Barriers and perceptions of WHONET/BacLink adoption in Nepal: A qualitative study of clinical microbiology laboratories.
<h4>Background</h4>The International Vaccine Institute-led CAPTURA (Capturing Data on Antimicrobial Resistance Patterns and Trends in Use in Regions of Asia) project delivered capacity building activities to strengthen antimicrobial resistance surveillance activities in Nepal.<h4>M...
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Public Library of Science (PLoS)
2025-01-01
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| Online Access: | https://doi.org/10.1371/journal.pone.0326658 |
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| author | Sanju Maharjan Patrick Gallagher Manish Gautam Sanjay Gautam Manisha Budhathoki Reena Mukhiya Smirti Kattel Amit Bhandari Hea Sun Joh Ahmed Taha Aboushady Raphaël M Zellweger Madan Kumar Upadhyaya Runa Jha Jyoti Acharya William R MacWright Florian Marks John Stelling Nimesh Poudyal |
| author_facet | Sanju Maharjan Patrick Gallagher Manish Gautam Sanjay Gautam Manisha Budhathoki Reena Mukhiya Smirti Kattel Amit Bhandari Hea Sun Joh Ahmed Taha Aboushady Raphaël M Zellweger Madan Kumar Upadhyaya Runa Jha Jyoti Acharya William R MacWright Florian Marks John Stelling Nimesh Poudyal |
| author_sort | Sanju Maharjan |
| collection | DOAJ |
| description | <h4>Background</h4>The International Vaccine Institute-led CAPTURA (Capturing Data on Antimicrobial Resistance Patterns and Trends in Use in Regions of Asia) project delivered capacity building activities to strengthen antimicrobial resistance surveillance activities in Nepal.<h4>Methods</h4>The CAPTURA project trained 97 laboratory personnel from 19 hospitals on the use of WHONET/BacLink software to manage microbiology data in Nepal during 2020-2021. Approximately two years later, the trainees were followed up by phone to assess implementation status and effectiveness of the training. An inductive approach was used for coding and categorization of their response, and themes were generated for analysis. Trainees from ten hospitals agreed to respond regarding their experience.<h4>Results</h4>We found that two out of the ten hospitals were using the WHONET/BacLink software, with one each within and outside the national AMR surveillance network. The remaining eight hospitals never implemented the system despite receiving the training. Key barriers to implementation included, hospital administration prioritizing other interoperable software, limited ongoing training, inability to export data from an LIS, limited real-time assistance with technical issues, and poor confidence in analyzing data. In addition, limited human resources and minimal capacity-building activities resulted in a lack of confidence in using the system independently, which were also identified as barriers.<h4>Conclusion</h4>Implementing WHONET/BacLink software in hospital settings can be challenging due to various factors, including a lack of knowledge and confidence among users, a lack of time and human resources to use the software effectively, and a lack of interoperability with other hospital management systems. Real-time support and follow-up activities potentially reinforce the skills and knowledge delivered during the training. |
| format | Article |
| id | doaj-art-4518031cd617456f9e2b7c3ddf39e7c5 |
| institution | Kabale University |
| issn | 1932-6203 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Public Library of Science (PLoS) |
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| series | PLoS ONE |
| spelling | doaj-art-4518031cd617456f9e2b7c3ddf39e7c52025-08-20T03:29:03ZengPublic Library of Science (PLoS)PLoS ONE1932-62032025-01-01207e032665810.1371/journal.pone.0326658Barriers and perceptions of WHONET/BacLink adoption in Nepal: A qualitative study of clinical microbiology laboratories.Sanju MaharjanPatrick GallagherManish GautamSanjay GautamManisha BudhathokiReena MukhiyaSmirti KattelAmit BhandariHea Sun JohAhmed Taha AboushadyRaphaël M ZellwegerMadan Kumar UpadhyayaRuna JhaJyoti AcharyaWilliam R MacWrightFlorian MarksJohn StellingNimesh Poudyal<h4>Background</h4>The International Vaccine Institute-led CAPTURA (Capturing Data on Antimicrobial Resistance Patterns and Trends in Use in Regions of Asia) project delivered capacity building activities to strengthen antimicrobial resistance surveillance activities in Nepal.<h4>Methods</h4>The CAPTURA project trained 97 laboratory personnel from 19 hospitals on the use of WHONET/BacLink software to manage microbiology data in Nepal during 2020-2021. Approximately two years later, the trainees were followed up by phone to assess implementation status and effectiveness of the training. An inductive approach was used for coding and categorization of their response, and themes were generated for analysis. Trainees from ten hospitals agreed to respond regarding their experience.<h4>Results</h4>We found that two out of the ten hospitals were using the WHONET/BacLink software, with one each within and outside the national AMR surveillance network. The remaining eight hospitals never implemented the system despite receiving the training. Key barriers to implementation included, hospital administration prioritizing other interoperable software, limited ongoing training, inability to export data from an LIS, limited real-time assistance with technical issues, and poor confidence in analyzing data. In addition, limited human resources and minimal capacity-building activities resulted in a lack of confidence in using the system independently, which were also identified as barriers.<h4>Conclusion</h4>Implementing WHONET/BacLink software in hospital settings can be challenging due to various factors, including a lack of knowledge and confidence among users, a lack of time and human resources to use the software effectively, and a lack of interoperability with other hospital management systems. Real-time support and follow-up activities potentially reinforce the skills and knowledge delivered during the training.https://doi.org/10.1371/journal.pone.0326658 |
| spellingShingle | Sanju Maharjan Patrick Gallagher Manish Gautam Sanjay Gautam Manisha Budhathoki Reena Mukhiya Smirti Kattel Amit Bhandari Hea Sun Joh Ahmed Taha Aboushady Raphaël M Zellweger Madan Kumar Upadhyaya Runa Jha Jyoti Acharya William R MacWright Florian Marks John Stelling Nimesh Poudyal Barriers and perceptions of WHONET/BacLink adoption in Nepal: A qualitative study of clinical microbiology laboratories. PLoS ONE |
| title | Barriers and perceptions of WHONET/BacLink adoption in Nepal: A qualitative study of clinical microbiology laboratories. |
| title_full | Barriers and perceptions of WHONET/BacLink adoption in Nepal: A qualitative study of clinical microbiology laboratories. |
| title_fullStr | Barriers and perceptions of WHONET/BacLink adoption in Nepal: A qualitative study of clinical microbiology laboratories. |
| title_full_unstemmed | Barriers and perceptions of WHONET/BacLink adoption in Nepal: A qualitative study of clinical microbiology laboratories. |
| title_short | Barriers and perceptions of WHONET/BacLink adoption in Nepal: A qualitative study of clinical microbiology laboratories. |
| title_sort | barriers and perceptions of whonet baclink adoption in nepal a qualitative study of clinical microbiology laboratories |
| url | https://doi.org/10.1371/journal.pone.0326658 |
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