Electronic Journal of Information Systems in Developing Countries最新文献

The impact of the use of electronic medical records (EMRs) on health projects in sub-Saharan Africa and specifically in Kenya is not known. We conducted an ex post facto mixed methods cross-sectional descriptive survey among 191 healthcare providers in comprehensive care centers to understand the perceived association between utilization of the EMRs and management outcomes of HIV/AIDS projects in eight high volume public health facilities in Kisumu County, Kenya. A standardized open-ended questionnaire and a key informant interview guide were used to collect both quantitative and qualitative data. The study findings demonstrated a high level of perceived utilization of the EMRs within the HIV/AIDS projects across the selected health facilities. There was a statistically significant positive correlation between utilization of EMRs and management outcomes of HIV/AIDS projects. Utilization of the EMRs for data services could explain significant variation in management outcomes of HIV/AIDS projects. Using content analysis, we unearthed five categories of contextual factors that affect utilization of electronic medical records, namely infrastructure/technological factors, factors related to capacity of users, project management factors, attitudes of the users, and security-related factors. Electronic medical records have the potential to significantly improve management outcomes in HIV/AIDS projects. We recommend the need for scale-up of the EMRs to cover more HIV/AIDS sites and perhaps be replicated in other health programs focusing on chronic diseases.

The rapid expansion of the information systems (IS) and information technology industry has brought undeniable economic and social benefits. However, its environmental footprint has raised concerns, particularly in developing economies where sustainability initiatives face structural and resource constraints. Green IS holds promise in addressing these challenges, yet their successful implementation in higher education institutions (HEIs) remains uncertain due to complex technological, organizational, and environmental (TOE) factors. This research examines the relatively unexplored realm of TOE factors influencing green information systems practices (GISP). The study utilized an online survey questionnaire to gather data from 166 HEIs in an emerging economy. It employed partial least squares structural equation modeling (PLS-SEM) to analyze the hypothesized relationships. The results indicate that GISP adoption is primarily influenced by compatibility, security concerns (environmental factors), organizational readiness, top management support, employee capability (organizational factors), government support, and competitive pressure (environmental factors). This study contributes to the IS literature by extending the TOE framework and providing novel insights into GISP within the HEI sector. Beyond its theoretical contributions, the study offers practical insights into how HEIs in resource-constrained settings can navigate sustainability transitions. It highlights the pivotal role of top management in driving sustainable decision-making and emphasizes the strategic allocation of TOE resources as essential for the effective implementation of GISP. The findings are particularly relevant for policymakers, HEI administrators, and stakeholders seeking to integrate IS for sustainable development.

The current study aims to identify the key determinants of the adoption of digital innovations and applications in family businesses using a case analysis-based qualitative research method. It explores the process used by these business houses to initiate and implement smart technologies to improve their business operations, suffice the customers dynamic expectations, extend their market share, and inhibit innovative practices. This paper shares insights about the major areas such as the digitalization of trade activities, e-commerce practices, green marketing, and using data analytics for strategizing and decision-making activities. While investigating the implementation of digital technologies like online payment systems, the use of social media platforms for advertising, and smart 3D design technology, and so forth the paper also unravels the determinants of adopting digitally innovated technologies in family businesses such as resistance from employees, financial constraints, and the inability to blend modern technologies within traditional organizational setting. The study highlights the changing dimensions in Indian business firms while sharing the practical and theoretical implications for business leaders, next-generation family business successors, and futuristic researchers.

The use of digital platforms has changed how concerns in society are tackled in recent years, primarily related to social activism. The popularity of the #FixTheCountry Twitter (now X) campaign has raised awareness of the need for better social fairness, public services, and governance in Ghana. However, there is limited understanding of how such online movements mobilize public sentiment and drive societal change. This study addresses this gap by employing netnography, a methodology suited to understanding online activities and communities, to investigate the role of Twitter (X) as a tool for social activism. Social activism is used to describe particular efforts taken to effect change, frequently through digital channels. The #Fixthecountry campaign specifically serves as a case study, which illustrates the rise of digital social activism in Ghana. The data we analyzed using Python to understand the implications for societal good and social activism were the result of over 1 million tweets gathered through the Twitter API. The findings highlight that digital platforms, particularly Twitter, can potentially amplify marginalized voices and foster inclusive dialogue. We provide a three-fold contribution in this paper. First, methodological insights into the promotion of social activism by employing netnography as a tool for dissecting the digital landscape of Ghana. Second, guidelines to inform policy development based on the findings from the analysis. Third and most importantly, we contribute rich insights into societal good through digital means and show how marginalization can be tackled by giving voice to individuals through social media. The study emphasizes the importance of leveraging social media to promote public welfare and equitable social systems.

This study answers the broad question of how institutional changes in Health Management Information Systems (HMIS) affect the legitimacy of institutionalized data quality management practices. We premise the study on the general assumption that institutional changes erode legitimacy objects' legitimacy. We used Scott's conceptualization of legitimacy as having three states: normal state, unstable state, and renormalized state, to understand how institutional changes affect the legitimacy of the institutionalized data quality management practices (DQMP) in HMIS. Our theoretical framework from the literature is based on (i) two pillars of institutional theory: institutionalization and legitimation, and (ii) two constructs from Lewin's Field Force Analysis model: the driving and resisting forces. The study adopted interpretive case study methods using the case of Malawi's HMIS. We designed participants' observations, semi-structured interviews, and reviewed strategic documents to collect data. It engaged 51 participants from the three levels of HMIS in Malawi. Data were analyzed using thematic content analysis. Our key findings are that technology and operational structure changes erode the legitimacy of DQMP in HMIS. The study posits two contributions to information system research and practice: Extending the Legitimation Activity Model to enhance the maintenance concept befitting the HMIS and developing a legitimacy maintenance framework for HMIS, respectively.

The inconsistent effectiveness of digitization project implementation in Technical and Vocational Education and Training (TVET) institutions, often due to poor process quality and inadequate monitoring, presents a significant challenge. Grounded in Agency Theory as the foundational framework and supported by the DeLone & McLean Information Systems Success Model and the Dynamic Capabilities Framework, this study examines how process quality, goal conflict, and communication influence project outcomes in TVET institutions. Adopting a pragmatic stance, an abductive approach, and a design science methodology, the research provides a framework for stakeholders to optimize digitization projects. Data from 100 participants, analyzed using structural equation modeling, reveal that process quality significantly enhances communication, predicting project effectiveness. Monitoring plays a mediating role, while an inverse relationship is observed between digitization and goal conflict. The study shows high validity and reliability, with all variables having Cronbach's alpha above 0.7. Recommendations include addressing power struggles and reducing political influences while prioritizing process quality to improve project outcomes. The findings offer practical guidance for policymakers and practitioners in educational technology integration, particularly in developing economies.