What is it about?

Health management is typically based on information concerning health staff, commodities, logistics, progress tracking, financing and health services provision. This information is commonly distributed across different information systems, and there is a current drive towards integrating these sources. Linking these information systems together entails integration as well as defining and re-distributing functional roles between different software components. In this paper, we identify three different strategies involved in these processes and conceptualize them as three different architecting strategies and conceptualize them as connecting, encroaching, and charting.

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Why is it important?

The fragmentation of information systems and parallel reporting in the public health system in developing countries are recognized as major challenges to efficient health service delivery and management. While integrating systems into more coherent information system architectures is a viable approach to reduce fragmentation, it is also a political process where proponents of different software components will work towards strategically position themselves. Understanding these processes and how they play out is important to understand the role of architecture and how different actors are strategizing.

Perspectives

Research related to HISP and DHIS2 has previously focused on the fragmentation of and the potential of integrating health information systems dealing with aggregate health data. In this paper, we take a perspective beyond the health indicators to also include the complexity when health information systems are integrated with systems such as logistics management information systems (LMIS), human relation information systems and electronic patient records. Architecting is in this context about defining the functional role of these different systems previously belonging to different and separate domains of health management.

Dr Petter Nielsen
Universitetet i Oslo

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This page is a summary of: Three Strategies for Functional Architecting: Cases from the Health Systems of Developing Countries, Information Technology for Development, April 2015, Taylor & Francis,
DOI: 10.1080/02681102.2015.1026304.
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