- Literacy state Technological literacy rate of patients: patients are mostly illiterate. CHWs are also illiterate/semi-literate (mostly passed 8th standard).the patients is very low. A very small fraction of patients have ever interacted with a computer, tablet or a smart-phone. About 50% patients have access to mobile phones. Mostly they have very basic models. Very less computer usage. Most of the JSS staff and patients are computer illiterate. Patients may have no idea what a computer is.
- JSS as a system is overloaded. Every worker at JSS is overburdened with work. This may attribute to high reliance of the system on JSS staff. Patients require help at every stage. It is difficult for any new patient to understand the workflow of JSS until and unless someone helps him/her out.
- Patients have difficulty in understanding critical health information eg. Medicine schedule: This can be potentially harmful for the patients.
- All signages and warning at JSS are textual (mostly written in hindi): Most of the patients visiting JSS are illiterate and do not understand any written signage/ warning. But patients understand numbers. If patients are told to go to lab, it would be tough for a first timer to find the lab by himself. All the records and prescriptions are written in English/Hindi. For medicine schedule only some pictorial aid is providedAs a result, they might be apprehensive or diffident in approaching new technology. We might have to spend significant amount of time in making the user feel familiar with the device as well as the interface.
- Resource unavailability - The patient module, in order to be accessible to the patient, would require that some tablets or PCs be installed at JSS.
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