Understanding the Introduction and Use of a Mobile Device‐Supported Health Information System in Nigeria

Abstract

This paper presents an in-depth analysis of efforts to introduce a mobile health information system in Nigeria as part of a development initiative aimed at improving maternal and child health. Specifically, it examines the use of mobile devices to facilitate maternal health information accessibility and exchange among health practitioners in order to reducing maternal, newborn and child mortality. Further, it also looks at the challenges raised while introducing mobile devices into work practices in the healthcare sector.The study adopts a case study approach, relying on semi-structured interviews and document analysis as its main methods for collecting data. The specific case examined is a mobile phone-based information system introduced to support a national government effort in Nigeria, known as the midwives service scheme. The findings of this study show that this integrated approach of using mobile phones to support (health) information systems has vast potential; for instance increasing the timeliness of (health) data available to stakeholders for monitoring and planning purposes. However, we also find that over time, attaining the potential of development efforts such as this remains difficult as initiatives involving the use of mobile devices is not just about getting the technical aspect right. It is equally dependent on deep seated social-cultural influences such as poor political and financial commitment. These two mutually reinforcing influences have been identified in this study as significant impediments to efforts of this kind. Therefore, this paper argues for, first a strong political commitment across all levels of government whereby their words are backed with action. Second it is important that the government maintains financial integrity by releasing the funds budgeted to support the smooth running of these efforts, for such initiatives to thrive and ultimately contribute to development.

How the information system utilization context may lead to unintended technology use: A case of a maternal mHealth intervention in Kenya

“…The health challenges that developing countries continue to face may be a serious impediment to their development and socio‐economic progress (Ezenwa & Brooks, 2014). Weak and ill‐functioning healthcare structures, especially in light of high populations, prove to be a major barrier to delivering healthcare services.…”

“…Kimaro (2006) explains sustainability as the ability for an information system to endure over time, and to be institutionalized, (which we adapt as appropriated from the perspective of an individual). However, because context is a critical factor in the outcome of such systems, the implementation of mHealth innovations cannot simply be based on a “bandwagon mentality.” Related literature from developing countries acknowledge that particularities of the context are critical in how mHealth technologies are appropriated (Ezenwa & Brooks, 2014). Thus, it proves useful to study a phenomenon such as mHealth use within the realities of both the healthcare system, and healthcare‐seeking context.…”