7th East African Health and Scientific Conference, DAR ES SALAM-TANZANIA, 2019 “Internet access and ICT use by medical students and health professionals at Kamenge Teaching Hospital (CHUK).” NYANDWI Ramadhan (University of Burundi, Faculty of Medicine; university of Burundi/ Doctoral School) NDIRAHISHA Eugene (University of Burundi, Faculty of Medicine; Department of Internal Medicine) NYANDWI Joseph (University of Burundi, Faculty of Medicine; Department of Nephrology) NIYONGABO Theodore (University of Burundi, Faculty of Medicine; Department of Internal Medicine)

OBJECTIVE INTRODUCTION MATERIALS & METHODS This study aimed to assess access and use of the Internet, computer and other ICT tools among medical students and health professionals at CHUK. INTRODUCTION Information and communication technologies (ICT) are important tools for development. Access and use are limited among sub-Saharan Africa countries including Burundi. Few studies have explored internet access and the use of electronic resources among medical students and health professionals in Africa MATERIALS & METHODS A self-administered questionnaire in English and French was used for data collection from July to September 2018. The questionnaire was completed by medical students and health professionals at CHUK. Results are presented in tables with percentages

RESULTS Profession Total Medical student Health professional Gender   Profession Total Medical student Health professional Gender Male Count 61 47 108 % of Total 39.4% 30.3% 69.7% Female 29 18 18.7% 11.6% 90 65 155 58.1% 41.9% 100.0%   Profession Total Medical student Health professional Age Range 18-28 Count 75 4 79 % of Total 48.4% 2.6% 51.0% 29-38 15 29 44 9.7% 18.7% 28.4% 39-48 23 0.0% 14.8% 49-58 9 5.8% 90 65 155 58.1% 41.9% 100.0%

  Profession Total Medical student Health professional Level of Education College Count 4 % of Total 2.6% 0.0% Undergraduate 74 28 102 47.7% 18.1% 65.8% Postgraduate 12 37 49 7.7% 23.9% 31.6% 90 65 155 58.1% 41.9% 100.0%   Profession Total Medical student Health professional How often do you connect to an internet? More than once a day Count 23 43 66 % of Total 14.8% 27.7% 42.6% Once a day 4 14 18 2.6% 9.0% 11.6% Once a week 28 18.1% 0.0% less than once a week 35 8 22.6% 5.2% 90 65 155 58.1% 41.9% 100.0%

  Profession Total Medical student Health professional Average_time_spend_internet More than one hour per day Count 43 46 89 % of Total 27.7% 29.7% 57.4% One hour per day 28 19 47 18.1% 12.3% 30.3% Half an hour per day 6 3.9% 0.0% Less than half an hour per day 13 8.4% 90 65 155 58.1% 41.9% 100.0%   Profession Total Medical student Health professional Common_way_assess_internet Home Wi-Fi Count 4 % of Total 2.6% 0.0% CHUK Wi-Fi 37 9 46 23.9% 5.8% 29.7% Mobile bundles 45 47 92 29.0% 30.3% 59.4% Other 13 8.4% 90 65 155 58.1% 41.9% 100.0%

  Profession Total Medical student Health professional Speed_CHUK_internet Less than 14400 bps Count 5 % of Total 0.0% 3.2% Don't know but it's slow 48 35 83 31.0% 22.6% 53.5% Don't know but it's sufficient 38 25 63 24.5% 16.1% 40.6% Don't know but it's fast enough 4 2.6% 90 65 155 58.1% 41.9% 100.0%   Profession Total Medical student Health professional Rate_internet_skills Poor skilled Count 15 8 23 % of Total 9.7% 5.2% 14.8% enough skilled 53 29 82 34.2% 18.7% 52.9% More skilled 22 28 50 14.2% 18.1% 32.3% 90 65 155 58.1% 41.9% 100.0%

  Profession Total Medical student Health professional Easyness_get_access_CHUK_internet Very easy Count 34 20 54 % of Total 21.9% 12.9% 34.8% Easy 12 32 7.7% 20.6% Somewhat difficult 24 22 46 15.5% 14.2% 29.7% Difficult 8 11 19 5.2% 7.1% 12.3% Very difficult 4 2.6% 0.0% 90 65 155 58.1% 41.9% 100.0%   Profession Total Medical student Health professional Rate_use_computer_email_or_wwweb More than once a day Count 16 43 59 % of Total 10.3% 27.7% 38.1% Once a day 6 14 20 3.9% 9.0% 12.9% Once a week 28 8 36 18.1% 5.2% 23.2% Less than once a week 40 25.8% 0.0% 90 65 155 58.1% 41.9% 100.0%

  Profession Total Medical student Health professional Average_time_spend_on_computer More than one hour per day Count 38 48 86 % of Total 24.5% 31.0% 55.5% One hour per day 11 17 28 7.1% 11.0% 18.1% Less than half an hour per day 41 26.5% 0.0% 90 65 155 58.1% 41.9% 100.0%   Profession Total Medical student Health professional Common_way_access_computer Own computer Count 45 64 109 % of Total 29.0% 41.3% 70.3% Friend's computer 25 1 26 16.1% 0.6% 16.8% Other 20 12.9% 0.0% 90 65 155 58.1% 41.9% 100.0%

  Profession Total Medical student Health professional Rate_skills_computer_use Poor skilled Count 15 8 23 % of Total 9.7% 5.2% 14.8% Enough skilled 57 33 90 36.8% 21.3% 58.1% More skilled 18 24 42 11.6% 15.5% 27.1% 65 155 41.9% 100.0%   Profession Total Medical student Health professional Easyness_get_access_CHUK_computer_lab_ward_research Vey easy Count 2 % of Total 0.0% 1.3% Easy 6 10 16 3.9% 6.5% 10.3% Somewhat difficult 17 11.0% Difficult 19 22 41 12.3% 14.2% 26.5% Very difficult 65 14 79 41.9% 9.0% 51.0% 90 155 58.1% 100.0%

  Profession Total Medical student Health professional Purpose_use_computer Watch movies and musics Count 7 % of Total 4.5% 0.0% supplemental learning 45 32 77 29.0% 20.6% 49.7% Dowload books and articles 34 20 54 21.9% 12.9% 34.8% Both 1, 2 and 3 4 8 2.6% 5.2% other 9 5.8% 90 65 155 58.1% 41.9% 100.0%   Profession Total Medical student Health professional Use_website_or_database Hinari Count 18 14 32 % of Total 11.6% 9.0% 20.6% WHO web portal 10 12 22 6.5% 7.7% 14.2% EAHRC web portal 4 0.0% 2.6% Google scholar 55 73 35.5% 47.1% Other 7 17 24 4.5% 11.0% 15.5% 90 65 155 58.1% 41.9% 100.0%

  Profession Total Medical student Health professional Frenquency_of_use_searching_engine Frenquently Count 16 37 53 % of Total 10.3% 23.9% 34.2% Regularly 15 18 33 9.7% 11.6% 21.3% Occasionaly 41 10 51 26.5% 6.5% 32.9% Rarely 0.0% 90 65 155 58.1% 41.9% 100.0%   Profession Total Medical student Health professional Purpose_of_use_health_website_or_database Supplemental learning Count 37 31 68 % of Total 23.9% 20.0% 43.9% Searching for research topic title 38 16 54 24.5% 10.3% 34.8% Literature review writing 12 14 26 7.7% 9.0% 16.8% Both 1 and 3 3 4 7 1.9% 2.6% 4.5% 90 65 155 58.1% 41.9% 100.0%

CONCLUSION RECOMMENDATION Access to the internet and other ICT tolls usage by medical students and health professionals is low at CHUK. Free access available websites for health information are underutilized. RECOMMENDATION To promote and training in ICT To optimize the use of digital and internet resources To meet this recommendations, governments, intergovernmental and non-governmental organizations must play a key role

acknowledgment We thank all who participated in this survey, as well as the EAHRC for this great opportunity to share experiences and practices. Without forgetting the audience for you attention during this presentation.