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All Journal Journal of Information Systems and Informatics
Ssembatya, Richard
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Computer Science & IT

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Journal : Journal of Information Systems and Informatics

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Examining ICT Interventions for Rural Health System Connectivity: Challenges and Gaps for Improvement: A Systematic Review Mukalere, Justine; Ssembatya, Richard; Habinka, Annabella
Journal of Information System and Informatics Vol 7 No 2 (2025): June
Publisher : Universitas Bina Darma

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51519/journalisi.v7i2.1123

Abstract

Community healthcare interventions in Low- and Lower-Middle-Income Countries (LLMICs) frequently face record management issues that hinder effective linkage between community services and national health systems, contributing to persistently high mortality rates. This study aimed to identify and analyze ICT-based community health interventions implemented in LLMICs, evaluate their effectiveness, and explore challenges limiting their impact. A comprehensive literature search was conducted in June 2024 across ACM Library, PubMed, ScienceDirect, and Google Scholar, focusing on studies published between January 2019 and May 2024. Inclusion criteria targeted ICT-based interventions conducted in LLMICs, available in English, with accessible full texts and clearly defined ICT components. Of the 792 records initially screened, only 9 met the eligibility requirements. Most interventions addressed individual components such as data collection, monitoring, consultations, referrals, and reminders. However, they often lacked integrated systems for data management, continuity of care, and follow-up, limiting their long-term effectiveness. While the review was restricted to open-access studies, the findings offer crucial insights into the design and implementation of ICT-based health solutions. The absence of process integration in current interventions remains a major barrier. Future research and policy development should focus on designing comprehensive, integrated ICT frameworks to strengthen community-to-health system linkages and improve health outcomes in LLMICs.
Towards a Technology-Enabled Framework for Community Healthcare: A Multi-Stakeholder Qualitative Assessment of Uganda's VHT Program Mukalere, Justine; Ssembatya, Richard; Ejiri, Annabella Habinka
Journal of Information System and Informatics Vol 7 No 4 (2025): December
Publisher : Asosiasi Doktor Sistem Informasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63158/journalisi.v7i4.1361

Abstract

Community Health Worker (CHW) programs, like the VHT-Program in Uganda, play a critical role in bridging community-health system gaps, especially in resource-constrained areas. This study explored its implementation with a focus on data management, technological infrastructure, and governance, guided by the Health Metrix Network (HMN) framework. The aim was to examine the VHT-Program's implementation from a multi-stakeholder perspective in selected districts of Uganda, informing the design of a technology-enabled community health framework. A qualitative, cross-sectional design was used, gathering data through interviews and focus groups with 147 participants, including VHTs, health workers, district health officials, and community members from Kibuku, Bulambuli, and Bugweri districts. The analysis, using Braun & Clarke’s thematic method, revealed eight key themes: Health Information System Resources, Data Sources, Data Management, Leadership & Governance, Dissemination and Use, Coordinating Mechanisms, Connectivity, and Challenges & Solutions. While some HMN components were affirmed, gaps in data management, coordination, and infrastructure were identified. This informed the development of the JTM-HMN Framework, which proposes a context-specific, integrated approach to guide policy development and the implementation of technology-driven healthcare interventions.
Co-Authors Ejiri, Annabella Habinka Habinka, Annabella Mukalere, Justine