Abstract

Literature indicates that most developing countries have developed Health Information Systems (HIS) policies to strengthen their health information systems. Malawi launched its first health information system policy in 2003 which was in force until 2015 when it was replaced. Literature also shows that most public policies in developing countries are rarely implemented according to plan or are not implemented at all. This study was conducted to assess how Malawi's 2003 health information system policy was implemented, including its implications on the health information systems implementation. The study used mixed methods where data was collected through in-depth interviews, structured questionnaires, and document review. The research was informed by the interpretive research paradigm. Findings show that the policy was successfully implemented, but main objectives were partially achieved. In addition, the policy’s implementation lacked enforcement. Despite this lack of enforcement, the policy made notable contributions to two areas namely; information systems integration and data accessibility. The integration was realised after several parallel health program information systems had been incorporated in the national District Health Information Software (DHIS2). The accessibility to data improved after data users were able to access the data at anytime and anyplace as DHIS2 is web based. The results also indicate that these two achievements improved data quality and use. The study however found that due to lack of policy enforcement the health information system was overloaded with too many data collection and reporting tools which overburdened health workers and threatened the quality of data. The policy enforcement challenges were due to lack of strong government enforcement institutions. Findings also indicate that continued lack of motivation to HIS staff and lack of local IT expertise at the district and national levels pose a threat to the sustainability of the national health information system. The study recommends continuous policy evaluation and enforcement. It also recommends continuous motivation of HIS staff and use of local IT personnel for sustainability of the national health information system.

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School	: School of Natural and Applied Sciences
Issued Date	: 2024

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