| dc.description.abstract | This study examined the adoption of paperless communication as an eco-friendly practice for
promoting environmental sustainability at Marsabit County Teaching and Referral Hospital
(MCTRH), Kenya. The study is guided by the Green Information Technology (Green IT)
Theory, which emphasizes sustainable ICT practices across their life cycle to promote eco-
friendly digital records management and environmental sustainability. A descriptive survey
design was employed, targeting hospital staff. Structured questionnaires were administered to
117 respondents, supplemented with key informant interviews picked using stratified random
and purposive sampling, respectively, that ensured representation across departments. Validity
of the instruments was established through expert review, while reliability was confirmed with
Cronbach’s alpha values above 0.7. Ethical approval was granted, and informed consent was
obtained from participants. Out of the 117 targeted respondents, 114 returned completed
questionnaires, yielding a 97% response rate. Quantitative data were analyzed using descriptive
statistics (frequencies, percentages, means, and standard deviations), while qualitative insights
were thematically analyzed. The results show that respondents strongly acknowledged the role
of paperless communication in reducing paper usage, streamlining workflows, and enhancing
accessibility. Nevertheless, challenges such as limited ICT infrastructure, inadequate digital
literacy, and unstable internet connectivity were identified as barriers to effective adoption.
These findings corroborate recent studies highlighting that digital tools reduce environmental
footprints while improving operational efficiency. The study concludes that paperless
communication holds significant potential for advancing environmental sustainability at
MCTRH but requires deliberate support. It recommends the hospital administration to
prioritize ICT infrastructure investments, institutionalize policies on paperless communication,
and provide regular staff training. Such efforts would enhance both operational efficiency and
environmental sustainability outcomes. | en_US |
