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Management of Health Information in Malawi: Role of Technology

机译：马拉维的健康信息管理：技术的作用

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This paper is an extended version of the conference paper presented at IST Africa Week Conference 2016 and it discusses in detail the existing technology gaps using DHIS2 (District Health Information System 2.0) as an example, and how Geographic Information System (GIS) and mobile application, as specific examples of technology, can enhance health management information system (HMIS) in Malawi. The paper focuses on management of health information. When organisation information is made available, it is expected that the decision-makers use it objectively making rational decisions. This can be achieved by how the information is organized, integrated and presented probably through technology. Along with the increase in strengthening HMIS, questions of how to support the management of information at various organizational levels arise. Research on technologies in health management in developing countries has been on single technologies. Therefore, in this paper, the interest is on multiple technologies and how they support each other to enhance health information management. It has been observed that when it comes to health information management, HMIS employs a mix of paper-based and technology-based practices. Taking into account the infrastructure in Malawi, as in many developing countries, this is probably the most feasible approach. Hence, discussions of existing technology gaps include both paper-based and technology-based practices and how to better support health information management practices through this mixed use of media. The case study confirms that technology plays a role in strengthening HMIS. However, this should be supported by enhancing a culture of information management. It has been noted that DHIS2 is the main information system but it requires the enhancement through inclusions of other technologies. The DHIS2 alone cannot do everything.
机译：本文是在2016年IST非洲周会议上提交的会议论文的扩展版本，它以DHIS2（地区健康信息系统2.0）为例，详细讨论了现有技术差距，以及地理信息系统（GIS）和移动应用程序如何作为技术的具体示例，可以增强马拉维的健康管理信息系统（HMIS）。本文着重于健康信息的管理。当组织信息可用时，可以期望决策者使用它来客观地做出合理的决策。这可以通过信息的组织，集成和呈现方式（可能通过技术）来实现。随着加强HMIS的增加，出现了如何在各个组织级别支持信息管理的问题。发展中国家的卫生管理技术研究仅涉及单一技术。因此，本文关注的是多种技术以及它们如何相互支持以增强健康信息管理。据观察，在卫生信息管理方面，HMIS采用了基于纸张和基于技术的实践。像许多发展中国家一样，考虑到马拉维的基础设施，这可能是最可行的方法。因此，对现有技术差距的讨论既包括基于纸张的实践，也包括基于技术的实践，以及如何通过混合使用媒体更好地支持健康信息管理实践。案例研究证实了技术在加强HMIS中的作用。但是，应通过增强信息管理文化来支持这一点。已经注意到DHIS2是主要的信息系统，但是它需要通过包含其他技术来进行增强。单独的DHIS2不能做任何事情。

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