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Table 2 Citations by participants related to dimension 1

From: Large-scale implementation of electronic Integrated Management of Childhood Illness (eIMCI) at the primary care level in Burkina Faso: a qualitative study on health worker perception of its medical content, usability and impact on antibiotic prescription and resistance

Dimension 1: Human-electronic interface

Sense of confidence

“I feel very confident because this tool [REC] gives our service even more credibility. (…) When you go to a health facility in this environment, it is rare to find that your child will be managed with an electronic device. People are perfectly aligned with us on its use and really trust in this device. (…) Not only we are confident and happy to use REC but the patient and caretakers are really assured because they know their child will benefit from a much more appropriate treatment” RN, male

Completeness of the tool

“I am very happy using REC because it helps me, it guides me through all the childhood illnesses. For example, if you just ask the questions [provided by REC], the disease that the child is suffering from and the treatment needed comes out at the same time, you don’t need to look any further for which treatment to administer to the child. Everything is included in REC. And if a child comes back for a second consultation, you can find them easily, and don’t need to register them a second time” Birth attendant, female

Technology as a source of motivation

“With the paper version, there was not too much motivation. I remember being trained on the paper version (…) we started to use it but in the uptake evaluation undertaken soon after, one realized that people were actually not using it, they gave up on the paper version. (…) But with this electronic version [REC], we are ahead” RN, male

“We receive statistics of our and other health facilities, to see our [compliance] level. It creates a competitive system. It’s this that provides incentive. For example, [you are motivated] when you see that your application rate is good compared to other health facilities.” FGD

“When a child comes back, you find them easily [in REC].” Birth attendant, female

Patients’ opinion as reported by health workers

“Before, mothers were complaining. But with the explanations we gave them, we got them to understand, we sensitized them, we informed them that they would benefit from REC, that the treatments would be more appropriate than before, that if we take care of their child with the device [REC], that we have a better chance to more rapidly detect what their child is suffering from. (...) Mothers talk to each other, and then they ask you why you don’t apply REC to all [ages of] children” E9 HO, Female

“The mothers understand when they come to the health facility, none complain. On the contrary, if you start the consultation writing in the [paper] register, the mother tends to give you a perplexed look and asks why the other children got the tablets and not her child” Birth attendant, female