Open Source Software in Health Information Systems: Opportunities and Challenges

Twaakyondo, Hashim M.; Lungo, Juma H.

doi:10.52339/tjet.v31i1.546

Cited by 3 publications

(3 citation statements)

References 19 publications

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“…HISP India, with the vision of strengthening the health information systems in India and the South Asian region 8 , was initiated in December 1999 in the state of Andhra Pradesh . It is a not-for-profit organization having a close collaboration with the global node in the University of Oslo.…”

Section: Background and Hisp In Kerala And Gujaratmentioning

confidence: 99%

“…While FOSS is flexible to respond to the continuous change in organizations, proprietary software are rigid for change [7] once public sectors take ownership of the software. However, realizing these advantages in practice is fraught with various challenges, including those that arise from institutional conditions and capacity, which often tend to favor proprietary software [8,9].…”

Section: Introductionmentioning

confidence: 99%

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An institutional analysis on the dynamics of the interaction between standardizing and scaling processes: a case study from Ethiopia

Mekonnen

Sahay

2008

European Journal of Information Systems

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First and foremost, I would like to use this opportunity to express my gratitude to my dear husband and my best friend, Kristoffer Fossum. I wouldn't be able to focus on my work or complete my PhD had it not been for your all-round support. You have been great in taking care of the family and in giving me moral support. This work would not be possible to accomplish without the insightful guidance of my supervisors, Prof. Margunn Aanestad and Prof. Ole Hanseth. I am deeply grateful for the supervision in general and for orienting me to relevant literature. I am thankful to Prof. Eric Monteiro for commenting on my upgrade document and the first draft of the thesis. I thank HISP founders, extenders and sponsors (especially UiO) for laying the groundwork to collect empirical materials from multiple settings. I extend my special gratitude to Prof. Sundeep Sahay for being an excellent academic mentor throughout my studies.I am indebted to my co-authors Sundeep, Johan, Abyot, John and Zegaye. I am particularly indebted to Abyot Asalefew for the friendship and for the many interesting socio-academic discussions.Thanks to Murod for the update on the current project status of Tajikistan. All other informants from Ethiopia, India and Tajikistan are highly appreciated. The support I received from the Department of Informatics has been instrumental for the completion of this work. In line with that, I am especially thankful to Prof. Fritz for encouraging me to finish despite some difficulties.Last but not least, I would like to thank my parents, sisters, and in-laws for the support, care and encouragement. Jonas and Aron, our sons, thanks for continuously reminding me of the fun part of life and for the many drawings that I should take to my workplace  i Table of Contents CHAPTER 1 INTRODUCTION .

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Section: Background and Hisp In Kerala And Gujaratmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

An institutional analysis on the dynamics of the interaction between standardizing and scaling processes: a case study from Ethiopia

Mekonnen

Sahay

2008

European Journal of Information Systems

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“…FOSS implementation exercises can be comparable to an Information Systems (IS) outsourcing project. Bridging the health care organization and FOSS developers, implementation mediators play a significant role in the HIS implementations (Twaakyondo & Lungo, 2008).…”

Section: Introductionmentioning

confidence: 99%

How Health Managers' Trust Towards FOSS Implementors Changed and Shaped HIS Implantation Trajectories

Hewapathirana

Rathnayake

2014

International Journal of User-Driven Healthcare

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In developing countries, implementation of FOSS health information systems demands participation of diverse organizational actors and, can be considered similar to software outsourcing exercise. The multi sectoral actors operate in a network form of governance model where psychological and social contracts are important in maintain the fabric of the network organization. Inter-personal and inter-organizational trust is a key constituent in psychological and social contracts in IS outsourcing. This article attempt to reflect the empirical evidence of trust based governance of the network organization around 2 FOSS HIS implantation within the state health sector with an inter-organizational trust lenses. The longitudinal case studies try to understand how health managers' trust towards FOSS implementors changed and shaped HIS implementation trajectories with long term repeated interactions during two HIS implementations in Sri Lankan context.

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Open Source Adoption in Health Sector: Understanding the Stakeholder Relationships in a Resource Constrained Setting

Hewapathirana

Sahay

2017

E J Info Sys Dev Countries

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Free and Open Source Software (FOSS) is increasingly being the choice to strengthen health information systems (HIS) in Low and Middle Income Country (LMIC) contexts. FOSS is becoming a commercially viable option in today's software industry. In LMIC context, bridging the gap between generic open source design and specific local contexts calls for the participation of multi-sector stakeholders to realise FOSS implementations. This multi-sector stakeholder network, together with the FOSS platform can be theorised to form a software ecosystem (SE) around FOSS implementations in a resource constrained setting.In this new paradigm, governing the open source acquisition and implementation process becomes a central challenge, which is distinct from the governance of open source developer communities. This paper attempts to identify the essential stakeholder categories involved in FOSS HIS implementations in a LMIC context and; to understand the stakeholder interactions in this SE at different stages. The analysis is based on a longitudinal case study of two open source HIS implementations and an attempt to establish a FOSS governance body in the State health sector of Sri Lanka during the period 2011-2014. The paper contributes by suggesting a model to understand the essential stakeholder categories and their interactions in FOSS implementation SE in resource constrained settings.

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Open Source Software in Health Information Systems: Opportunities and Challenges

Cited by 3 publications

References 19 publications

An institutional analysis on the dynamics of the interaction between standardizing and scaling processes: a case study from Ethiopia

An institutional analysis on the dynamics of the interaction between standardizing and scaling processes: a case study from Ethiopia

How Health Managers' Trust Towards FOSS Implementors Changed and Shaped HIS Implantation Trajectories

Open Source Adoption in Health Sector: Understanding the Stakeholder Relationships in a Resource Constrained Setting

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