Gillwald and Moyo (2012) argue that cloud computing in Africa is still at an infant stage because global US-based companies have dominated the cloud-computing market. Even though it is clear that cloud computing offers good tools for organisations to conduct their businesses efficiently and improve records management, African countries still experience some hiccups that have prevented them from fully reaping the rewards brought by cloud-computing services. According to Asogwa (2012), issues of low gross national products (GNPs), corruption and unstable political systems affect proper records management implementation in Africa. Nwabuonu and Nwachukwu (2014) argue that although the problems of IT in West African Background: Cloud-based services are increasingly used by organisations around the world and Africa is no exception. Literature has revealed that organisations adopt them as they offer efficient and cost-effective services. Notably, Africa is generally at an infant stage in the adoption of cloud-computing services in records management.Objectives: This article presents and deliberates on the implications of cloud-computing services in archives and records management in Africa and determines whether such services are challenged by the inherent weaknesses faced by Africa in the digital age.Method: This study adopted a qualitative research approach. It utilised content analysis of the reviewed literature related to cloud computing in records management.Results: Cloud computing offers good tools for organisations to conduct businesses efficiently and improve their records management practices. However, issues related to records storage, jurisdiction, privacy, security and the digital divide, to mention a few, are a challenge that need to be surmounted if Africa is to benefit fully from cloud-based records management services. Conclusion:Although cloud-computing services in records management promise huge benefits for Africa, the continent is not ready to fully embrace such technologies and benefit from them. Actually, cloud-based records management services are an Achilles heel for Africa.
For decades, public hospitals have relied on managing records manually using different formats of classification. However, driven by an eHealth strategy, hospitals in South Africa are now changing to electronic health records (EHR) systems for their day-to-day functioning. Earlier studies conducted on health records management in the South African provinces of KwaZulu-Natal (KZN), Limpopo, Eastern Cape, Gauteng and Western Cape, all point to minimal evidence of change management in EHR system implementation in public hospitals. This paper presents empirical results of an investigation into the management of change in the implementation of an EHR system at the Inkosi Albert Luthuli Central Public Hospital in the eThekwini area of KZN. The findings show that an ill-defined change management approach in the EHR system implementation hinders the progress of the implementation and thus the improvement of health service delivery. The study recommends that the implementation of a robust and functional EHR system be accompanied equally by a viable, parallel and executable change management blueprint.
Digitizing records ensures that the continuation of information value remains accessible and usable in all academic institutions. The study aimed to establish strategies being used for digitization of records in higher education institutions in South Africa. A case study design was found appropriate to investigate the strategies of digitizing records in KwaZulu-Natal. The study employed the qualitative research approach and collected data from the literature. Content analysis was used for data analysis. Furthermore, the study used an analytical review of empirical findings conversant of digitization of records in academic institutions as the strategy. Literature was reviewed across the world and narrowed down to KwaZulu-Natal intending to trace strategies being used by universities in KwaZulu-Natal. The findings revealed that most records are stored on the digital platforms or network servers that the university manages. Users across the world get access to these records and it gives the platform to download all records. The findings further revealed that records are stored and digitized individually from the portable devices. The study recommended that institutions should offer more training to the staff.
Hospitals are complex to operate, particularly in the implementation of electronic health records systems. The implementation and use of electronic health records (EHR) management in hospitals requires management to reinforce change and sustain results for good end results. The purpose of this chapter is to unveil tools used by public and private hospital management to reinforce change and sustain results in the implementation of electronic health records systems. Both public and private hospital are based in the eThekwini Municipality. The conceptual framework based on Kotter Leading Change Model was comprehensively discussed. The findings of the study revealed that there are no standard guidelines for both public and private hospitals in the implementation of EHR system in hospitals. Clarity regarding change management policies and procedures in the implementation of EHR system in both public and private hospitals is required. The study recommends that both public and private hospitals tools to reinforce change and sustain results in the implementation of electronic health records management need to be developed and officially documented.
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