عنوان

Exploring the role of health management information systems in improving accountability arrangements for primary health care delivery in less developed countries :

شماره

TLets570997

عنوان اصلي

Exploring the role of health management information systems in improving accountability arrangements for primary health care delivery in less developed countries :

نام عام مواد

[Thesis]

نام نخستين پديدآور

Anifalaje, Adebusoye

عنوان اصلي به قلم نويسنده ديگر

a case of Northern Nigeria

نام ناشر، پخش کننده و غيره

London School of Economics and Political Science (University of London)

تاریخ نشرو بخش و غیره

2012

جزئيات پايان نامه و نوع درجه آن

Ph.D.

کسي که مدرک را اعطا کرده

London School of Economics and Political Science (University of London)

امتياز متن

2012

متن يادداشت

Health management information systems (HMIS) are implemented in less developed countries (LDCs) with the expectation that they will contribute to improving primary health care (PHC) delivery. Information generated through these systems is conceived as an imperative for better decision making processes and strengthening accountability arrangements that underpin the delivery of PHC. Despite strong rhetoric and significant investments to support these systems, most HMIS implementation in LDCs face challenges of poor data quality and weak accountability arrangements that limit their impact on health status. This constitutes a divergence from the instrumentality of predetermined indicators measuring health status performance that do not necessarily reflect the complex reality underlying how poor communities define their health priorities. We therefore highlight that accountability for performance management may indeed detract from the objective of improving the health of the poor and needs to be understood more broadly. This study illuminates the challenges and potential of HMIS implementation through accountability arrangements that are socially embedded in institutions, interactions and interpretations of global and local actors. As such, our primary research question is, "To what extent can HMIS improve accountability arrangements of PHC delivery?" Employing an interpretivist research methodology, we provide perceptions of how interactions between citizens, service providers, bureaucratic and political agents dynamically construct, contest and navigate accountability arrangements underpinning the provision of health care. This understanding has hitherto been limited in the HMIS literature. As a central theme in ICT for Development literature, illuminating these interactions furthers our understanding regarding the potential of HMIS in improving the lives of the poor. National governments, donors and HMIS practitioners will benefit from the practical insights derived from this study especially in relation to reconceptualising HMIS analysis to incorporate contextual and developmental notions of PHC. With relatively limited HMIS research, Northern Nigeria as the empirical context of this study also constitutes a useful contribution to the body of knowledge.

موضوع مستند نشده

RA Public aspects of medicine

مستند نام اشخاص تاييد نشده

Anifalaje, Adebusoye

مستند نام تنالگان تاييد نشده

London School of Economics and Political Science (University of London)

نام الکترونيکي

فرمت انتشار

p

نوع ماده

[Thesis]

کد کاربرگه

276903

سطح دسترسي

a

تكميل شده

Y