High heat exposure and climate anxiety among rural women in Tamil Nadu: health and social impacts.

Many developing countries suffer from the lack of or poor healthcare Management Information Systems (MIS) []. The purpose of MIS in healthcare settings is to improve efficiency and service delivery to the patients in order to achieve positive outcomes, including saving lives []. However, achieving that purpose is not straight forward because many systems fail [–]. Successful implementation of information systems (IS) requires recurrent and rigorous evaluations that inform decision making and actions of organizations []. Many researchers have identified Information Systems (IS) user satisfaction as a key determinant of information systems’ success in achieving organizational goals []. In Rwanda, the “Centre Hospitalier de Kigali (CHUK)” is a tertiary hospital providing healthcare services to thousands of population annually including those that are self-referred and those that are transferred from different hospitals across the country. This hospital has been one of the few pioneers in Rwanda to implement OpenClinic as a healthcare MIS since the year 2007 []. The system is currently used by over 800 healthcare providers, including physicians, nurses, allied health professionals, and finance department staff. Nevertheless, one study has been identified that focuses on its evaluation []. In addition, no study has yet been conducted in Rwanda to examine the implications of user satisfaction on individual performance, in order to understand the extent of system success or failure and inform the hospital leadership on necessary improvements that would eventually lead to enhanced patient care outcomes. Therefore, this study intends to fill this gap by assessing user experience in terms of satisfaction on using OpenClinic and their appreciation of its impact on work performance. The results of the study will inform the hospital on the interventions needed to ensure successful adoption of MISs and improve services provided to the patients.