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Application of blockchain technology in strengthening health information system security: a case study of Mount Meru referral hospital

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dc.creator Mnyawi, Richard
dc.date 2022-09-22T07:13:56Z
dc.date 2022-09-22T07:13:56Z
dc.date 2022-07
dc.date.accessioned 2022-10-25T09:14:54Z
dc.date.available 2022-10-25T09:14:54Z
dc.identifier https://dspace.nm-aist.ac.tz/handle/20.500.12479/1663
dc.identifier.uri http://hdl.handle.net/123456789/94452
dc.description A Dissertation Submitted in Partial Fulfilment of the Requirements of the Award the Degree of Master of Science in Wireless and Mobile Computing of the Nelson Mandela African Institution of Science and Technology
dc.description Health information system (HIS) is a digital technology used in health care data management. Through literature review, it has been observed that HIS are facing security challenges. These challenges are based on centralized system architecture creating a target for malicious attacks. Despite of the effectiveness of this technology, still HIS are suffering from a lack of data privacy and confidentiality. This research developed a blockchain-based system integrated with the Government of Tanzania Hospital Management Information System. The study employed a qualitative research method where data were collected using interviews and document analysis. Execute-order-validate Fabric’s storage security architecture was implemented through private data collection. Privacy and confidentiality are attained through a private data policy. Network peers are decentralized with blockchain only for hash storage to avoid storage challenges. Cost-effectiveness is achieved through data storage within a database of a Hyperledger Fabric. The overall performance of Fabric is higher than Ethereum. Ethereum’s low performance is due to its execute-validate architecture which has high computation power with transaction inconsistencies. Health policymakers should be aware of blockchain technology and make use of the findings. The scientific contribution of this study is based on; the cost-effectiveness of secured data storage, the use of hashes of network data stored in each node, and low energy consumption of Fabric leading to high performance. The system is developed in an integrated data sharing architecture in a peer-to-peer, decentralized network environment. Data sharing and information exchange are maintained without central control, with improved security and privacy of the system.
dc.format application/pdf
dc.language en
dc.publisher NM-AIST
dc.subject Research Subject Categories::TECHNOLOGY
dc.title Application of blockchain technology in strengthening health information system security: a case study of Mount Meru referral hospital
dc.type Thesis


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