Abstract:
This study examines the effectiveness of cloud computing for data security in healthcare,
specifically through the M-TIBA platform—a cloud-based service enabling users to manage
healthcare finances and data. While cloud technology offers significant benefits in accessibility
and scalability, its application in healthcare raises critical concerns about data security and user
trust. Current literature and industry practices reveal a gap in user awareness and limited digital
literacy, which undermine the effective adoption of cloud technologies in healthcare. Thus, the
primary problem addressed is how cloud computing characteristics, security measures, and user
education impact data security and trust among healthcare users in Kenya. The study aims to
address three key objectives: to assess how user awareness influences security effectiveness
within M-TIBA, to evaluate the current security measures’ impact on user trust, and to
investigate how cloud computing’s intrinsic characteristics affect data security. The research
builds on foundational theories, including the Technology Acceptance Model (TAM) and the
Information Systems Success Model (ISSM). TAM provides insights into factors that influence
technology adoption, while ISSM explores how information systems succeed based on system
quality, service, and information. Using a mixed-methods design, the study integrates both
quantitative and qualitative data collection, with structured questionnaires and semi-structured
interviews. The study targeted users of the M-TIBA platform, healthcare providers, and
policymakers/IT professionals. The sample size was calculated at 450 participants, with an
80% anticipated response rate resulting in 360 usable responses. Quantitative data analysis was
supported by statistical methods to measure correlations between digital literacy, security
awareness, and perceived security measures, while qualitative data helped capture nuanced
perspectives on trust and technology adoption. The findings reveal that higher digital literacy
is linked to increased adoption and trust in cloud services, while limited user awareness remains
a barrier to securing data effectively. Additionally, most users expressed moderate satisfaction
with M-TIBA’s security measures but emphasized a need for increased transparency on data
protection practices. Security concerns such as data breaches and unauthorized access were
notable among healthcare providers, suggesting that security protocols alone do not fully
alleviate user concerns without proper education and engagement. In conclusion, the study
highlights the critical role of user education in enhancing cloud security effectiveness and
recommends implementing routine digital literacy programs, particularly in healthcare settings.
Furthermore, policymakers should prioritize developing comprehensive security protocols
tailored to the unique requirements of healthcare data. Enhanced transparency and continuous
investment in advanced security measures are essential to fostering trust and ensuring
sustainable cloud adoption in healthcare.