Applying the ICT4H model to understand the challenges for implementing ICT‐based health information services in primary healthcare in South Ethiopia

Bramo, Senait Samuel and Desta, Amare and Syedda, Munavvar (2023) Applying the ICT4H model to understand the challenges for implementing ICT‐based health information services in primary healthcare in South Ethiopia. Learning Health Systems, 7 (3). ISSN 2379-6146

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Abstract Introduction The implementation of Information and Communication Technology (ICT) in the Primary Level Health Care (PLHC) of low-income countries is at the proof-of-concept level. Despite the wide-ranging efforts over the past 35 years, healthcare facilities are grappling with implementation; the essential health information sources are inaccessible. Consequently, the potential benefits are marred by various challenges. Therefore, the aim of this study is to explore the challenges in the implementation of an ICT-Based Health Information system (ICT-BHIS) in the PLHC facilities of Wolaita Zone, South Ethiopia. Methods We conducted an 8-month ethnographic study to develop and validate the Chibs ICT4H model. More specifically, a total of 160 h of observational data along with 21 key informant interviews were collected in the form of field notes and audio records. Both data were transcribed and entered into the Qualitative Data Analysis mine software version 1.4. Building on the constant comparative method of data analysis, we identified initial themes inductively, revisited the ICT4H model, and expanded and collapsed the themes prior to interpretation to generate new meaning. Results The findings of this study revealed that infrastructures, financial cost, technical constraints, human capital, stakeholders' engagement, and organizational commitment are the pressing challenges PLHC facilities face in the implementation of ICT-based health information services. Conclusions This implies the need to shift the paradigm/gaze from piecemeals of multiple solo pilot projects to a unified strategy that touches multiple buttons/challenges for the successful implementation of ICT-BHIS in the context of PLHC facilities.

Item Type: Article
Additional Information: ** Article version: VoR ** From Crossref journal articles via Jisc Publications Router ** History: received 09-08-2022; accepted 12-01-2023; epub 27-01-2023; issued 27-01-2023; published 27-01-2023. ** Licence for VoR version of this article starting on 27-01-2023:
Uncontrolled Keywords: Health Information Management, Public Health, Environmental and Occupational Health, Health Informatics
Subjects: Q Science > QA Mathematics > QA75 Electronic computers. Computer science
Q Science > QA Mathematics > QA76 Computer software
T Technology > T Technology (General)
Divisions: Institutes and Academies > Institute of Inner City Learning
SWORD Depositor: JISC Publications Router
Depositing User: JISC Publications Router
Date Deposited: 21 Jul 2023 13:26
Last Modified: 16 Nov 2023 15:21

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