Background: Electronic medical records have transformed the collection, storage, retrieval and use of medical information. This led to hospitals increasing investments in EMR adoption and implementation in both developed and developing countries. However, the EMR implementation is complex thus calls for the necessity of assessing the successes of such investments at the various stages of implementation. Therefore, this study aimed at assessing the adoption and users experience of the Government of Tanzania-Hospital Management Information System (GoT-HoMIS) in a primary healthcare facility.Methodology: A case study employing qualitative approach was conducted in Meru district hospital between May and June 2019. In-depth interviews, observations and documents review were used. We interviewed nine key informants including two hospital managers, one information technology officer, two clinicians, one laboratory technologist, one pharmacist, one medical recorder and one nurse assistant. Thematic analysis of qualitative data was used.Results: The study found that the top-down approach used in adoption of GoT-HoMIS limited the preliminary preparations made by the hospital. Availability of local area network, reliable electrical power supply and perceived benefits facilitated the system use. The system use was hindered by a partial system implementation, inadequate ICT infrastructure, low level of ICT knowledge and skills among users, and inadequate management support.Conclusion: This study identified a partial implementation and use of the system in the hospital, inadequate ICT knowledge and skills among users, and insufficient management support in provision of funds for ICT infrastructure, trainings, supervision and mentorship as the main barriers to effectively use the GoT-HoMIS. Therefore, the study recommends enhancement of ICT infrastructure, regular trainings to users and strengthening leadership, and management support of system implementation.Funding Information: The authors have not received any funding from any organization for this study.Declaration of Interests: The authors declare no conflict of interest.Ethics Approval Statement: A written ethical clearance was obtained from the Institutional Review Board (IRB) of the Muhimbili University of Health and Allied Sciences, Tanzania. The permission to conduct the study was obtained from the Meru District Medical Officer (DMO) and hospital medical officer in-charge. During data collection process, the written voluntary consent was obtained from each participant prior to participation. Participants’ anonymity was ensured, their information was considered confidential to be used for the purpose of this study only. No direct benefits were provided to participants for participating in this study
