Table 4.

Barriers and facilitators to EHR adoption in LICs

Work system factors	EHR system adoption in LICs to enhance the quality of healthcare
	Barriers	Facilitators
People	Awareness, experience, resistance, lack of training	Providing alerts Perception to use EHR
Environmental	Interoperability with other systems, finance, absence of explicit policy, lack of standards, lack of management commitment, quality of a system	Immaturity of health information exchange infrastructure in LICs
Tools	Poor infrastructure
Tasks		The partnership among stakeholders to design and adopt EHR systems.
Interaction between people, environments, tools and tasks	Poor integration of the EHR system with people, infrastructure, functions and other existing systems.

EHR, electronic health record; LICs, low-income countries.