Development of the National Health Information Systems in Botswana:
Pitfalls,prospects and lessons |
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Authors: | Onalenna Seitio-Kgokgwe Robin D C Gauld Philip C Hill Pauline Barnett |
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Institution: | 1.Ministry of Health Gaborone, Botswana;2.Department of Preventive and Social Medicine, University of Otago School of Medicine.;Dunedin, New Zealand;3.Health Sciences Centre, University of Canterbury, Christchurch, New Zealand |
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Abstract: | Background: Studies evaluating development of health information systems in
developing countries are limited. Most of the available studies are based on
pilot projects or cross-sectional studies. We took a longitudinal approach to
analysing the development of Botswana’s health information systems.Objectives: We aimed to: (i) trace the development of the national health
information systems in Botswana (ii) identify pitfalls during development and
prospects that could be maximized to strengthen the system; and (iii) draw
lessons for Botswana and other countries working on establishing or improving
their health information systems.Methods: This article is based on data collected through document analysis and
key informant interviews with policy makers, senior managers and staff of the
Ministry of Health and senior officers from various stakeholder
organizations.Results: Lack of central coordination, weak leadership, weak policy and
regulatory frameworks, and inadequate resources limited development of the
national health information systems in Botswana. Lack of attention to issues of
organizational structure is one of the major pitfalls.Conclusion: The ongoing reorganization of the Ministry of Health provides
opportunity to reposition the health information system function. The current
efforts including development of the health information management policy and
plan could enhance the health information management system. |
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Keywords: | health information systems Botswana national health information system developing health information systems |
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