Electronic Journal of Information Systems in Developing Countries最新文献

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.

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.

This study investigated the perspectives of digital outsourcing companies to determine what motivates them to adopt digital work. The perspectives assist in formulating strategies for encouraging companies to outsource to digital workers. Therefore, the objective of this study was to (1) determine the perspectives of digital outsourcing companies regarding the adoption of digital work and (2) explore how digital work can contribute to Sustainable Development Goal 8. The study makes three contributions: methodological, practical, and theoretical. The methodological contribution is through Q-methodology, which identifies patterns of perspectives and motivations of digital outsourcing companies. Four perspectives were identified through this methodology, two social perspectives (productivity-oriented and digital worker-oriented perspectives) and two emerging perspectives (platform-oriented and flexible perspectives). The perspectives show that it is essential that digital workers are well equipped in terms of work ethics, technical skills, and other skills to ensure that these are aligned with the needs of digital outsourcing companies. Second, the study contributes to practical methods to motivate companies to outsource to digital workers. Lastly, the study provides new insights into the perspective of digital outsourcing companies, a topic that has received little attention, especially in the context of developing countries.

Developing countries are rapidly embracing digitalization, but this exposes them to heightened cybersecurity risks. They often look to standard established cybersecurity models from developed countries to build their national defenses. However, significant developmental, political, social, and economic differences can render these models unsuitable for developing countries. This study addresses this gap by proposing a new framework that would be more useful in a developing country context. We first examine existing cybersecurity maturity models (CMMs) and metrics. Through a case study of Peru's national computer security incident response team (CSIRT), we assess the applicability of the security incident management maturity model (SIM3) and the security operation center CMM (SOC-CMM) frameworks. By applying these frameworks to the Peruvian context, we identify limitations in standard maturity models for developing countries. In response, we propose a novel framework that allows developing countries like Peru to leverage existing models by tailoring them to their specific environment. This tailored approach can be a powerful tool for developing countries to improve and build their cybersecurity on a national level.

In recent years, IT governance has been a subject of discussion among academics and practitioners. The concern has been on the need to implement governance mechanisms and ensure the right balance of these mechanisms. However, the audit of IT governance mechanisms has received very little attention. This paper aims to analyse the overall impact of IT governance audits on the maturity and coherence of governance mechanisms. Guided by the configurational theory, the researchers argue that when governance mechanisms operate coherently and are regularly audited, there will be improvement in IT governance and the performance of financial institutions. In this study, seven financial services companies in Ghana were reviewed, and their IT governance maturity was assessed after seven months of auditing with a COBIT 5-driven IT audit framework. Two surveys were conducted, one before and one after the auditing. The findings of the study confirm the claim that regular auditing improves IT governance maturity and coherence. Several governance mechanisms within the case organizations improved to one higher level of maturity on the Capability Maturity Model. This improvement was after seven months of auditing. Regular auditing also improved IT roles and responsibilities, empowered IT personnel and improved the IT budgetary control and architecture of the entities. This study has implications for practice. It emphasizes the importance of independent regular IT auditing and the need to ensure coherence among IT governance mechanisms if effective IT governance is to be achieved in financial institutions.

Healthcare actors have designated a set of services as essential health services (EHSs), essential for achieving universal health coverage. Therefore, monitoring the provision of EHS is indispensable to gauge how countries progress toward achieving universal health coverage. However, there are no mechanisms for sector-wide monitoring of these services. While EHSs cover the entire health sector, monitoring is left to individual subunits and health programs, which often confine themselves to specific diseases and health interventions. This makes it difficult to monitor interferences to the provision of these services. Such interferences include epidemics and pandemics such as COVID-19, Marburg, Ebola, and seasonal incidences of cholera. This study, therefore, proposes an EHS tracker, a data visualization tool, to enhance routine data use for monitoring and tracking EHSs regularly. The paper details a collaborative process for developing the tracker, culminating in the creation of the tool itself. The paper contributes to the ongoing initiatives to strengthen data use practices using innovative solutions in the efforts to institutionalize data use practices and data-driven decision-making for improved healthcare service delivery.