Abstract:
This study presents the challenges of health information systems standard and interoperability in
healthservice. Itis crucialto consider important aspects of technological development in health
centers activities. The aim of the study is to investigate the challenges of health information
systemsand developaframework that enhances the effectiveness of information systems standard
and interoperability to provide healthservice. The study was followeddescriptiveresearch design.
Interview and questionnaire were employed in order to get real information on the current
practice of health centers activities. The sample of 748employees engaged in health information
systems standard and interoperability on health centers was selected and stratified random
sampling fromfive-health center for questionnaire survey. The study found that the current health
information systems serviceactivitiesshould be modeled to include the vital health information
systems. Lack of interoperability and coordination cause for health information system, and the
staffhadn’t training on Health information systemsapplications which are the main challenges in
the hospitals. According to the finding,the proposed and designed framework is encouraging for
future change on these health information systems applications in health sector, which is
essentialto improve the current health information systems implementationpractice.In regression
analysis, the component of health information systems affected existing of health information
systems service delivries in the health center.Finding indicates 72.7%, of variation in challenges
of health information systems is explained by major components listed while 27.3% of variance
is explained by other factors.Majorhealth information systems components had a greater
influence on employee current challenge of health information systems. It concluded, health
sector are continuing to rely on technology to perform their activities. On the other hand, health
organization are number one concerns across the globe.It recommended that the health
information system implementation for health center activities is a fairly new concept and as
many health sectors are capital intensive to work.
