Power Tensions in HIS Integration in Developing Countries: The Need for Distributed Control

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dc.contributor.authorNyella, Edwin
dc.contributor.authorMndeme, Mathew
dc.date.accessioned2016-09-14T17:40:17Z
dc.date.available2016-09-14T17:40:17Z
dc.date.issued2010
dc.description.abstractAs part of health sector reform, most developing countries are in the process of standardizing and integrating various vertical reporting systems. Nevertheless, the pressure resulting from the vertical systems supported by donors renders the integration goal challenging and unachievable. While studies have argued for the heterogeneity of interests and donors’ multiple needs as the major causes, this paper argue for more critical analysis of the problem. The paper contribute by arguing for the need to understand the main actors involved, in terms of their resources and rules as they are implicated in HIS integration. Using an empirical case and Structuration theory concepts, we identified dialectic power relations between the actors resulting from control of resources and rules. The need to build shared meanings of the integration process through communication approaches; and to distribute control of the integrated HIS, facilitating ‘tapping on’ the resources available to the actors is discussed.en_US
dc.identifier.citationNyella, E. and Mndeme, M., 2010. Power Tensions in HIS Integration in Developing Countries: The Need for Distributed Control. Power, 8, pp.1-2010.en_US
dc.identifier.urihttp://hdl.handle.net/20.500.11810/3709
dc.language.isoenen_US
dc.subjectStandardizationen_US
dc.subjectHealth Information Systemsen_US
dc.subjectIntegrationen_US
dc.subjectVertical Programsen_US
dc.subjectStructuration Theoryen_US
dc.titlePower Tensions in HIS Integration in Developing Countries: The Need for Distributed Controlen_US
dc.typeConference Proceedingsen_US
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