scholarly journals Development of the National Health Information Systems in Botswana: Pitfalls, prospects and lessons

2015 ◽  
Vol 7 (2) ◽  
Author(s):  
Onalenna Seitio-Kgokgwe ◽  
Robin DC Gauld ◽  
Philip C Hill ◽  
Pauline Barnett
Keyword(s):  
Public Health ◽  
Information Systems ◽  
Health Information ◽  
Information Management ◽  
Language Processing ◽  
National Health ◽  
Health Information Systems ◽  
Health Information Management ◽  
Management Policy ◽  
Ministry Of Health

Background: Studies evaluating development of health information systems in developing countries are limited. Most of the available studies are based on pilot projects or cross-sectional studies. We took a longitudinal approach to analysing the development of Botswana’s health information systems.Objectives: We aimed to: (i) trace the development of the national health information systems in Botswana (ii) identify pitfalls during development and prospects that could be maximized to strengthen the system; and (iii) draw lessons for Botswana and other countries working on establishing or improving their health information systems.Methods: This article is based on data collected through document analysis and key informant interviews with policy makers, senior managers and staff of the Ministry of Health and senior officers from various stakeholder organizations.Results: Lack of central coordination, weak leadership, weak policy and regulatory frameworks, and inadequate resources limited development of the national health information systems in Botswana. Lack of attention to issues of organizational structure is one of the major pitfalls.Conclusion: The ongoing reorganization of the Ministry of Health provides opportunity to reposition the health information system function. The current efforts including development of the health information management policy and plan could enhance the health information management system.Keywords: Disease outbreaks, electronic health records/classification, machine learning, natural language processing, public health informatics, public health surveillance/methods

Computer-Based Health Information Systems

2008 ◽  
pp. 2209-2231
Author(s):  
C. R. Ranjini ◽  
Sundeep Sahay
Keyword(s):  
Health Care ◽  
Information Systems ◽  
Health Information ◽  
Information Management ◽  
Health Sector ◽  
Family Health ◽  
Health Information Systems ◽  
Information Management System ◽  
Health Information Management ◽  
Information Management Systems

Large investments are being made to reform the health sector in developing countries as the various reports that indicate this potential of ICT is not being fully realized on the ground in particular settings. In this chapter, an empirical investigation of the introduction of health information systems in the primary health-care sector in India is reported. Three cases—the India Health Care Project, Family Health Information Management System, and Integrated Health Information Management Systems—are presented. The authors argue against adopting a technocentric approach during the development of the HIS and suggest that these efforts should be sensitive to the sociotechnical context. Furthermore, a variety of constraints are identified. The chapter concludes with a discussion on the potentials of integration to address some of the identified constraints.

Computer-Based Health Information Systems

2011 ◽  
pp. 266-292
Author(s):  
C. R. Ranjini ◽  
Sundeep Sahay
Keyword(s):  
Health Care ◽  
Information Systems ◽  
Health Information ◽  
Information Management ◽  
Health Sector ◽  
Family Health ◽  
Health Information Systems ◽  
Information Management System ◽  
Health Information Management ◽  
Information Management Systems

Large investments are being made to reform the health sector in developing countries as the various reports that indicate this potential of ICT is not being fully realized on the ground in particular settings. In this chapter, an empirical investigation of the introduction of health information systems in the primary health-care sector in India is reported. Three cases—the India Health Care Project, Family Health Information Management System, and Integrated Health Information Management Systems—are presented. The authors argue against adopting a technocentric approach during the development of the HIS and suggest that these efforts should be sensitive to the sociotechnical context. Furthermore, a variety of constraints are identified. The chapter concludes with a discussion on the potentials of integration to address some of the identified constraints.

Computer-Based Health Information Systems

2011 ◽  
pp. 1265-1288
Author(s):  
Ranjini C.R. ◽  
Sundeep Sahay
Keyword(s):  
Health Care ◽  
Information Systems ◽  
Health Information ◽  
Information Management ◽  
Health Sector ◽  
Family Health ◽  
Health Information Systems ◽  
Information Management System ◽  
Health Information Management ◽  
Information Management Systems

Large investments are being made to reform the health sector in developing countries as the potential of ICTs in achieving health goals is being increasingly recognized. However, there have been various reports that indicate this potential of ICT is not being fully realized on the ground in particular settings. In this chapter, an empirical investigation of the introduction of health information systems in the primary health-care sector in India is reported. Three cases—the India Health Care Project, Family Health Information Management System, and Integrated Health Information Management Systems—are presented. The authors argue against adopting a technocentric approach during the development of the HIS and suggest that these efforts should be sensitive to the sociotechnical context. Furthermore, a variety of constraints are identified. The chapter concludes with a discussion on the potentials of integration to address some of the identified constraints.

Medical Informatics Education Needs Information System Practicums in Health Care Settings

2006 ◽  
Vol 45 (03) ◽  
pp. 294-299 ◽  
Author(s):  
E. Ammenwerth ◽  
A. Häber ◽  
G. Hübner-Bloder ◽  
P. Knaup-Gregori ◽  
G. Lechleitner ◽  
...  
Keyword(s):  
Health Care ◽  
Information Systems ◽  
Health Information ◽  
Information Management ◽  
Medical Informatics ◽  
Health Information Systems ◽  
Health Information Management ◽  
Lessons Learned ◽  
Health Care Settings ◽  
The University

Summary Objectives: To report about the themes and about experiences with practicums in the management of information systems in health care settings (health information management) for medical informatics students. Methods: We first summarize the topics of the health information management practicums/projects that the authors organized between 1990 and 2003 for the medical informatics programs at Heidelberg/ Heilbronn, Germany, UMIT, Austria, as well as for the informatics program at the University of Leipzig, Germany. Experiences and lessons learned, obtained from the faculty that organized the practicums in the past 14 years, are reported. Results: Thirty (of 32) health information management practicums focused on the analysis of health information systems. These took place inside university medical centers. Although the practicums were time-intensive and required intensively tutoring students with regard to health information management and project management, feedback from the students and graduates was mainly positive. Discussion: It is clearly recommended that students specializing in medical informatics need to be confronted with real-world problems of health information systems during their studies.

scholarly journals Health equity monitoring is essential in public health: lessons from Mozambique

2019 ◽  
Vol 15 (1) ◽  
Author(s):  
Alba Llop-Gironés ◽  
Lucinda Cash-Gibson ◽  
Sergio Chicumbe ◽  
Francesc Alvarez ◽  
Ivan Zahinos ◽  
...  
Keyword(s):  
Public Health ◽  
Information Systems ◽  
Health Information ◽  
Health Equity ◽  
National Health ◽  
Health Information System ◽  
Health Information Systems ◽  
Well Being ◽  
Data Sources ◽  
Health And Well Being

Abstract Background Countries must be able to describe and monitor their populations health and well-being needs in an attempt to understand and address them. The Sustainable Development Goals (SDGs) have re-emphasized the need to invest in comprehensive health information systems to monitor progress towards health equity; however, knowledge on the capacity of health information systems to be able do this, particularly in low-income countries, remains very limited. As a case study, we aimed to evaluate the current capacity of the national health information systems in Mozambique, and the available indicators to monitor health inequalities, in line with SDG 3 (Good Health and Well Being for All at All Ages). Methods A data source mapping of the health information system in Mozambique was conducted. We followed the World Health Organization’s methodology of assessing data sources to evaluate the information available for every equity stratifier using a three-point scale: 1 - information is available, 2 - need for more information, and 3 - an information gap. Also, for each indicator we estimated the national average inequality score. Results Eight data sources contain health information to measure and monitor progress towards health equity in line with the 27 SDG3 indicators. Seven indicators bear information with nationally funded data sources, ten with data sources externally funded, and ten indicators either lack information or it does not applicable for the matter of the study. None of the 27 indicators associated with SDG3 can be fully disaggregated by equity stratifiers; they either lack some information (15 indicators) or do not have information at all (nine indicators). The indicators that contain more information are related to maternal and child health. Conclusions There are important information gaps in Mozambique’s current national health information system which prevents it from being able to comprehensively measure and monitor health equity. Comprehensive national health information systems are an essential public health need. Significant policy and political challenges must also be addressed to ensure effective interventions and action towards health equity in the country.

scholarly journals Developing A General Framework for National Health Information Network for Developing Countries

2020 ◽  
Vol 9 ◽  
pp. 1792
Author(s):  
Hamid Moghaddasi ◽  
Reza Rabiei ◽  
Farkhondeh Asadi ◽  
Ali Mohammadpour
Keyword(s):  
Information Systems ◽  
Health System ◽  
Health Information ◽  
National Health ◽  
General Framework ◽  
Health Information Systems ◽  
Three Dimensions ◽  
Information Network ◽  
Starting Point ◽  
The Usa

Background: The National Health Information Network (NHIN) is one of the key issues in health information systems in any country. However, the development of this network should be based on an appropriate framework. Unfortunately, the conducted projects of health information systems in the Ministry of Health of Iran do not fully comply with the concept of NHIN. The present study was aimed to develop a general framework for NHIN in Iran. Materials and Methods: In this study, in the first stage, the required information about the concept of the NHIN framework and related NHIN documents in the USA and the UK were collected based on a literature review. Then, according to the results of the first stage and with regards to the structure of the Iranian health system, a general framework for Iranian NHIN was proposed. The Delphi technique was conducted to verify the framework. Results: The proposed framework for Iranian NHIN includes three dimensions; components, principles, and architecture. Over 80% of experts have evaluated all three aspects of the framework at an acceptable scale. In total, the proposed framework has been evaluated by 83.8% of the experts at an acceptable scale. Conclusion: The proposed framework was expected to serve as the starting point for moving towards the design and creation of Iranian NHIN. At any rate, the framework could be criticized, and it could only be used for the countries whose health system is similar to the structure of the health system in Iran. [GMJ.2020;9:e1792]

Interviewing

1998 ◽  
Vol 28 (2) ◽  
pp. 98-99
Author(s):  
Kerin Robinson
Keyword(s):  
Public Health ◽  
Health Information ◽  
Information Management ◽  
Health Information Management ◽  
School Of Public Health

A Model for Learning and Assessment used in the Bachelor of Health Information Management Course, School of Public Health, La Trobe University, Melbourne

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