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Critical risk and success factors for sustainability of an electronic health data capture, processing and dissemination platform for Uganda.

Published version
Peer-reviewed

Repository DOI


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Authors

Nabukenya, Josephine  ORCID logo  https://orcid.org/0000-0002-4731-2496
Drumright, Lydia 
Alunyu, Andrew Egwar  ORCID logo  https://orcid.org/0000-0003-2957-8423
Semwanga, Agnes Rwashana 

Abstract

Several studies have investigated challenges that have marred success or even caused the failure of eHealth implementations in Uganda; however, none has focused on the risks and success factors of their sustainability. This study explored critical risk and success factors for the sustainability of an electronic health data capture, processing and dissemination platform for Uganda. A mixed-method research design was followed involving collecting empirical data from all four regions of Uganda. A purposive sampling strategy was used to select the study districts per region, health facilities per district, and respondents/participants per facility or district. Findings revealed several risks and success factors for sustainability, including; bad leadership, corruption, lack of sustainable maintenance programs, lack of suitable sustainability plans, lack of ICT infrastructure investment, poor management systems, funds, stakeholder buy-ins, data sharing and access rights. The success factors included reinvestments as a partial sustainability plan for ICT infrastructure. These factors can be leveraged to ensure the continued operation of eHealth implementations in Uganda. Every electronic health project aiming at success should always make due consideration/sustainability plan at the onset of project conceptualisation; as lack of such a plan has often resulted in failed projects after the initial funds have been withdrawn.

Description

Peer reviewed: True

Keywords

eHealth data capture, electronic health, risk and success factors, sustainability, Humans, Uganda, Electronic Health Records, Health Facilities, Telemedicine

Journal Title

Health Informatics J

Conference Name

Journal ISSN

1460-4582
1741-2811

Volume Title

Publisher

SAGE Publications
Sponsorship
MRC/UKRI (MR/S013164/1)