We are in the development phase of digital HIS in our organization. We have not deployed the system yet.
I think main factors affecting the development are:
People – As we need people effort to plan and implement the system, I think people is the main factor. Therefore, we have to convince stakeholders including organization leaders and staff about the necessity and benefits of eHealth. This way we can change the attitude toward the new system and get their interest and effort. Effective communication is the key so that everyone is on common ground about the system.
Cost – As financial constraint is still present for system development, we have to find ways to adopt the digital HIS platform which will bring maximum output with limited resources. Luckliy, one of our technical support teams has already developed and customized the software relevant to our context, and they are willing to support technically, we have decided to use the software. We will only need money for server rental and IT infrastructure. Therefore, instead of developing new software which will be time and resources consuming, we reduce the risk of financial cutdown by deploying the existing software.
Operation – When we think about using the software, we also considered whether it affects the daily operation of field level since the field staff already have over workload. So, we mitigated the risk of staff burnout by entering the data into software at regional level. The system can compromise if we do not consider the operational factor.
Design – The system should be user friendly.
Data – The data quality is also important so that we can make reliable data-driven decisions. Also, the system must give the information that we need.
Overall, while our HIS is still under development, we have learned that people, cost, operation, design, and data are interdependent factors. Among them, people remain the most influential—because even the best-designed system will not succeed without staff ownership, leadership support, and effective communication.
