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

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. O...

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Autores principales: Seitio-Kgokgwe, Onalenna, Gauld, Robin D. C., Hill, Philip C., Barnett, Pauline
Formato: Online Artículo Texto
Lenguaje:English
Publicado: University of Illinois at Chicago Library 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4576446/
https://www.ncbi.nlm.nih.gov/pubmed/26392841
http://dx.doi.org/10.5210/ojphi.v7i2.5630
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author Seitio-Kgokgwe, Onalenna
Gauld, Robin D. C.
Hill, Philip C.
Barnett, Pauline
author_facet Seitio-Kgokgwe, Onalenna
Gauld, Robin D. C.
Hill, Philip C.
Barnett, Pauline
author_sort Seitio-Kgokgwe, Onalenna
collection PubMed
description 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.
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spelling pubmed-45764462015-09-21 Development of the National Health Information Systems in Botswana: Pitfalls, prospects and lessons Seitio-Kgokgwe, Onalenna Gauld, Robin D. C. Hill, Philip C. Barnett, Pauline Online J Public Health Inform Research Article 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. University of Illinois at Chicago Library 2015-07-01 /pmc/articles/PMC4576446/ /pubmed/26392841 http://dx.doi.org/10.5210/ojphi.v7i2.5630 Text en This is an Open Access article. Authors own copyright of their articles appearing in the Online Journal of Public Health Informatics. Readers may copy articles without permission of the copyright owner(s), as long as the author and OJPHI are acknowledged in the copy and the copy is used for educational, not-for-profit purposes.
spellingShingle Research Article
Seitio-Kgokgwe, Onalenna
Gauld, Robin D. C.
Hill, Philip C.
Barnett, Pauline
Development of the National Health Information Systems in Botswana: Pitfalls, prospects and lessons
title Development of the National Health Information Systems in Botswana: Pitfalls, prospects and lessons
title_full Development of the National Health Information Systems in Botswana: Pitfalls, prospects and lessons
title_fullStr Development of the National Health Information Systems in Botswana: Pitfalls, prospects and lessons
title_full_unstemmed Development of the National Health Information Systems in Botswana: Pitfalls, prospects and lessons
title_short Development of the National Health Information Systems in Botswana: Pitfalls, prospects and lessons
title_sort development of the national health information systems in botswana: pitfalls, prospects and lessons
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4576446/
https://www.ncbi.nlm.nih.gov/pubmed/26392841
http://dx.doi.org/10.5210/ojphi.v7i2.5630
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