An Assessment of Eco-Friendly Digital Records Management Practices for Promoting Environmental Sustainability: A Case Study of the Marsabit County Teaching and Referral Hospital

Abstract

Environmental sustainability is a growing global concern, driving institutions to adopt eco-friendly practices in their daily operations. This study examined how paperless communication, digital archiving, cloud storage, and e-waste management contribute to sustainability at Marsabit County Teaching & Referral Hospital (MCTRH). Anchored on the Green Information Technology (Green IT) theory, a descriptive survey design was applied. Data were collected from 117 staff members through structured questionnaires and from three top managers via key informant interviews. Random sampling was used for staff, while key informants were purposively selected. Quantitative data were analyzed using descriptive statistics, and qualitative insights were thematically analyzed. Instrument validity was ensured through expert review and pre-testing, and reliability confirmed with Cronbach’s Alpha values above 0.7. The study achieved a 97% response rate. Results indicated that paperless communication is moderately adopted, cutting paper use and costs while supporting sustainability. Digital archiving improved accessibility and reduced physical storage needs, though adoption was inconsistent. Cloud storage enhanced collaboration and accessibility, offering strong sustainability benefits despite infrastructural challenges. E-waste management practices were partial, signaling the need for structured recycling and safe disposal. Other initiatives, including solar energy, green campaigns, and electronic medical records, were evident though unevenly adopted. The study concludes that eco-friendly digital records management significantly fosters environmental sustainability among healthcare. It recommends stronger policies to institutionalize paperless communication, investment in reliable archiving and cloud systems, and robust e-waste management frameworks. These findings contribute to the growing body of knowledge on sustainable healthcare management while offering practical implications for policymakers and administrators aiming to integrate green technologies into health information systems.