Authors - Atharva Sachan, Aryan Gupta, Aditya Varshney, Abhishek Sharma, Surendra Kumar Keshari, Veepin Kumar Abstract - Mobile Health (mHealth) has been regarded as a potentially transform-ative element for enhancing health service delivery in low-income nations. The effective integration of technology relies on ongoing usage rather than just initial acceptance. While the body of literature on factors influencing continued mHealth use is expanding, post-adoption expectations are proposed as indicators of the success or failure of mHealth implementation. There is limited research on how community health workers' post-adoption expectations influence their inten-tions to persist in using mHealth in developing regions. Consequently, this study explores the effect of post-adoption expectations on satisfaction and ongoing us-age behaviour regarding mHealth among community health workers in Malawi, which represents a developing country context. The research introduces a frame-work that builds upon the expectation confirmation model and incorporates ele-ments from the updated information success model. A mixed-methods conver-gent design was utilised for the study. Data were collected through surveys and semi-structured interviews with community health workers who utilise Cstock. Cstock is an mHealth application that facilitates the ordering of medical supplies via text message. The findings generally support the notion that post-usage use-fulness, along with information quality, system quality, and service quality, pos-itively influences community health workers’ satisfaction and their intention to continue using the Cstock application. The results indicate that the ongoing usage behaviour of mHealth among community health workers is shaped not solely by behavioural expectation beliefs (i.e., post-usage usefulness) but also by objective expectation beliefs, including system quality, service quality, and information quality. Therefore, these findings provide valuable insights to policymakers, practitioners, mHealth developers, and other relevant parties regarding the post-user expectations essential for maintaining future mHealth solutions in develop-ing countries, particularly in Malawi.
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