A critical analysis of the implementation of health information systems for public healthcare service delivery in resource-constrained environments: a South African study

Mourine Achieng*, Ephias Ruhode

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

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Abstract

The use of technological solutions is argued to offer quality enhancing efficiencies in the delivery process of healthcare services. For this to be realized certain objectives of these technological solutions have to be achieved. The public health system in South Africa faces various challenges such as poor coordination of most technological solutions therefore fragmented; a lack of interoperability between different systems, haphazard procurement processes and poor information management capabilities. The argument in this study establishes that the causes are not purely logistical but also linked to gaps in the adequacy of the health information systems (HISs) and the implementation process of these technological solutions. A case study strategy, whose empirical home is rural South Africa, was employed using qualitative methodology. Activity Analysis and Development (ActAD) framework was used as a theoretical lens within critical realist paradigm. The study was conducted in a public healthcare facility within a resource constrained environment. Semi-structured interviews was used as data collection method and analysis of data was through narrative and explanatory analyses, employing thematic analysis tool. The paper intends to come up with a framework that can be used to inform the implementation process of HIS(s) across board. With a focus on the context of a divergent national service delivery reality that impacts the right to healthcare service in under-served communities.
Original languageEnglish
Title of host publicationInformation and Communication Technologies for Development. Strengthening Southern-Driven Cooperation as a Catalyst for ICT4D
Subtitle of host publication15th IFIP WG 9.4 International Conference on Social Implications of Computers in Developing Countries, ICT4D 2019, Dar es Salaam, Tanzania, May 1-3 2019, Proceedings, Part I
EditorsPetter Nielsen, Honest Christopher Kimaro
PublisherSpringer Cham
Pages568-578
Number of pages11
ISBN (Electronic)9783030184001
ISBN (Print)9783030183998, 9783030184025
DOIs
Publication statusPublished - 26 Apr 2019
Externally publishedYes

Publication series

NameIFIP Advances in Information and Communication Technology
PublisherSpringer Nature
Volume551
ISSN (Print)1868-4238
ISSN (Electronic)1868-422X

Keywords

  • health information systems
  • healthcare service delivery
  • resource constrained environments
  • underserved contexts9783

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