scholarly journals Improving health information systems for decision making across five sub-Saharan African countries: Implementation strategies from the African Health Initiative

2013 ◽  
Vol 13 (S2) ◽  
Author(s):  
Wilbroad Mutale ◽  
◽  
Namwinga Chintu ◽  
Cheryl Amoroso ◽  
Koku Awoonor-Williams ◽  
...  
Keyword(s):  
Decision Making ◽  
Information Systems ◽  
Health Information ◽  
Implementation Strategies ◽  
Health Information Systems ◽  
African Countries ◽  
Health Initiative ◽  
African Health ◽  
Sub Saharan

scholarly journals Researching, Co-creating and Testing Innovations in Paper Health Information Systems (PHISICC) to Support Health Workers Decision-making: Protocol of a Multi-country, Transdisciplinary, Mixed-methods Research Programme in Three Sub-saharan Countries

2021 ◽  
Author(s):  
Xavier Bosch-Capblanch ◽  
David O’Donnell ◽  
L Kendall Krause ◽  
Christian Auer ◽  
Angela Oyo-Ita ◽  
...  
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Information Systems ◽  
Health Information ◽  
Health Workers ◽  
Health Information Systems ◽  
Primary Health ◽  
Frontline Health Workers ◽  
Rural Settings ◽  
Sub Saharan

Abstract BackgroundHealth Information Systems are crucial to provide data for decision-making and data demands are constantly growing. However, the link between data and decisions is not always rational nor linear and the management of data ends up overloading frontline health workers, who may have to compromise the health care. Despite limited evidence, there is an increasing push for the digitalisation of Health Information Systems, which faces enormous challenges, particularly in remote, rural settings in low- and middle-income countries. Paper-based tools will continue to be used and this warrants efforts to make them more responsive to local needs. Paper Health Information Systems (PHISICC) is a transdisciplinary, multi-country research initiative to create and test innovative paper-based Health Information Systems in three Sub-Saharan African countries.MethodsThe PHISICC initiative is taking place in remote, rural settings, in Côte d’Ivoire, Mozambique and Nigeria, through partnership with Ministries of Health and research institutions. We began with research syntheses to acquire the most up to date knowledge on Health Information Systems. These were coupled with field work in the three countries to understand the current design, patterns and contexts of use, and health care worker perspectives. Frontline health workers, with designers and researchers, used co-creation methods to produce the new PHISICC tools. This suite of tools is being tested in the three countries. Throughout the project, we have engaged with a wide range of stakeholders and have kept the highest scientific standards to keep it relevant to health policy in each of the three countries.DiscussionWe have deployed a comprehensive research approach to ensure the robustness and future policy uptake of the finding. Beyond the resulting paper-based tool design innovations, our process itself was innovative. Rather than emphasizing the data management compliance aspects we focused instead on frontline health workers’ decision-making; by tackling the whole scope of health care areas in Primary Health Care rather than incremental improvement to existing tools, we developed an entirely new design approach and language for a suite of tools in Primary Health Care. The initiative is being tested in remote, rural areas where the most vulnerable live.

scholarly journals Researching, characterising, co-creating and testing innovations in Paper Health Information Systems (PHISICC) to support frontline health workers decision-making: protocol of a multi-country, transdisciplinary, mixed-methods research programme in three Sub-Saharan countries

2021 ◽  
Author(s):  
Xavier Bosch-Capblanch ◽  
David O'Donnell ◽  
L Kendall Krause ◽  
Christian Auer ◽  
Angela Oyo-Ita ◽  
...  
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Information Systems ◽  
Health Information ◽  
Health Workers ◽  
Health Information Systems ◽  
Frontline Health Workers ◽  
Rural Settings ◽  
Wide Range ◽  
Sub Saharan

Abstract BackgroundHealth Information Systems (HIS) are crucial to provide data for decision-making and data demands are constantly growing. However, the link between data and decisions is not always rational nor linear and the management of data ends up overloading frontline health workers, who may have to compromise the health care. Despite limited evidence, there is an increasing push for HIS digitalisation, which faces enormous challenges, particularly in remote, rural settings in low- and middle-income countries. Paper-based tools will continue to be used and this warrants efforts to make them more responsive to local needs. Paper Health Information Systems (PHISICC) is a transdisciplinary, multi-country research initiative to create and test innovative paper-based HIS in three Sub-Saharan African countries.MethodsThe PHISICC initiative is taking place in remote, rural settings, in Côte d’Ivoire, Mozambique and Nigeria, through partnership with Ministries of Health and research institutions. We began with research syntheses to acquire the most up to date knowledge on HIS. These were coupled with field work in the three countries to understand the current design, patterns and contexts of use, and health care worker perspectives. Frontline health workers, with designers and researchers, used co-creation methods to produce the new PHISICC tools. This suite of tools is being tested in the three countries. Throughout the project we have engaged with a wide range of stakeholders and have kept the highest scientific standards to keep it relevant to health policy in each of the three countries.DiscussionWe have deployed a comprehensive research approach to ensure the robustness and future policy uptake of the finding. Beyond the resulting paper-based tool design innovations, our process itself was innovative. Rather than emphasizing the data management compliance aspects we focused instead on frontline health workers’ decision-making; by tackling the whole scope of health care areas in PHC rather than incremental improvement to existing tools, we developed an entirely new design approach and language for a suite of tools in Primary Health Care. The initiative is being tested in remote, rural areas where the most vulnerable live.

scholarly journals Researching, co-creating and testing innovations in paper-based health information systems (PHISICC) to support health workers’ decision-making: protocol of a multi-country, transdisciplinary, mixed-methods research programme in three sub-Saharan countries

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Xavier Bosch-Capblanch ◽  
David O’Donnell ◽  
L. Kendall Krause ◽  
Christian Auer ◽  
Angela Oyo-Ita ◽  
...  
Keyword(s):  
Decision Making ◽  
Information Systems ◽  
Health Information ◽  
Health Workers ◽  
Health Information Systems ◽  
Research Approach ◽  
Frontline Health Workers ◽  
Rural Settings ◽  
Wide Range ◽  
Sub Saharan

Abstract Background Health information systems are crucial to provide data for decision-making and demand for data is constantly growing. However, the link between data and decisions is not always rational or linear and the management of data ends up overloading frontline health workers, which may compromise quality of healthcare delivery. Despite limited evidence, there is an increasing push for the digitalization of health information systems, which poses enormous challenges, particularly in remote, rural settings in low- and middle-income countries. Paper-based tools will continue to be used in combination with digital solutions and this calls for efforts to make them more responsive to local needs. Paper-based Health Information Systems in Comprehensive Care (PHISICC) is a transdisciplinary, multi-country research initiative to create and test innovative paper-based health information systems in three sub-Saharan African countries. Methods/Design The PHISICC initiative is being carried out in remote, rural settings in Côte d’Ivoire, Mozambique and Nigeria through partnership with ministries of health and research institutions. We began with research syntheses to acquire the most up-to-date knowledge on health information systems. These were coupled with fieldwork in the three countries to understand the current design, patterns and contexts of use, and healthcare worker perspectives. Frontline health workers, with designers and researchers, used co-creation methods to produce the new PHISICC tools. This suite of tools is being tested in the three countries in three cluster-randomized controlled trials. Throughout the project, we have engaged with a wide range of stakeholders and have maintained the highest scientific standards to ensure that results are relevant to the realities in the three countries. Discussion We have deployed a comprehensive research approach to ensure the robustness and future policy uptake of findings. Besides the innovative PHISICC paper-based tools, our process is in itself innovative. Rather than emphasizing the technical dimensions of data management, we focused instead on frontline health workers’ data use and decision-making. By tackling the whole scope of primary healthcare areas rather than a subset of them, we have developed an entirely new design and visual language for a suite of tools across healthcare areas. The initiative is being tested in remote, rural areas where the most vulnerable live.

scholarly journals The African Health Observatory and national health observatories as platforms for strengthening health information systems in sub-Saharan Africa

2014 ◽  
Vol 107 (1_suppl) ◽  
pp. 6-9 ◽  
Author(s):  
Derege Kebede ◽  
Chris Zielinski ◽  
Peter Ebongue Mbondji ◽  
Miguel Piexoto ◽  
Wenceslas Kouvividila ◽  
...  
Keyword(s):  
Information Systems ◽  
Health Information ◽  
National Health ◽  
Health Information Systems ◽  
Sub Saharan Africa ◽  
African Health ◽  
Sub Saharan

scholarly journals Health Information Systems In The Decision-Making Process In Primary Care

10.3823/1873 ◽  
2016 ◽  
Author(s):  
Ericka Silva Holmes ◽  
Sérgio Ribeiro dos Santos ◽  
Alexandra Fraga Almeida ◽  
Jéssica Helena Dantas de Oliveira ◽  
Gyl Dayara Alves de Carvalho ◽  
...  
Keyword(s):  
Primary Care ◽  
Decision Making ◽  
Information Systems ◽  
Health Information ◽  
Health Information Systems ◽  
Decision Making Process

Key Health Information Systems Outsourcing Issues from Six Hospital Cases

2011 ◽  
pp. 136-149
Author(s):  
Chad Lin ◽  
Yu-An Huang ◽  
Chien-Fa Li ◽  
Geoffrey Jalleh
Keyword(s):  
Decision Making ◽  
Information Systems ◽  
Health Information ◽  
User Involvement ◽  
Evaluation Process ◽  
Health Information Systems ◽  
Decision Making Process ◽  
Management Skills ◽  
Key Issues ◽  
Outsourcing Contracts

Traditionally, little attention has been paid by hospitals to the key issues in the health information systems (HIS) outsourcing decision-making process. This is important given that the HIS outsourcing can play a key role in assisting hospitals in achieving its business objectives. However, the decision-making process of HIS outsourcing in hospitals is under-studied, especially in the management of their HIS outsourcing contracts. Therefore, the main objectives of this book chapter are to: (1) examine key issues surrounding the management and implementation of HIS outsourcing in Taiwanese hospitals; and (2) identify issues that are crucial in managing and implementing HIS outsourcing in hospitals. Four key issues and problems were identified in the HIS outsourcing process: lack of implementation in IS investment evaluation process, problems in managing HIS outsourcing contracts, lack of user involvement and participation in HIS outsourcing process, and failure to retain critical HIS contract management skills and project management capabilities in-house. Solutions and recommendations are provided to deal with key issues that are critical in the management and implementation of HIS outsourcing in hospitals.

Health Information Systems and Migrant Health in Europe

2021 ◽  
Author(s):  
Louise Biddle ◽  
Kayvan Bozorgmehr ◽  
Rosa Jahn
Keyword(s):  
Decision Making ◽  
Information Systems ◽  
Data Collection ◽  
Health System ◽  
Health Information ◽  
Health Monitoring ◽  
Health Information Systems ◽  
Migrant Health ◽  
European Region ◽  
High Quality

Ensuring the health of migrants and access to appropriate health services presents a challenge to health systems in the age of global migration. Reliable and timely information is key to decision-making in all sectors of the health system to ensure that health system goals are met. Such information is even more important among a mobile, sometimes rapidly changing, dynamic and heterogeneous migrant population. While health information systems (HIS) are crucial for effective functioning of other health system blocks as well as for evidence-informed decision-making, they are often sidelined in health system policy and development. Looking across the World Health Organization (WHO) European Region, HIS for migrants are deficient both in their overall availability and their integration into regular monitoring structures. Less than half of the 53 member states routinely report health data for refugees and migrants. Most of the routinely collected data on migrant and refugee health can be identified in countries with strong population-based records, with some good practice examples of well-integrated and high-quality health monitoring surveys, disease-specific registries, and “parallel” HIS in migrant-specific settings. Overall, however, HIS in the WHO European Region are not able to provide data of sufficient quality and comparability to be well integrated into regular health monitoring structures. The reasons for this can be highlighted by five key barriers to improved information systems for migrant health: barriers in recording data, standardizing data collection, harmonizing migrant indicators, producing high-quality data, and sharing information. Better integration can be achieved through increased multilateral collaboration for the harmonization of indicators, strengthening of governance frameworks for data-sharing and protection measures, and the increased use of currently underutilized data collection mechanisms, including health monitoring surveys and medical records from refugee reception facilities. These steps will remain essential for the adequate planning and provision of needs-based care for refugees and migrants.

scholarly journals Resources, indicators, data management, dissemination and use in health information systems in sub-Saharan Africa: results of a questionnaire-based survey

2014 ◽  
Vol 107 (1_suppl) ◽  
pp. 28-33 ◽  
Author(s):  
Peter Ebongue Mbondji ◽  
Derege Kebede ◽  
Edoh William Soumbey-Alley ◽  
Chris Zielinski ◽  
Wenceslas Kouvividila ◽  
...  
Keyword(s):  
Information Systems ◽  
Data Management ◽  
Health Information ◽  
Health Information Systems ◽  
Sub Saharan Africa ◽  
Sub Saharan

scholarly journals Health information systems in developing countries: Case of African countries

2020 ◽  
Author(s):  
Aimé Patrice KOUMAMBA ◽  
Ulrick Jolhy BISVIGOU ◽  
Edgard Brice NGOUNGOU ◽  
Gayo DIALLO
Keyword(s):  
Developing Countries ◽  
Information Systems ◽  
Health Information ◽  
Health Information Systems ◽  
Quality Data ◽  
African Countries ◽  
Keywords Health Information ◽  
Bibliographic Search ◽  
Technical Issues

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.

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