Adoption and Implementation of Health Information System in Limited Resource Setting: A Survey on User Experience Perspective

Abstract

Understanding the situation  is essential to bring sustainable health information system. It helps to get the detail of the context, methods of communication and  tools experienced that will ensure the sustainability of the system. The majority of the research confirms failure is the known end result of  information system in developing countries. In principle, information system projects are trying to involve users and collaborate with stakeholders throughout the design process such as requirement gathering, requirement specification, implementation and design, testing, training and so on. Most of information system projects in developing countries will face a difficulty of getting appropriate user requirement and engagement. The consequence of these will degrade the success rate and create fragile information system. Assessment review of Ethiopian Health Information System (EHIS) also noted that the system struggle with poor data management, system resources, dissemination and use of information system. The EHIS review noted that 52% of the components were present but not adequate. However, inadequateness and the fragility of the system mainly arise from lack of appropriate user involvement and requirement. User experience design has been known to create an influence and increase level of participation in the process, but not fully explored in the fragile system and low resource setting scenario. The story of health information in low resource setting is examined. User experience design and participatory design model is proposed as a solution to outline critical issues and mode of communication to increase the success rate of health information system adoption and implementation.