scholarly journals Health Information Systems: a Survey of Frame-works for Developing Countries

2010 ◽  
Vol 19 (01) ◽  
pp. 25-29 ◽  
Author(s):  
A.B. Marcelo

Summary Objectives: The objective of this paper is to perform a survey of excellent research on health information systems (HIS) analysis and design, and their underlying theoretical frameworks. It classifies these frameworks along major themes, and analyzes the different approaches to HIS development that are practical in resource-constrained environments. Method: Literature review based on PubMed citations and conference proceedings, as well as Internet searches on information systems in general, and health information systems in particular. Results: The field of health information systems development has been studied extensively. Despite this, failed implementations are still common. Theoretical frameworks for HIS development are available that can guide implementers. Conclusion: As awareness, acceptance, and demand for health information systems increase globally, the variety of approaches and strategies will also follow. For developing countries with scarce resources, a trial-and-error approach can be very costly. Lessons from the successes and failures of initial HIS implementations have been abstracted into theoretical frameworks. These frameworks organize complex HIS concepts into methodologies that standardize techniques in implementation. As globalization continues to impact healthcare in the developing world, demand for more responsive health systems will become urgent. More comprehensive frameworks and practical tools to guide HIS implementers will be imperative.

Author(s):  
Ronald Karon

The use of Health Information Systems (HIS) is considered to be a major contributing factor to healthcare service delivery. However, the utilisation of HIS which includes use and management is critically challenging in the public health sector in many developing countries. The manifestation of the challenges results in poor service delivery, which includes patient deaths. This is the main motivation for this study, to investigate how HIS can be used to improve service delivering in the hospitals from developing countries perspective. The study was carried out in Namibia, using two hospitals in the public healthcare. The study adopted the qualitative case study. The study revealed that the use of parallel systems, lack of systems integration, lack of portable devices and users' incompetency are some of the factors which impact the use and management of HIS in hospitals.


2020 ◽  
Author(s):  
Aimé Patrice KOUMAMBA ◽  
Ulrick Jolhy BISVIGOU ◽  
Edgard Brice NGOUNGOU ◽  
Gayo DIALLO

Abstract Background: In developing countries, health information systems (HIS) is experiencing more and more difficult to produce quality data. The lack of reliable health information makes it difficult to develop effective health policies. In order to understand the organization of HIS in African countries, we undertook a literature review.Methods: Our study was conducted using the PubMed and Scopus bibliographic search engines. Our inclusion criteria were: (i) all articles published between 2005 and 2019, (ii) including in their titles the keywords "health", "information", "systems", "system", "africa", "developing countries", "santé", "pays en développement", "Afrique", (iii) written in English and French, (iv) dealing with organizational and technical issues of HIS in African countries.Results: Fourteen articles out of 2492 retrieved were included in the study, of which 13 (92.9%) were qualitative. All of them dealt with issues related to HIS in 12 African countries. All 12 countries (100.0%) had opted for a data warehouse approach to improve their HIS. This approach, supported by the DHIS2 application, had provided them with reliable data. However, 11 of the 12 countries (92.0%) were aligned with donor strategies and lacked a national strategy. Conclusion: This study helped us to understand that the lack of a national health information management strategy will always be a threat to HIS performance in African countries. Ideally, rigorous upstream thinking to strengthen HIS governance should be undertaken by defining and proposing a coherent conceptual framework to analyze and guide the development and integration of digital applications into HIS over the long term.


2009 ◽  
Vol 18 (1) ◽  
pp. 12-16 ◽  
Author(s):  
David M. Ndetei ◽  
Rachel Jenkins

AbstractThe aims are to examine the challenges and opportunities in the implementation of mental health information systems (MHIS) in developing countries as suggested by the World Health Organization (WHO) and explored by Gulbinat et al. (2008). Special recommendations for developing countries are: 1) MHIS should be linked to the general medical information system; 2) there is need for adoption, adaptation and validation of preferably self-administered instruments that are appropriate for different levels within the health care system; 3) developing countries must adopt innovative and “unconventional” approaches through utilization of community members, traditional doctors/healers and mid-cadre health workers, in addition to general doctors, for the delivery of mental health services.


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