Scaling of Health Information Systems in Nigeria and Ethiopia: Considering the options.

Shegaw Anagaw Mengiste, Vincent Shaw, Jørn Braa

Publikation: Bidrag til tidsskriftKonferenceartikel i tidsskriftForskningpeer review

Abstract

This paper addresses the IFIP 9.4 conference theme for papers that take stock of the
development of ICT in the health sector, and in particular how infrastructure and human
resource factors influence the implementation of e-development initiatives. Using case
studies from the Health Information Systems Programme in Nigeria and Ethiopia, the
interdependencies between three spheres are identified as being important in scaling health
information systems. The three spheres that are explored are the volume of data collected,
human resource factors and access to technology. We draw on concepts from mindful
innovation with technology to illustrate that a cultivation approach is appropriate to bringing
about change. We suggest that a balance needs to be achieved between the three spheres if
scaling initiatives are to succeed, and identify a number of factors that can be used to achieve
and maintain the balance. Three flexible standards are identified as being critical strategies to
global health information scaling initiatives, namely an essential data set, a scalable process
of information systems collection and collation consisting of gateways between paper based
systems and hardware and software which can be interfaced with one another, and a
cultivation approach.
OriginalsprogEngelsk
TidsskriftProceedings of IFIP 9.4
Vol/bind9
Sider (fra-til)1-18
Antal sider18
StatusUdgivet - 28 maj 2007

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