| Infrastructural |
Frequent periods with no electricity No Wi-Fi availability during electricity stoppage time Lack of clarity regarding data storage, cloud location, and capacity Limited or no availability of printers and copiers and their associated supplies
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| Systemic and organizational |
Questions regarding organizational support of project (at hospital, district, regional, and national levels) Long-standing workflow practices that promote redundancy and inefficiency (need for multiple copies including the patient chart, carnet, and Standard Sexual Violence form) Need to train multiple clinicians in using app and allowing clinicians time off for training Limited or no availability of electronic medical record system or links to hospital archives
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| Personal behavior |
Educational barriers for technology use (minimal) Personal leadership attributes that affect workflow within health care facility Presence of and ability to negotiate perceived jealously and peer resentment Degree of willingness to try new things Degree of willingness to invest more time initially in learning and using app
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