Journal Article10.1080/02681102.2014.902354
Models for Online Computing in Developing Countries: Issues and Deliberations
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TL;DR: What empowering factors that enabled the successful improvization in Ghana are discussed and the role of improvization and outsourcing for the long-term sustainability of system is discussed.
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Abstract: The implementation of computerized health information systems (HIS) across the African continent has had mixed success over the past 20 years. Many countries have been left with non-functional systems which cannot be adapted to meet current health information demands because funding is exhausted, the source code for legacy systems is not available and the challenge of maintaining complex and distributed systems in resource-poor environments has simply proved too great. The expansion of Internet connectivity in Africa has enabled a new model of provisioning systems using the web which may prove to be more robust and scalable. This paper uses the case of a new web-based HIS in Ghana to illustrate the opportunities and challenges of this new model. We discuss how the HIS in Ghana was materialized through an act of “improvized outsourcing” according to Ciborra [(1999). Notes on improvisation and time in organizations. Accounting, Management and Information Technologies, 9(2), 77–94], improvization is called u...
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