Institutional strategies towards improving health information systems (HIS) in Sub-Saharan Africa

  • Solomon B. Bishaw
Part of the IFIP International Federation for Information Processing book series (IFIPAICT, volume 282)

The development of “Health Information Systems” (HIS) in lowincome countries have been on the agenda for the last three decades. Despite significant mobilization, however, little progress has been made in realizing improved systems. One among the popular reasons for such progress concerns the lack or unwillingness of some relevant groups of actors to participate in HIS initiatives. Such explanations often delimit participants to a project or organisation level, and scant attention has been paid to the institutional environment, web of values, norms, rules, beliefs, and taken-for-granted assumptions that has long been recognized to influence the day to day realities of organisational life. This chapter, drawing on an institutional theory of membership, and based on discursive data of more than a decade and half from a low-income county’s HIS development endeavors, reveals institutional processes and pressures that constrain participation of relevant actors.

Keywords: Information systems, institutional perspective, participation, Africa


Information System Institutional Theory Health Information System Planning Department Institutional Strategy 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Copyright information

© International Federation for Information Processin 2008

Authors and Affiliations

  • Solomon B. Bishaw
    • 1
  1. 1.University of OsloNorway

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