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Health information systems implementation: Weaving alliances in East African Community
Author(s) -
Senyoni Wilfred F.
Publication year - 2021
Publication title -
the electronic journal of information systems in developing countries
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.41
H-Index - 18
ISSN - 1681-4835
DOI - 10.1002/isd2.12152
Subject(s) - weaving , alliance , knowledge management , context (archaeology) , process (computing) , fragmentation (computing) , information system , work (physics) , information and communications technology , process management , computer science , business , data science , political science , engineering , world wide web , geography , mechanical engineering , archaeology , law , operating system
This paper addresses the problem of fragmentation and lack of coordination in the context of health information systems. Drawing on a longitudinal action research study of implementing a regional database in East African Community; a process model is developed illustrating forms of institutional work in weaving alliance through three non‐linear phases: standardisation, evolving and stabilisation. The study first contributes by conceptualising weaving alliance as a process whereby novel Information and Communication Technologies (ICT) capabilities such as the implementation and use of dashboards emerge and co‐evolve with intentional actions by actors aligning stakeholders with diverse interests. The second contribution concerns how dashboards emerge and co‐evolve with existing work practises facilitating a common understanding among multi‐stakeholders. Collectively, the study broadens our understanding of introducing and sustaining ICT4D solutions in settings characterised by fragmented information systems.