Abstract

The majority of low and middle-income countries (LMICs) have frequently implemented health information systems (HIS) in response to international pressure to account for health care investments. Health information can facilitate better planning and monitoring health services, which may lead to improved health outcomes, which is the concept behind robust and effective HIS. However, the use of health information systems (HIS) as accountability tools has frequently been criticized for being counterproductive because they give health information more significance to international organizations and national governments than to those in charge of local health services. This paper aims to examine how HIS influence the development of local accountability practices and their effects on health care delivery. The technology domain of HIS is combined with a theoretical perspective derived from structuration theory. A case study of HIS in Kenya is analyzed from this point of view. The findings have implications for the application of structuration theory to comprehending accountability and the significance of IT materiality in structuration processes. It contributes to a deeper comprehension of how HIS can foster enhanced human development and health care. It also contributes to the comprehension of IS as a means of socialization through which users can negotiate multiple accountability goals as well as a means of governing people's behavior. Keywords: Health, Information systems, Healthcare

Full Text
Published version (Free)

Talk to us

Join us for a 30 min session where you can share your feedback and ask us any queries you have

Schedule a call