Table 4.

Common themes identified during in-depth interviews on factors affecting health professionals’ EMR use.

Organizational factors	sGood governance problems, (ii) lack of budget for training and maintenance, (iii) dual documentation system, (iv) poor supervision and support, (v) work overload/shortage of time, (vi) inadequate HIT professionals, (vii) lack of incentives for good performance, (viii) poor coordination and mentoring process, (ix) ownership problems from health institutions.
Technical factors	(i) lack of a locally designed EMR software program, (ii) old and non-functional computers, (iii) electricity interruption, (iv) Inadequate EMR training, (v) lack of timely maintenance and repair of computers, (vi) expired EMR software program.
Behavioral factors	(i) lack of computer skills and knowledge, (ii) poor commitment from users and management, (iii) lack of interest in adapting to a computerized system, (iv) challenges in motivating staff, (v) carelessness from staff and management, (vi) intentional resistance to use EMRs.
Environmental factors	(i) Poor collaboration from stakeholders, (ii) dependence on NGOs’ software program, (iii) hot weather conditions.