Accelerating implementation of District Health Information Systems: Perspectives from healthcare workers from KwaZulu-Natal, South Africa

South African Journal of Information Management

 
 
Field Value
 
Title Accelerating implementation of District Health Information Systems: Perspectives from healthcare workers from KwaZulu-Natal, South Africa
 
Creator Jinabhai, Champaklal C. Onwubu, Stanley C. Sibiya, Maureen N. Thakur, Surendra
 
Subject — e-health; data quality; KwaZulu-Natal province; DHIS; Health care workers
Description Background: Although electronic health record systems are critical for healthcare management, there has been genuine concern about the quantity and quality of data generated by these systems inhibiting its full implementation.Objectives: The purpose of this article was to explore the experiences of healthcare workers (HCWs) and challenges facing the acceleration of the District Health Information System (DHIS) in the KwaZulu-Natal (KZN) province of South Africa.Methods: In this study, an interpretive research paradigm was followed to explore the current state of electronic health in South Africa from the experiences of HCWs in the KZN province. Semi-structured focus group interviews conducted with 20 participants drawn from the district office, clinical nurse practitioners and data capturers allowed thematic analysis of data using a systems approach to link the perspectives HCWs to the design of the DHIS.Results: The participants held the view that e-health is crucial for monitoring disease trends, policy development, planning and allocation of infrastructure, information technology (IT), financial and human resources. Nevertheless, the participants highlighted a concern surrounding e-health regulations, ethics and data confidentiality; data quality and lack of interoperability of Health Information Systems (HIS). This concern was attributed to data fragmentation, internal politics and lack of coordination of the data system.Conclusions: The study suggests that good quality data – from an integrated DHIS, is highly critical for the effective utilisation, implementation and acceleration of e-health systems in the province to support epidemiological surveillance and modelling of outbreaks, such as the COVID-19 pandemic.
 
Publisher AOSIS
 
Contributor Medical Research Council
Date 2021-12-10
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — —
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/sajim.v23i1.1435
 
Source SA Journal of Information Management; Vol 23, No 1 (2021); 8 pages 1560-683X 2078-1865
 
Language eng
 
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https://sajim.co.za/index.php/sajim/article/view/1435/2089 https://sajim.co.za/index.php/sajim/article/view/1435/2090 https://sajim.co.za/index.php/sajim/article/view/1435/2091 https://sajim.co.za/index.php/sajim/article/view/1435/2092
 
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Rights Copyright (c) 2021 Champaklal C. Jinabhai, Stanley C. Onwubu, Maureen N. Sibiya, Surendra Thakur https://creativecommons.org/licenses/by/4.0
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