Barriers, Readiness And Challenges Of Barangay Healthworkers (Bhws) In Utilizing Electronic Health Records Systems
Benedict B. Marquez
Discipline: social work
Abstract:
This study examined the relationship among perceived barriers, readiness, and challenges
experienced by Barangay Health Workers (BHWs) in the utilization of Electronic Health Records
(EHRs at the barangay level. A mixed-methods design was employed, involving a survey
administered to 96 BHWs and in-depth interviews with 20 selected participants.
Quantitative analysis showed a significant negative correlation between perceived barriers and
readiness (r = −0.55, p = 0.01). There was a weak, non-significant correlation between barriers
and challenges (r = 0.16, p = 0.54) and a moderate negative relationship between readiness and
challenges (r = −0.42, p = 0.07). Qualitative analysis revealed themes like hardware and
infrastructure limitations, lack of clear operational protocols, and system design mismatches with
barangay-level workflows. It also found differences in digital competencies among BHWs. The
qualitative findings also described increasing familiarity with basic EHR tasks, openness to
learning, and reliance on peer support, alongside challenges associated with balancing
documentation with patient care, adapting to system updates, and maintaining parallel manual
and digital records.
The findings describe the conditions under which BHWs engaged with EHR systems, highlighting
variations in readiness, experienced constraints, and operational difficulties within barangay
health settings.
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