Sustainability Qualifiers of Health Management Information Systems Implementation: Case Study of DHIS2 in India

Sahay, Jyotsna; Sahay, Sundeep; Mukherjee, Arunima

doi:10.1007/978-3-030-64697-4_15

Cited by 3 publications

(4 citation statements)

References 29 publications

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“…effectuation) how digital entrepreneurship can lead to individual emancipation, and thus generate economic and cultural spill-overs, thus adding to our understanding of the role of IT in development. Finally, it strengthens our understanding of the role of digital technology in frugal innovation and entrepreneurial projects and complements the findings of Tim et al(2017),Du et al (2018), andSahay et al (2018).…”

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confidence: 84%

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Frugal Innovation and Digital Effectuation

Khanal

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Evidence of human ingenuity to solve complex everyday problems with elegant solutions in adverse conditions can be seen across the globe. The study of frugal innovation attempts to theorize such problem-solving efforts in constrained environments. Ubiquitous digital technologies influence the way these problems are perceived, and the way solutions are conceived, developed, deployed, and consumed. This dissertation explores how entrepreneurs can exploit modern-day digital technologies and platforms to develop frugal solutions that have the potential to transform the lives of millions living at the bottom of the economic pyramid. In the last decades, the lens of effectuation theory has provided many insights about the entrepreneurial journey of such innovators, by articulating the logic that drives their mindset, actions, decisions, and resourcefulness. In this dissertation, we extend the theory of effectuation into ‘digital effectuation’ and use this lens to explore and develop models of IT-enabled frugal innovation processes and outcomes.The empirical context of this dissertation about digital effectuation involves two studies of entrepreneurs in four countries that span a range of frugal contexts. The first is a comparative, theory development case study of seven entrepreneurs in Japan, Nepal, and New Zealand which empirically examines how the use and functionalities of digital technology aid effectuation action in frugal innovation endeavors. Our findings show that both conventional and unconventional usage of digital technologies extend effectual actions in unique ways that enhance both process and outcome of venture creation. The second is a single case study of an Indian entrepreneur which explores the macroeconomic and cultural development outcomes of frugal innovation that is enabled by digital effectuation. This study illustrates how grassroots entrepreneurs enacting digital effectuation in a frugal innovation endeavor can create ripple effects of social (cultural) and economic development that benefits a wider community of contributors and consumers. The dissertation extends entrepreneurship and information systems theories of frugal entrepreneurship by linking digital technologies and entrepreneurial effectuation actions. It also contributes to the literature on ICT for development (ICT4D) by illustrating how digital entrepreneurship has the potential not only to bring about economic benefits, but also to stimulate local culture production, an impact of digital entrepreneurship often overlooked in the literature.

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confidence: 84%

“…Observing how entrepreneurs use platforms can help us better understand how voids are filled. It is part of a line of research investigating how IT can facilitate frugal and sustainable innovation in developing countries (Sahay, Faujdar, Nielsen, Kumar, & Mukherjee, 2018).…”

Section: Introductionmentioning

confidence: 99%

Frugal Innovation and Digital Effectuation

Khanal

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“…In Botswana, an eHealth system—the District Health Information System version 2 (DHIS2)—has been identified to improve malaria surveillance across the 27 health districts. The decision to consider DHIS2 was based on its documented benefits [ 13 - 15 ]. In spite of the availability of the DHIS2 platform for case-based surveillance of malaria, paper-based case notification forms continue to be utilized.…”

Section: Introductionmentioning

confidence: 99%

Acceptance of the District Health Information System Version 2 Platform for Malaria Case-Based Surveillance By Health Care Workers in Botswana: Web-Based Survey

Ndlovu¹,

Mauco²,

Keetile³

et al. 2022

JMIR Form Res

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Background Similar to many low- and middle-income countries, Botswana has identified eHealth as a means of improving health care service provision and delivery. The National Malaria Programme (NMP) in Botswana has implemented the District Health Information System version 2 (DHIS2) to support timely malaria case reporting across its 27 health districts; however, the implementation of an eHealth system is never without challenges. Barriers to the implementation of eHealth innovations within health care settings may arise at the individual or organizational levels. As such, the evaluation of user perceptions of the technology is an important step that can inform its sustainable implementation. The DHIS2 was implemented without evaluating user perceptions beforehand; therefore, the Botswana Ministry of Health and Wellness was uncertain about the likelihood of acceptance and use of the platform. Objective We aimed to determine the acceptance of the DHIS2 platform by the NMP in Botswana to gauge whether adoption would be successful. Methods The study’s design was informed by constructs of the technology acceptance model. A survey, with items assessed using a 7-point Likert scale, and focus group discussions were undertaken with DHIS2 core users from 27 health districts and NMP personnel at the Ministry of Health and Wellness. The web-based survey was administered from August 3, 2020 to September 30, 2020. Results Survey participants were core users (n=27). Focus group participants were NMP personnel (n=5). Overall, participants’ survey responses (frequently occurring scores of 7) showed their confidence in the DHIS2 platform for case-based surveillance of malaria; however, participants also noted some organizational issues that could compromise user acceptance of the DHIS2 platform. Conclusions Participants’ responses indicated their acceptance of the DHIS2 platform; however, the consideration of factors related to organizational readiness could further enhance successful acceptance, and consequently, successful adoption of the platform by the malaria program in Botswana.

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“…In Botswana, an eHealth system-the District Health Information System version 2 (DHIS2)-has been identified to improve malaria surveillance across the 27 health districts. The decision to consider DHIS2 was based on its documented benefits [13][14][15]. In spite of the availability of the DHIS2 platform for case-based surveillance of malaria, paper-based case notification forms continue to be utilized.…”

Section: Introductionmentioning

confidence: 99%

Acceptance of the District Health Information System Version 2 Platform for Malaria Case-Based Surveillance By Health Care Workers in Botswana: Web-Based Survey (Preprint)

Ndlovu¹,

Mauco²,

Keetile³

et al. 2021

Preprint

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BACKGROUND Botswana, like many developing countries, has identified eHealth as a means of improving healthcare service provision and delivery. The National Malaria Programme (NMP) in Botswana has implemented the District Health Information System version 2 (DHIS2) to support timely Malaria case reporting across its 27 health districts. Despite the potential benefits of the DHIS2 platform towards improving Malaria case-based surveillance in Botswana, it must be noted that implementation of any eHealth system is never without challenges. Barriers to the implementation of eHealth innovations within the healthcare setting may arise at the individual or organizational levels. As such, evaluating perceptions of the intended users about the technology is an important step that could inform the sustainable implementation of eHealth systems. Nonetheless, the implementation of DHIS2 for Malaria case-based surveillance in Botswana was undertaken without prior user perception evaluation, living the Botswana Ministry of Health and Wellness with uncertainty regarding the likely or unlikely acceptance and use of the DHIS2. Hence this study employed the Technology Acceptance Model (TAM) to understand the DHIS2 user perceptions and potential issues around the system acceptance and usability. OBJECTIVE This study used TAM to evaluate the user acceptance of the DHIS2 platform for Malaria case-based surveillance in Botswana. METHODS The study approach, as well as the data collection, were informed by constructs underlying the TAM. Survey and focus group discussions were undertaken with 32 participants (27 DHIS2 core users across 27 health districts and five Malaria Program personnel at the Ministry of Health). RESULTS Overall, positive responses across all TAM constructs were recorded. However, participants also noted some organizational-related issues that could compromise user acceptance of the DHIS2 platform. CONCLUSIONS According to TAM, participants’ responses indicate their acceptance of DHIS2 platform. However other models used to predict technology adoption and based on varying theories also exist. As such based on the findings from this study alone, we cannot conclusively predict successful adoption of DHIS2 towards Malaria case-based surveillance in Botswana. The authors propose organizational readiness as a better predictor of technology adoption. CLINICALTRIAL NA.

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Sustainability Qualifiers of Health Management Information Systems Implementation: Case Study of DHIS2 in India

Cited by 3 publications

References 29 publications

Frugal Innovation and Digital Effectuation

Frugal Innovation and Digital Effectuation

Acceptance of the District Health Information System Version 2 Platform for Malaria Case-Based Surveillance By Health Care Workers in Botswana: Web-Based Survey

Acceptance of the District Health Information System Version 2 Platform for Malaria Case-Based Surveillance By Health Care Workers in Botswana: Web-Based Survey (Preprint)

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