The referral system is an essential element of maternal and neonatal health [1]. Some developing countries have implemented health information systems or technologies (IS/IT) to support communication, transportation, or documentation in maternal and neonatal health referrals [2]. Previous studies about these technologies have primarily focused on design [3] and the benefits of IS/IT to support referrals [4,5]. However, there is a lack of research exploring users' perspectives on using technologies to support maternal and neonatal referrals.The effective deployment of IS/IT requires both organizational support and users' ability to use technologies [6].