Microcomputers as a means to introduce effective management procedures in Primary Health Care: The Haiti experience

Modeling Technology Transfer in Health Information Systems: Learning From the Experience of Chad

“…2 The World Health Organization (18;25) has developed guidelines for information systems in developing countries but insists that these are merely guidelines, not blueprints. 3 Unger 24, who favors using explicit models, acknowledged that in the case of Chad, the results obtained by the CSIS were similar to those that would have been obtained using an explicit model because the decision makers were operating under an implicit model. I would argue that Chadian managers and decision makers, by using implicit models, were able to create an information system with greater flexibility in adapting to the realities of their own health services delivery system.…”

“…They did not use explicit models such as, for example, a minimum package of activities necessary for appropriate health services. 3 From the survey of data needs, the HIID team prepared a synthesis of information needs and an option paper, proposing different models of information systems to meet expressed needs, while taking into account Chad's limited resources and the limited reliability of certain sources of data. (For more information on this process, see references 9; 10; 12).…”

Introducing e-government in public administration in Ghana

“…This ability is too limited or scarce in our public administration institutions in Ghana. As noted by Auxila and Rohde (1988), in implementing a newly designed computerized information system in Haiti: "Resistance to any change in the information system was predictable and high. For some employees, there was simply the fear that the computer would take their jobs, or the inherent laziness at learning new tasks.…”