Beyond one-off training: Continuing support, system stability and worker-borne costs shape electronic community health reporting in Kisii County, Kenya

Kenya's electronic community health information system (eCHIS) moves household and service data from community health promoters' phones into the national health information system. When reporting quality falls short, the usual response is more training and competency frameworks. We tested whether user capability and one-off training explain how well the system performs for its users, or whether continuing support and system stability matter more. We also examined where along the reporting chain quality was lost. In this convergent mixed-methods cross-sectional study in Kisii County, we surveye

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