Sustainability of health information systems in developing countries: the case of Fiji

Soar, Jeffrey and Gow, Jeff and Caniogo, Vili (2012) Sustainability of health information systems in developing countries: the case of Fiji. Health Information Management Journal, 41 (3). pp. 13-19. ISSN 1833-3583


This paper examines the future sustainability of the Fijian Ministry of Health's (MoH) information and communication technology (ITC) system for patient management (PATIS). PATIS was developed with AusAID funding and, as the owner of the system, AusAID has no commercial competence or interest in further development of the system. Thus, the question that arises is: should Fiji adopt a commercially available patient administration system or retain the existing PATIS? In-depth consultations with senior executives and line managers of units that were major users of PATIS were undertaken. Semi-structured interviews and focus group discussion approaches were utilised. The consensus or majority views of the users were that the existing PATIS performed more than adequately. The future sustainability of the system is threatened by the lack of investment in resources (e.g. hardware maintenance and human resources) required to keep the system operating at its optimum. It was found that PATIS provides Fiji with a satisfactory patient administration system. The identified problems with the system are not related to the application per se but rather to an under-investment in resources for its utilisation.

Statistics for USQ ePrint 22134
Statistics for this ePrint Item
Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: Permanent restricted access to published version due to publisher copyright policy.
Faculty / Department / School: Historic - Faculty of Business and Law - School of Accounting, Economics and Finance
Date Deposited: 18 Dec 2012 11:16
Last Modified: 18 Aug 2014 05:28
Uncontrolled Keywords: Fiji; medical informatics; health information technology; patients
Fields of Research : 08 Information and Computing Sciences > 0806 Information Systems > 080614 Pacific Peoples Information and Knowledge Systems
11 Medical and Health Sciences > 1117 Public Health and Health Services > 111711 Health Information Systems (incl. Surveillance)
15 Commerce, Management, Tourism and Services > 1503 Business and Management > 150302 Business Information Systems
Socio-Economic Objective: B Economic Development > 89 Information and Communication Services > 8903 Information Services > 890301 Electronic Information Storage and Retrieval Services

Actions (login required)

View Item Archive Repository Staff Only