Gladwin 2002 Rejection HIS innovation east africa

Title Rejection of an Innovation: Health Information Management Training Materials in East Africa
Format publication
Authors Gladwin, J., Dixon, R.A., Wilson, T.D.
Journal Name (if applicable) Health Policy and Planning
Date Published 2002
Open Access Y/N no
Hard copy PDF Available Y/N yes
Abstract A shift towards decentralization in many low-income countries has menat more skills are demanded of primary health care managers, including data and information handling at all levels of the health care system. Ministries of Health are changing their central reporting health information systems to health management information systems with emphasis on managers utilizing information at the point of collection. This paper reports on a research study to investigate the introduction of new information management strategies intended to promote an informational approach to management at the operational health services level in low-income countries.It aims to understand the processtaking place when externally developed training materials (PHC MAP_, which are intended to strengthen health management information systems, are introduced to potential users in an east African coiuntry. A case study has been undertaken and this research has demonstrated that the dynamic equilibrium approach to organizational change is applicable to the introduction of new informatino management strategies and management approaches in low-income countries. Although PHC MAP developers envisaged a technical innovation need implementation, potential users saw the situation as one of organizational change. Contributions to theory have been made and many implications for introducint new information systems of the informational approach to management are identified. This theoretical framework could also facilitatie the introduction of future information management innovations as one of organizations change that needs to be managed. Consequently, issues that many facilitate of inhibit adoption could be identified in advance.