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In developing countries, implementation of FOSS health information systems demands participation of diverse organizational actors and, can be considered similar to software outsourcing exercise. The multi sectoral actors operate in a network form of governance model where psychological and social contracts are important in maintain the fabric of the network organization. Inter-personal and inter-organizational trust is a key constituent in psychological and social contracts in IS outsourcing. This article attempt to reflect the empirical evidence of trust based governance of the network organization around 2 FOSS HIS implantation within the state health sector with an inter-organizational trust lenses. The longitudinal case studies try to understand how health managers' trust towards FOSS implementors changed and shaped HIS implementation trajectories with long term repeated interactions during two HIS implementations in Sri Lankan context.

How Health Managers' Trust Towards FOSS Implementors Changed and Shaped HIS Implantation Trajectories