Cart (Loading....) | Create Account
Close category search window

Challenges in health information systems integration: Zanzibar experience

Sign In

Cookies must be enabled to login.After enabling cookies , please use refresh or reload or ctrl+f5 on the browser for the login options.

Formats Non-Member Member
$31 $13
Learn how you can qualify for the best price for this item!
Become an IEEE Member or Subscribe to
IEEE Xplore for exclusive pricing!
close button

puzzle piece

IEEE membership options for an individual and IEEE Xplore subscriptions for an organization offer the most affordable access to essential journal articles, conference papers, standards, eBooks, and eLearning courses.

Learn more about:

IEEE membership

IEEE Xplore subscriptions

1 Author(s)
Nyella, E. ; Dept. of Inf., Univ. of Oslo, Oslo, Norway

The healthcare milieu of most developing countries is often characterized by multiplicity of health programs supported by myriad of donors geared towards reversing disease trends in these countries. However, donor policies tend to support implementation of vertical programs which maintain their own management structures and information systems. The emerging picture overtime is proliferation of multiple and uncoordinated health information systems (HIS), that are often in conflict with the primary health care goals of integrated district based health information systems. As a step towards HIS strengthening, most countries are pursuing an integration strategy of the vertical HIS. Nevertheless, the challenges presented by the vertical reporting HIS reinforced by funds from the donors renders the integration initiatives ineffective, some ending up as total failure or as mere pilot projects. The failure of the systems after implementation transcends technical fixes. This paper drew on an empirical case to analyze the challenges associated with the effort to integrate the HIS in a context characterized by multiple vertical health programs. The study revealed the tensions that exists between the ministry of health which strived to standardize and integrate the HIS and the vertical programs which pushed the agenda to maintain their systems alongside the national HIS. However, as implied from the study, attaining integration entails the ability to strike a balance between the two forces, which can be achieved by strengthening communication and collaboration linkages between the stakeholders.

Published in:

Information and Communication Technologies and Development (ICTD), 2009 International Conference on

Date of Conference:

17-19 April 2009

Need Help?

IEEE Advancing Technology for Humanity About IEEE Xplore | Contact | Help | Terms of Use | Nondiscrimination Policy | Site Map | Privacy & Opting Out of Cookies

A not-for-profit organization, IEEE is the world's largest professional association for the advancement of technology.
© Copyright 2014 IEEE - All rights reserved. Use of this web site signifies your agreement to the terms and conditions.