Participatory design for social development: A South African case study on community-based health information systems

Abstract

In this paper, the role of participation within the domains of information system (IS) research and social development is analyzed. Specifically, we examine how the process of IS development, and the IS itself, can reflect and shape the status of social development. Traditionally, participatory design (PD) research in IS has focused on business contexts in the Western world, with minimal application to developing country settings, especially in the context of social development. This paper seeks to contribute to developing these understandings and bases its analysis on a case study of a community-based health IS in South Africa. The case study involved the design and development of a community-based child health IS in a rural area of South Africa. Nationally, the formal district health IS in South Africa includes data only on those people who access health services through the health facilities. The premise behind developing a community-based child health IS was to include all the people living in that district in the district health IS. Analysis of the case study reveals three ways in which traditional PD needs reconceptualization. First, it is not only the users of the IS who should participate, but also those individuals who are affected by the IS, even when those individuals have no direct interaction with the system itself. Second, whereas there is some recognition in PD literature of the need for the participation of people at different levels vertically distributed within an organization, there has been little recognition of the value of involving actors outside the organization or sector. Third, the capacity of the users and those impacted by the system needs to be developed to ensure effective participation in the IS design and development processes. These three approaches to PD in IS, whose purpose is to contribute to social development, are essential components of a participatory strategy. © 2007 Wiley Periodicals, Inc.