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Challenges of Health Information Systems Programs in Developing Countries: SUCCESS and FAILURE : The cases of Thua Thien Hue province and HoChiMinh city, Vietnam

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  • Title:
    Challenges of Health Information Systems Programs in Developing Countries: SUCCESS and FAILURE : The cases of Thua Thien Hue province and HoChiMinh city, Vietnam
  • Author: Vo, Kim Anh Thi
  • Description: This thesis examines the challenges of introducing Health Information Systems in Developing Countries, with special focus on the success and failure of two Vietnamese projects (Thua Thien Hue Province and Ho Chi Minh City). The project of Thua Thien Hue Province (TT Hue) – from 2004 to 2008 – and that of Ho Chi Minh City (HCM City) – in 2008 – are analyzed using Gaps and Gap Closure Techniques (Heeks et al., 1999). The method applied is the Action Research Approach and the focus is on the two following research questions: 1. What are the challenges of developing and implementing a Health Information System in Vietnam (2004-2008)? 2. Why did the implementation of DHIS not succeed in the TT Hue Province (2004-2008)? A comparison of the cases of TT Hue Province and HCM City. After two years of experience and four months of fieldwork in Vietnam, where I was a facilitator and an intern student of HISP, I became involved in the local Vietnamese HISP team developing and implementing three different versions of DHIS (1.3, 1.4, and 2.0) in cooperation with the global HISP team. The findings presented are consistent with the Seven Gaps and Gap Closure Techniques and consist in a detailed discussion of the challenges of developing and implementing a Health Information System. The solutions proposed result from a critical examination of the projects, with reference to contributing factors such as the health report system, the technological capabilities and limitations of the DHIS software, Implementation strategy, Infrastructure, Staff skills, Managerial inadequacies, Communication and cooperation, and Policy monitoring of the local team by the global organization. The lessons learned from the cases of the TT Hue Province and HCM City have also been included. The thesis aims at explaining why some Health Information System projects in developing countries meet with either success or failure; in this case, why the two specific Vietnamese projects failed. Given the limited time allotted to the thesis in the Master’s Programme - one year, including fieldwork and writing – the thesis cannot cover all aspects of the topic and is therefore not exhaustive. A further understanding of the challenges would need additional studies from a greater range of countries.
  • Creation Date: 2009
  • Language: English
  • Source: NORA Norwegian Open Research Archives
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