programmes is immensely influencing ICT adoption. | en_US |
