An evaluation report on the adoption and use of Africa Laboratory Information System (A-LIS) In Uganda

Abstract

The Ministry of Health's 2017 HLIMS Master Plan for Uganda underscored the need to enhance data management and service delivery in public health laboratories, addressing deficiencies in traditional paper-based systems. In response, the Ministry, in collaboration with the HLIMS Technical Working Group and CDC-Atlanta, adopted and customized the C4G Basic Laboratory Information System (BLIS), rebranded as the Africa Laboratory Information System (A-LIS). Despite its potential to improve healthcare outcomes, A-LIS adoption has been limited, with only 15.21% of hubs actively using it by 2019. This study evaluates A-LIS adoption and usage in Uganda employing the UTAUT and TAM theories to explore factors influencing its acceptance and use, and identifying barriers and opportunities. Utilizing a triangulation of case study and cross-sectional survey designs, data were collected from 34 health facilities through questionnaires and interviews. Results indicated a general awareness of A-LIS, but partial usage and abandonment due to technical and human resource issues. The Unified Theory of Acceptance and Use of Technology (UTAUT) and Technology Acceptance Model (TAM) revealed moderate acceptance, highlighting the need for enhanced training, technical support, and integration with existing workflows. The study's findings aim to inform strategies for improving LIS implementation in Uganda's public health facilities.