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- W1550579920 abstract "The development outcome of ICT and information systems in developing countriesis often influenced by international development policies and the action ofinternational actors such as donor agencies. In particular, ICT adoptions andimplementations in developing countries may be influenced by the contradictionsarising mainly from the tension between international managerialist developmentpolicies and the main rationalities of actors in the local implementation context.Based on the case study of health information systems in Kenya, the objective ofthis thesis is to increase the understanding of how these contradictions may affectthe development and change potential of health information systems and ICTs indeveloping countries in relation to international development policies.Drawing on a dialectical perspective on institutional work, the thesis argues that thechange and development trajectories arising from the implementation and usage ofhealth information systems depend on how actors involved in the restructuring ofhealth information systems – i.e. donor partners, national decision makers and localhealth information systems managers and users – respond to the ongoing dialecticbetween global and local pressures of institutional change and stability.The main findings of the research presented in this thesis point to the importance ofanalysing political donor relations and the institutional entrepreneurship of localactors in order to understand the change and development outcomes of healthinformation systems and ICT in developing countries." @default.
- W1550579920 created "2016-06-24" @default.
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- W1550579920 date "2012-04-01" @default.
- W1550579920 modified "2023-09-27" @default.
- W1550579920 title "Health information systems reform in Kenya : an institutionalist perspective" @default.
- W1550579920 hasPublicationYear "2012" @default.
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