| dc.creator |
Nyella, Edwin E. |
|
| dc.creator |
Mndeme, Mathew |
|
| dc.date |
2016-09-14T17:05:50Z |
|
| dc.date |
2016-09-14T17:05:50Z |
|
| dc.date |
2010 |
|
| dc.date.accessioned |
2018-03-27T08:53:02Z |
|
| dc.date.available |
2018-03-27T08:53:02Z |
|
| dc.identifier |
Nyella, E.E. and Mndeme, M., 2010. Power Tensions in Health Information System Integration in Developing Countries: The Need for Distributed Control. The Electronic Journal of Information Systems in Developing Countries, 43. |
|
| dc.identifier |
http://hdl.handle.net/20.500.11810/3706 |
|
| dc.identifier.uri |
http://hdl.handle.net/20.500.11810/3706 |
|
| dc.description |
As part of health sector reform, most developing countries are in the process of restructuring
the Health Information Systems (HIS) by way of standardizing and integrating various
vertical reporting systems. Nevertheless, the pressure resulting from the vertical systems
supported by donors renders the integration goal challenging and unachievable. While many
studies have argued for the heterogeneity of interests and multiple data needs of the donors as
the major cause of the problem, this paper argue for more detailed and critical analysis of the
problem. To contribute to this, the paper emphasize the need to understand the main actors
involved in the process in terms of the resources and rules available to them; and their
implication in the HIS integration venture. By drawing on an empirical case study and
Structuration Theory concepts, the paper identified the dialectic power relations between the
actors resulting from the asymmetric ownership and control of resources and rules. To
alleviate the power tensions, the paper proposed i) the need to build shared meaning of the
integration process through communication approaches ii) and the need to distribute the
control of the integrated HIS using modularization approach facilitating ‘the tapping on’ of
the resources available to each group of actors. |
|
| dc.language |
en |
|
| dc.subject |
Standardization |
|
| dc.subject |
Health Information Systems |
|
| dc.subject |
Integration |
|
| dc.subject |
Vertical Programs |
|
| dc.subject |
Structuration Theory |
|
| dc.title |
Power Tensions in Health Information System Integration in Developing Countries: The Need for Distributed Control |
|
| dc.type |
Journal Article, Peer Reviewed |
|