Socio-Demographic Determinants of Digital CQI Adoption Among MNCH Health Workers in Kenya, a case of Kwale County

Charles Kimani Maina , Kenneth Rucha Kibaara , Eliphas Gitonga , Kabeu Emma Watetu

Continuous Quality Improvement (CQI), digital CQI adoption, digital CQI tools.

Continuous Quality Improvement (CQI) is essential for enhancing maternal, newborn, and child health (MNCH) services, yet its digital adoption varies widely among healthcare workers. This study investigated how socio-demographic characteristics influence comfort with and uptake of digital CQI tools among MNCH staff in eight public health facilities in Kwale County, Kenya. A cross-sectional survey was administered to 64 clinical and technical health workers, capturing age, gender, education, years of experience, professional cadre, and prior digital exposure, alongside self-rated comfort using a 5-point scale. Chi-square tests of independence (α=0.05) assessed associations between these factors and comfort (ranging from 1 – least comfortable to 5 – most comfortable). Results showed that mid-career clinicians (age 30–39; χ²=13.2, p=0.002) and direct-care cadres (nurses, clinical officers; χ²=12.1, p=0.020) were significantly more comfortable with digital CQI compared to other staff and administrative roles. No significant associations were found for gender, education level, years of experience, or prior digital use (all p>0.05).

https://doi.org/10.31871/WJRR.20.5.6