Integration of a Digital Health Intervention Into Immunization Clinic Workflows in Kenya: Qualitative, Realist Evaluation of Technology Usability

Samantha B Dolan   ^{1, 2, 3} , MPH, PhD ;   Rachel  Wittenauer   ² , MPH, PhD ;   Jessica C Shearer   ⁴ , MHS, PhD ;   Anne Njoroge   ^{1, 2} , MBChB, PhD ;   Penina Onyango   ⁵ , BSN ;   George Owiso   ⁶ , MA, MPH ;   William B Lober   ^{2, 7} , MS, MD ;   Shan Liu   ⁸ , MS, PhD ;   Nancy Puttkammer   ^{1, 2} , MPH, PhD ;   Peter Rabinowitz   ^{1, 2} , MPH, MD

¹ International Training and Education Center for Health, University of Washington, Seattle, WA, United States

² Department of Global Health, University of Washington, Seattle, WA, United States

³ Bill and Melinda Gates Foundation, Seattle, WA, United States

⁴ PATH, Seattle, WA, United States

⁵ County Department of Health, Siaya, Kenya

⁶ International Training and Education Center for Health, University of Washington, Nairobi, Kenya

⁷ Biobehavioral Nursing and Health Informatics, University of Washington, Seattle, WA, United States

⁸ Department of Industrial and Systems Engineering, University of Washington, Seattle, WA, United States