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Updated: Sep 16, 2025

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Challenges in data documentation and retrieval in the ASHA diary from a usability perspective.

Sakshi Patel1, Puneet Tandon1

  • 1Social Innovation Lab, PDPM Indian Institute of Information Technology, Design and Manufacturing, Jabalpur, Madhya Pradesh, 482005, India.

Social Science & Medicine (1982)
|July 7, 2025
PubMed
Summary

Accredited Social Health Activist (ASHA) workers face significant usability challenges with current ASHA diaries, hindering effective data documentation and retrieval. Improving diary design is crucial for optimizing healthcare information systems and community health delivery.

Keywords:
ASHA diaryASHA workersHealth information documentationHealth information retrievalUsability issues

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Area of Science:

  • Public Health
  • Health Informatics
  • Human-Computer Interaction

Background:

  • Accredited Social Health Activists (ASHA) are vital links in India's healthcare system, serving underserved communities.
  • ASHA diaries are essential for documenting patient information, monitoring health, and supporting data-driven decisions.
  • Current ASHA diaries present significant challenges for ASHA workers in data documentation and retrieval.

Purpose of the Study:

  • To assess the usability of the current ASHA diary.
  • To identify key challenges faced by ASHA workers in documenting and retrieving data.
  • To provide insights for improving ASHA diary design.

Main Methods:

  • An empirical study using mixed methods (qualitative and quantitative) with 57 ASHA workers.
  • Quantitative data collected via a modified questionnaire.
  • Qualitative data gathered through observation, informal interviews, and task analysis.

Main Results:

  • Identified usability issues include poor visual cues (visibility, readability, legibility).
  • Challenges also encompass difficulty in comprehension, inconsistent data presentation, and excessive cognitive load.
  • Inappropriate resource utilization was also noted as a contributing factor to usability issues.

Conclusions:

  • The study highlights critical usability challenges in current ASHA diary design.
  • Addressing these issues can enhance data documentation and retrieval for ASHA workers.
  • Optimizing ASHA diaries contributes to improved healthcare information systems and delivery in marginalized communities.