The paper addresses the wicked problem of unsustainable health information systems in the context of low and middle income countries (LMICs), specifically using a case study from India in the public health sector. The paper makes the argument that current analysis of sustainability tends to be largely “supply-driven” focusing on the provision of external resources and technical assistance needed to sustain a project. But since these external injections are self-multiplying, requiring more and more over time, they tend to not lead to satisfactory and sustainable solutions. The paper argues for a more “demand-driven” approach, where the focus is on the user and the use context. Taken from this perspective, the paper identifies two sets of processes - evolving local ownership and enhancing use - as being key to establish sustainability. Further, these processes are seen to be mutually self-reinforcing, and supported by an enabling context of use.
CITATION STYLE
Sahay, S., & Mukherjee, A. (2017). Self-reinforcing linkages between value and local ownership: Rethinking sustainability of ICT4D project. In IFIP Advances in Information and Communication Technology (Vol. 504, pp. 487–497). Springer New York LLC. https://doi.org/10.1007/978-3-319-59111-7_40
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