Abstract:
ntroduction: The implementation of Information and Communication Technology
(ICT) in the Primary Level Health Care (PLHC) of low-income countries is at the
proof-of-concept level. Despite the wide-ranging efforts over the past 35 years,
healthcare facilities are grappling with implementation; the essential health informa tion sources are inaccessible. Consequently, the potential benefits are marred by var ious challenges. Therefore, the aim of this study is to explore the challenges in the
implementation of an ICT-Based Health Information system (ICT-BHIS) in the PLHC
facilities of Wolaita Zone, South Ethiopia.
Methods: We conducted an 8-month ethnographic study to develop and validate
the Chibs ICT4H model. More specifically, a total of 160 h of observational data
along with 21 key informant interviews were collected in the form of field notes
and audio records. Both data were transcribed and entered into the Qualitative
Data Analysis mine software version 1.4. Building on the constant comparative
method of data analysis, we identified initial themes inductively, revisited the
ICT4H model, and expanded and collapsed the themes prior to interpretation to
generate new meaning.
Results: The findings of this study revealed that infrastructures, financial cost, techni cal constraints, human capital, stakeholders' engagement, and organizational commit ment are the pressing challenges PLHC facilities face in the implementation of
ICT-based health information services.
Conclusions: This implies the need to shift the paradigm/gaze from piecemeals of
multiple solo pilot projects to a unified strategy that touches multiple buttons/
challenges for the successful implementation of ICT-BHIS in the context of PLHC
facilities.
