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Influence of Institutional Factors on Community Level Technology Implementation for Enhanced Data Utilization in Malawi's Health Management Information System
IF 1.1 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2025-02-26 DOI: 10.1002/isd2.70007
Auxilia Nyaukaya Kaunda, Tiwonge Manda, Jens Kaasbøll

The paper details how influences of institutional factors on the implementation of technology and tools at the community level are addressing data use challenges in the Malawi health sector. Particularly, the paper interrogates how the demands, expectations, and practices of organizations operating within the health sector can shape data use. This interpretive qualitative study, conducted in four selected districts across Malawi, applied the lens of institutional pressures. The study used semi-structured interviews, participant observations, documents, and artifact review data collection methods. The findings demonstrate that the Ministry of Health, through demands from partner organizations, implemented technology and tools aimed at improving data use, including the Integrated Community Health Information System, which is enhancing the DHIS2 functionality at the community level; the paper-based Integrated Community Health Register; and the National Community Health Strategy that guides community activities. This study posits that the Ministry of Health's mandate in developing nations, such as Malawi, includes enforcement of a regulatory framework that ensures the legitimacy of all organizations operating within the health sector to a standardized approach for integrated processes of data utilization. The study contributes to the literature on the Information and Communication Technology for Development field by providing empirically grounded perspectives of institutional pressures.

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引用次数: 0
Towards a Framework for the Adoption and Use of Information and Communication Technology for Empowering Women Entrepreneurs: Case of Egypt
IF 1.1 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2025-02-25 DOI: 10.1002/isd2.70006
Nahed Azab, Mohamed Elsherif

This study investigates the role of Information and Communication Technology (ICT) in empowering women entrepreneurs, with a focus on the Egyptian context. The study draws upon the Unified Theory of Acceptance and Use of Technology (UTAUT), to identify five chief factors that affect ICT adoption: Perceived Usefulness (PU), Perceived Ease Of Use (PEOU), Social Expectancy (SE), Facilitating Conditions (FC), and Personal Traits (PT). These factors were also confirmed by five Heads of NGOs supporting women entrepreneurs in Egypt. This paper presents the first stage of our research which involves gathering qualitative data through semi-structured interviews with six Egyptian women entrepreneurs from Cairo, Giza, and Alexandria Egyptian governorates. This research aimed to empirically explore the existence of the five factors that affect ICT adoption leading to the development of a conceptual framework. Our qualitative study allowed us also to obtain rich information regarding the interviewees' experience with ICT adoption and usage and the benefits reaped in terms of increasing all facets of Power and Social Capital. The study revealed that access to technology and education does not pose any barriers for the participants because they live in big cities with good Internet infrastructure. In addition, all participants are highly educated and have relatively high living standards. They are also exposed to several opportunities such as funding and training support from government entities and NGOs. However, they all expressed their need to acquire advanced training in different software applications. Furthermore, the study confirmed that ICT offers significant opportunities for women's empowerment and can reduce societal challenges such as age and male-dominant culture. Being considered among the middle class or above, the outcome of using ICT is not directed to financial reasons; it is primarily towards confidence and self-satisfaction.

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引用次数: 0
Examining the Diffusion of Software-as-a-Service (SaaS)-Based Cloud Model Among Indian Firms: A Risk-Based Perspective
IF 1.1 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2025-02-23 DOI: 10.1002/isd2.70003
Shubhendu Dutta

The study aims to identify the specific perceived risks that dissuade organizations from continuing the use of SaaS. Along with the inhibiting factors, the study also examines the role of IT governance in post adoption of SaaS. Based on the premise of prospect theory and resource based view, a mixed method study (quantitative study followed by a semi structured interview) was conducted with the IT leaders of SaaS consuming organizations to understand the phenomenon in the context. From our study, we found that among the various risks, financial risks and security and privacy risks have a greater influence on perceived risk and consequently on the intention to continuance use of SaaS. The study also reveals that the organizations are skeptical about increasing their usage level of SaaS, and they would do so on specific cases, which have less asset specificity. Further, it also indicates that regulated organizations are less inclined to increase their SaaS usage. To the best of our knowledge, this study is the first one on post adoption use of SaaS among Indian firms using the risk perspective.

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引用次数: 0
Tailoring Digital Content to Address Occupational Injustice: Improving Accessibility and Equity for Marginalized Groups
IF 1.1 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2025-02-10 DOI: 10.1002/isd2.70004
Jessica Eise, Ulf Thoene

Creating equity in access to digital content and tools in the face of global chronic stressors can improve inclusivity and reduce an exacerbation of marginalization. The socio-political aspects of life are inherent in occupation and may reveal internal and external barriers that block meaningful digital engagement and inhibit a community's ability to thrive. In this article, the concept of occupational injustice is the lens through which we examine digital environments, content, and tools so that we may improve the marginalization and inequity experienced by certain groups. Based on 57 in-depth interviews with coffee stakeholders in Colombia, this study is a qualitative assessment of how occupation influences digital use. Data are gathered through participants' use of a tailored climate change adaptation website, www.climaycafe.com, and the users' reported experience. The data reveal that occupation influences digital usage through (1) how a user engages based on an occupation's social status, (2) what a user values based on occupational demands, (3) what is perceived as reliable and trustworthy based on occupational influence, and (4) feature preferences based on occupational exposure to technology. The findings demonstrate that digital content and tools can be tailored to reduce occupational injustice through an audience-centric focus that enhances accessibility, usability, and digital equity.

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引用次数: 0
The Impact of Computerized School Selection and Placement Systems on Effective Service Delivery: A Post Implementation Assessment of Students' Placements Into Second-Cycle Institutions in Ghana
IF 1.1 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2025-02-10 DOI: 10.1002/isd2.70005
Joshua Nii Akai Nettey, Acheampong Owusu

The manual placement of students into second-cycle institutions in Ghana was inefficient and prone to errors, prompting the introduction of the Computerized School Selection and Placement System (CSSPS) to ensure effective and equitable placements. This study evaluates the CSSPS's effectiveness through the Task-Technology Fit (TTF) theory, which assesses the alignment between task requirements and technology capabilities. Using a qualitative approach, 12 participants, including school heads and CSSPS administrators, were interviewed. The findings reveal that CSSPS has significantly improved transparency, fairness, and efficiency in student placements, addressing biases and delays associated with the manual system. However, challenges remain, including technical issues and stakeholder dissatisfaction with placement outcomes. The study highlights that while CSSPS is well-suited for its intended purpose, increased stakeholder engagement and technical improvements are essential for long-term success. The research contributes to understanding ICT4D applications in education, emphasizing the need for continuous system upgrades and policy adjustments to enhance educational access and socio-economic development in Ghana. Recommendations include expanding training for stakeholders and improving system infrastructure to better meet user expectations and optimize the placement process.

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引用次数: 0
Using Digital Integrated Community Case Management to Strengthen Protocol Adherence Over the Sick Child Recording Form for Under-Five Children Referrals From Community to Higher Level Facilities in Malawi: Affordance Perspective
IF 1.1 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2025-02-02 DOI: 10.1002/isd2.70000
Florence Matewere, Jens Johan Kaasbøll

An effective referral system at the community level of healthcare for under-five children manages health needs by fostering relationships across all levels of healthcare, enabling patients to receive the best possible care and, in the process, saving lives. However, identifying those who need urgent referral mostly depends on community health workers (CHWs) commitment, which some studies have found inadequate due to nonadherence to the integrated Community Case Management (iCCM) Protocol, a protocol aimed at reducing child mortality and morbidity. Studies have shown that employing mobile Health (mHealth) may circumvent some of the limitations of paper-based iCCM protocol for patient referrals, which include assessment and treatment of under-five children. Despite the known benefits of mHealth in supporting CHWs, studies analyzing how the affordance of digital iCCM may strengthen protocol adherence over paper-based iCCM are lacking. Therefore, the purpose of this study is to analyze how the actualization of digital iCCM may strengthen protocol adherence over the SCRF, consequently, improving referrals from the community to the higher-level facilities for specialized treatment. The data captured from interviews, focus groups, informal chats, observation and document analysis were transcribed and analyzed using thematic analysis. We found that the Sick Child Recording Form faces challenges due to nonadherence to set guidelines, resulting in misclassification, incorrect drug prescriptions, and consequently, delays in referring patients with acute symptoms to health facilities for specialized treatment. As a contribution, this paper offers a new perspective on the technological affordances of digital iCCM that strengthen protocol adherence in patients' referrals from the community to the higher-level facilities that include assessment and treatment.

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引用次数: 0
The Influence of Self-Efficacy, Trust, Perceived Costs and Healthcare-Environment on Compliance With the Data Protection and Privacy Act by Health Workers in Uganda
IF 1.1 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2025-02-02 DOI: 10.1002/isd2.70002
Barbara N. Kayondo, Michael Kyobe

Despite existing regulations, compliance with Uganda's Data Protection and Privacy Act (DPPA) remains challenging, as studies focus only on technical and organizational aspects, neglecting behavioral and contextual factors. Furthermore, the limited number of health workers, low awareness of the DPPA, high costs of compliance, and a lack of trust within hospitals exacerbate these challenges. This study investigates the influence of self-efficacy, trust, perceived costs, and the healthcare-environment on DPPA compliance among healthcare workers in Uganda. It also explores the moderating effects of gender and work experience on the relationship between self-efficacy and compliance. Using quantitative methods, data were collected from 309 healthcare workers across three hospitals through a self-administered questionnaire. Regression analysis revealed that perceived costs (β = 0.240, p < 0.0001) were the strongest predictor of compliance, followed by trust (β = 0.193, p < 0.0001), healthcare environment (β = 0.178, p < 0.0001) and self-efficacy (β = 0.121, p = 0.022) was positively associated with compliance. Gender (β = 0.119, p = 0.024) significantly moderated the self-efficacy-compliance relationship, with women exhibiting higher adherence to protocols, while work experience did not exhibit a significant moderating effect. The findings suggest that healthcare institutions in Uganda should invest in gender-specific training programs to enhance self-efficacy, build organizational trust, and reduce perceived compliance costs. Establishing supportive healthcare environments with clear policies and dedicated privacy officers is critical for promoting DPPA compliance. This study is among the first quantitative and empirical study to assess self-efficacy, trust, costs of compliance and healthcare-environment on DPPA compliance in Ugandan health context using social cognitive theory, theory of planned behavior, rational choice theory and institutional theory, a multi-theoretical approach offering valuable insights for healthcare policy and management in resource-constrained settings.

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引用次数: 0
Digital Platforms Boundary Resource: A Third-Party Developers Strategy for Digital Start-Ups and Market Penetration in Nigeria
IF 1.1 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2025-01-29 DOI: 10.1002/isd2.70001
Emmanuel Okoro Ajah

Third-party application developers are increasingly using platform-based business models to enter new markets and create economic value. While prior research has mostly examined the design and architecture of digital platforms, less attention has been given to digital platform boundary resources as an entrepreneurship strategy. The boundary resources of a digital platform significantly impact third-party developers' motivation to engage in digital entrepreneurship. Consequently, scholars need to carefully investigate the affordances of the boundary resources that influence third-party developers to create complementary applications as products for entrepreneurial endeavors. To address this gap, the researcher formulated two research questions and conducted an inductive case study to explore the perspectives and views of third-party application developers in technology hubs within Nigeria's digital start-up ecosystem. Nigeria has a large youth population with a strong digital potential (i.e., tech-savvy) and is confronted with uncertainties, limited resources, and complexities. Furthermore, the study is grounded in the technological affordance theory, which guides the researcher's interpretation. The study's findings uncovered the digital platform's boundary resource affordances that play a strategic role in influencing third-party developers' participation in digital entrepreneurship.

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引用次数: 0
Independent or Freelance Mobile Application Development in Ghana: Unraveling Opportunities and Challenges 加纳独立或自由移动应用开发:揭示机遇和挑战
IF 1.1 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2024-12-12 DOI: 10.1002/isd2.12353
Eric Ansong, Nii Barnor Jonathan Barnor, Sheena Lovia Boateng

The purpose of this study was to unravel the opportunities and challenges encountered by independent or freelance mobile application (App) developers in Ghana. The study employed a qualitative approach by organizing a focus group discussion among eight freelance mobile application developers and engaging them individually when needed. The analysis was done by drawing themes from the tape-recorded interviews. After the data analysis, it was discovered that the mobile application space in Ghana is male-dominated. Factors influencing independent mobile application development are monetary and intrinsic rewards, increasing demand for smartphones, gamification through mobile App development contests, access to free online resources, and government initiatives leveraging mobile applications to enhance governance and fight corruption. Comparatively, the challenges unearthed are the unregulated mobile App industry, the unpredictable nature of advancements in application development languages, and the global competitiveness of the application development space. This study outlines the research implications and recommendations for stakeholders. The originality of this study stems from the fact that it is one of the first studies on mobile application development from the freelance developers' perspective, which emanates from a developing economy context.

本研究的目的是揭示加纳独立或自由移动应用程序(App)开发人员遇到的机遇和挑战。该研究采用了定性方法,组织了8名自由手机应用开发者的焦点小组讨论,并在必要时让他们单独参与。分析是通过从录音采访中提取主题来完成的。经过数据分析,我们发现加纳的移动应用领域是男性主导的。影响独立移动应用程序开发的因素包括货币和内在奖励、智能手机需求的增长、通过移动应用程序开发竞赛实现的游戏化、免费在线资源的获取以及政府利用移动应用程序加强治理和打击腐败的举措。相比之下,面临的挑战是不受监管的移动应用程序行业,应用程序开发语言进步的不可预测性,以及应用程序开发空间的全球竞争力。本研究概述了研究的意义和对利益相关者的建议。这项研究的独创性源于这样一个事实,即它是从自由开发者的角度对移动应用程序开发进行的首批研究之一,这源于发展中的经济背景。
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引用次数: 0
An enterprise technical architecture for the implementation of the South African National Health Insurance
IF 1.1 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2024-11-11 DOI: 10.1002/isd2.12352
Tiko Iyamu, Farirai Chitsa

The South African National Health Insurance (NHI) faces challenges due to a lack of an enterprise technical architecture (ETA) solution, for the implementation. This study aims to propose an ETA, to enable and support the implementation of the South African ETA. The qualitative method was employed in the data collection. Actor-network theory (ANT) was applied as a lens to examine the data. The findings reveal several critical influencing factors, including readiness assessment, geographical locations of stakeholders; diversity of healthcare facilities; flexibility of technology solutions; and synchronization of processes and patients' data. The study highlights the need to provide governance for the technologies that influence the implementation of NHI. Based on the influencing factors, a framework was developed. The framework is intended to provide architectural governance (principles, standards, and policies), to efficiently and effectively, facilitate, support, and enable the implementation of the South African NHI.

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引用次数: 0
期刊
Electronic Journal of Information Systems in Developing Countries
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