Adoption and Implementation of Health Information System in Limited Resource Setting: A Survey on User Experience Perspective
Keywords:
Health Informatics, User Experience Design, Fragile System, Participatory Design, Health Information System, Health System Adoption and ImplementationAbstract
Understanding the situation is essential to bring sustainable health information system. It helps to get the detail of the context, methods of communication and tools experienced that will ensure the sustainability of the system. The majority of the research confirms failure is the known end result of information system in developing countries. In principle, information system projects are trying to involve users and collaborate with stakeholders throughout the design process such as requirement gathering, requirement specification, implementation and design, testing, training and so on. Most of information system projects in developing countries will face a difficulty of getting appropriate user requirement and engagement. The consequence of these will degrade the success rate and create fragile information system. Assessment review of Ethiopian Health Information System (EHIS) also noted that the system struggle with poor data management, system resources, dissemination and use of information system. The EHIS review noted that 52% of the components were present but not adequate. However, inadequateness and the fragility of the system mainly arise from lack of appropriate user involvement and requirement. User experience design has been known to create an influence and increase level of participation in the process, but not fully explored in the fragile system and low resource setting scenario. The story of health information in low resource setting is examined. User experience design and participatory design model is proposed as a solution to outline critical issues and mode of communication to increase the success rate of health information system adoption and implementation.References
• Abelein, U., & Paech, B. (2013, 12). Understanding the Influence of User Participation and Involvement on System Success – a Systematic Mapping Study. Empirical Software Engineering Empir Software Eng, 20(1), 28-81. doi:10.1007/s10664-013-9278-4
• African Health Observatory. (n.d.). Analytical Summary of Health Information research, evidence and knowledge. Retrieved July 06, 2016, from http://www.aho.afro.who.int/profiles_information/index.php/Ethiopia:Analytical_summary_-_Health_information,_research,_evidence_and_knowledge,
• Akanbi, M. O., Ocheke, A. N., Agaba, P. A., Daniyam, C. A., Agaba, E. I., Okeke, E. N., & Ukoli, C. O. (2012). Use of electronic health records in sub-saharan africa: progress and challenges. Journal of medicine in the tropics, 14(1), 1.
• Belay, H., Azim, T., & Kassahun, H. Assessment of Health Management Information System (HMIS) Performance in SNNPR, Ethiopia. Available at: http://pdf.usaid.gov/pdf_docs/pa00k27k.pdf
• Biruk, S., Yilma, T., Andualem, M., & Tilahun, B. (2014, 12). Health Professionals’ readiness to implement electronic medical record system at three hospitals in Ethiopia: A cross sectional study. BMC Med Inform Decis Mak BMC Medical Informatics and Decision Making, 14(1). doi:10.1186/s12911-014-0115-5
• Bourgeois, D. T. (2014). Information Systems for Business and Beyond.Washington: The Saylor Academy.
• Bratteteig, T., & Wagner, I. (2012). Disentangling power and decision-making in participatory design. Proceedings of the 12th Participatory Design Conference on Research Papers: Volume 1 - PDC '12. doi:10.1145/2347635.2347642
• Bratteteig, T., & Wagner, I. (2014). Design decisions and the sharing of power in PD. Proceedings of the 13th Participatory Design Conference on Short Papers, Industry Cases, Workshop Descriptions, Doctoral Consortium Papers, and Keynote Abstracts - PDC '14 - Volume 2. doi:10.1145/2662155.2662192
• Collect, Manage, Visualize and Explore your Data. (n.d.). Retrieved July 06, 2016, from https://www.dhis2.org/
• Davidson, J. L., & Jensen, C. (2013). Participatory design with older adults. Proceedings of the 9th ACM Conference on Creativity & Cognition - C&C '13. doi:10.1145/2466627.2466652
• Dwivedi, Y. K., Wastell, D., Laumer, S., Henriksen, H. Z., Myers, M. D., Bunker, D., . . . Srivastava, S. C. (2014, 05). Research on information systems failures and successes: Status update and future directions. Information Systems Frontiers Inf Syst Front, 17(1), 143-157. doi:10.1007/s10796-014-9500-y
• Feysia, B., Herbst, C., & Lemma, W. (Eds.). (2012). The health workforce in Ethiopia: addressing the remaining challenges. World Bank Publications.
• Heeks, R. (2002, 03). Information Systems and Developing Countries: Failure, Success, and Local Improvisations. The Information Society, 18(2), 101-112. doi:10.1080/01972240290075039
• Gorgeon, A. (2015). Anti-Fragile Information Systems.Thirty Sixth International Conference on Information Systems, Fort Worth
• Goldstein, H. (1985, 01). Book Review Department : THE REFLECTIVE PRACTITIONER : HOW PROFESSIONALS THINK IN ACTION. By Donald A. Schon. New York : Basic Books, Inc., 1983. pp. x 374. International Social Work, 28(1), 53-55. doi:10.1177/002087288502800110
• Hakobyan, L., Lumsden, J., & O'sullivan, D. (2015, 07). Participatory Design:. International Journal of Mobile Human Computer Interaction, 7(3), 78-92. doi:10.4018/ijmhci.2015070106
• Hole, K. J. (2016). Anti-fragile ICT Systems. doi:10.1007/978-3-319-30070-2
• Klein, H. K., & Myers, M. D. (1999, 03). A Set of Principles for Conducting and Evaluating Interpretive Field Studies in Information Systems. MIS Quarterly, 23(1), 67. doi:10.2307/249410
• Negash, S., Anteneh, S., & Watson, R. T. (2012, 07). A PhD in information systems for emerging economies: The Addis Ababa University model. Information Technology for Development, 18(3), 270-276. doi:10.1080/02681102.2011.604081
• Simonsen, J., & Robertson, T. (2013). Routledge international handbook of participatory design. New York: Routledge.
• The Health Workforce in Ethiopia. (2012, 01). doi:10.1596/978-0-8213-8984-3
• Lustria, M. L., Kazmer, M. M., Glueckauf, R. L., Hawkins, R. P., Randeree, E., Rosario, I. B., . . . Redmond, S. (2010, 07). Participatory design of a health informatics system for rural health practitioners and disadvantaged women. J. Am. Soc. Inf. Sci. Journal of the American Society for Information Science and Technology, 61(11), 2243-2255. doi:10.1002/asi.21390
• Zewge, A., Dittrich, Y., & Bekele, R. (2015, 09). Adapting participatory design to design information system with rural Ethiopian community. Africon 2015. doi:10.1109/afrcon.2015.7331974
Downloads
Published
Issue
Section
License
- Papers must be submitted on the understanding that they have not been published elsewhere (except in the form of an abstract or as part of a published lecture, review, or thesis) and are not currently under consideration by another journal published by any other publisher.
- It is also the authors responsibility to ensure that the articles emanating from a particular source are submitted with the necessary approval.
- The authors warrant that the paper is original and that he/she is the author of the paper, except for material that is clearly identified as to its original source, with permission notices from the copyright owners where required.
- The authors ensure that all the references carefully and they are accurate in the text as well as in the list of references (and vice versa).
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Attribution-NonCommercial 4.0 International that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
- The journal/publisher is not responsible for subsequent uses of the work. It is the author's responsibility to bring an infringement action if so desired by the author.
