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Integrated health information systems in Tanzania: experience and challenges

Smith, Matthew, Madon, Shirin, Anifalaje, Adebusoye, Lazarro-Malecela, Mwele and Michael, Edwin (2008) Integrated health information systems in Tanzania: experience and challenges. Electronic Journal of Information Systems in Developing Countries, 33 (1). pp. 1-21. ISSN 1681-4835

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Health is a serious development issue. The perceived link between health and development has been articulated in much of the policy and academic literature resulting in many initiatives to introduce integrated health information systems at the local level. Despite huge investments made in this direction, these systems have not made any radical impact on the delivery of healthcare for local communities. Drawing on empirical work in Tanzania, we argue that this has been because of the adoption of a narrow, managerialist perspective of “integration”. We propose instead an interpretation of integration from a variety of standpoints; development studies, management, and sociology. According to this approach, it is not just data that is integrated, but ways of working and the social relations which support the health information systems at global, national and local levels. In our discussion section, we broaden the scope of integrated health information systems to consider the integration of not just management information but also epidemiological data.

Item Type: Article
Official URL:
Additional Information: © 2008 The Authors
Divisions: International Development
Subjects: Q Science > QA Mathematics > QA76 Computer software
R Medicine > RA Public aspects of medicine
Sets: Research centres and groups > Information Systems and Innovation Group
Departments > International Development
Date Deposited: 06 Jan 2011 13:30
Last Modified: 03 Jul 2021 23:11

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