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The purpose of this paper is to explore how and why information and communication technologies (ICT) are enrolled in the Indian healthcare sector for reasons over and above perceived efficiency gains.

The paper explores qualitative field data collected in the Indian states of Karnataka and Andhra Pradesh, and the city of New Delhi from an epistemological perspective of interpretivism. New institutional theory is employed to illustrate the mythical and ceremonial roles that ICT for development play in legitimizing development initiatives.

The analysis challenges the simplistic view that implementing health management information systems will translate directly to efficiency gains.

This paper furthers the theoretical understanding of how ICT, as social and material phenomena, function empirically beyond instruments of technical rationality. One limitation of the research is the relatively short duration of the fieldwork. A wider scope in the metrics used to evaluate success in development initiatives that implement ICT is called for.

Practical implications of this paper focus on the need to move away from simple deterministic visions of ICT for development towards an approach based on acknowledging outcome indeterminacy with regard to the consequences of ICT implementation in the Indian healthcare sector, and thus the need for genuine feedback loops.

This paper will be valuable to institutional and information systems theorists, and development practitioners. A framework is provided to unpack the institutional context that drives some of the inefficiency in the Indian healthcare sector.

The purpose of this paper is to engage with the debate on social exclusion in the e‐society from the human development perspective, which goes beyond inequality in distribution of technological goods and services to emphasise the options, choice and opportunities related to accessing and using information.

This is an interpretivist study. It draws on Sen's capability approach (CA) to conceptualise social exclusion in the e‐society as capability deprivation, both in well‐being and agency freedom. A framework of the core aspects of the CA is used to analyse two empirical studies in South Africa and China which serve to illustrate social exclusion manifested as capability deprivation in different “spaces”.

The paper demonstrates the relational features of social exclusion and different types of capability deprivation in e‐society; highlights “unfavourable inclusion” which can be masked by technological diffusion.

This paper is an early attempt to apply the capability approach to social studies of information communication technologies in developing countries.

The paper provides implications for government policies to go beyond technological provision and pay attention to socio‐political, cultural and institutional aspects in ensuring effective utilisation of information and channels of communication, which should serve to enhance people's opportunity to better participate in economic, social and political activities.

The paper is a novel attempt to apply concepts of the CA in information systems, which provides a conceptual lens to address the complexity and multiplicity of social exclusion in the e‐society.

This paper seeks to offer a retrospective look at an intellectual journey in and out of using actor‐network theory, which the author drew on to carry out an in‐depth case study of the troubled implementation of a computerised reservation system in a major transport company. The application of some key ANT concepts, i.e. human and non‐human actors, symmetry and translation, is reflected upon, highlighting their benefits and limitations.

The paper's aims are accomplished through a confessional account of how it was done, rather than a normative post hoc justification. Some empirical evidence is provided to illustrate the difficulties and problems encountered in travelling back and forth between theory, methodology and data.

In particular, ANT was very useful in focusing the paper on how to look at IS success and failure symmetrically and how social and technical distinctions are socially constructed, for instance in the conception and application of yield management software. Formulating a series of translations to encompass a large number of actors is shown to have provided some explanatory capacity. But a limitation is how to relate local and global actors, which is also a matter of power relations and politics.

The paper explains why, as a late and unplanned reaction to this, but also in contradiction with ANT principles, it ended up complementing ANT with Clegg's theory of power to bridge that gap. The paper concludes with a discussion of where the difficulties lie in using ANT and how it can be misused in IS research; the author argues that this is due to a lack of exposure to post‐structuralism in IS research, compared with other management‐related disciplines; and that recent efforts by scholars in the science and technology studies field to combine constructivist approaches such as ANT with critical social analysis should be considered.

E‐Teaching as the use of information and communication technology (ICT) in education is of growing importance for educational theory and practice. Many universities and other higher education institutions use ICT to support teaching. However, there are contradicting opinions about the value and outcome of e‐teaching. This paper starts with a review of the literature on e‐teaching and uses this as a basis for distilling success factors for e‐teaching. It then discusses the case study of an e‐voting system used for giving student feedback and marking student presentations. The case study is critically discussed in the light of the success factors developed earlier. The conclusion is that e‐teaching, in order to be successful, should be embedded in the organisational and individual teaching philosophy.

IT outsourcing (ITO) has developed into an established practice for organizations but the interorganizational and oftentimes international collaboration it involves comes at a price: Reports from academia and practice suggest that more than 25% of all ITO projects fail, many because of cultural differences between client and provider organizations. Against this background, this paper analyzes the complex nature of cultural distance and its multi-faceted effect on ITO success.

This paper builds upon extant literature on culture on the national, organizational and team level, conceptualizes its effect on relationship quality and ITO success, and hypothesizes a model on potential moderators and management techniques to offset culture-induced challenges. It then evaluates and refines the model by means of an interpretive qualitative research design for an in-depth single-case study of ProSiebenSat.1 Media SE (P7S1), a leading European media company that reconfigured its IT sourcing model three times in 10 years.

The results from interviews with top managers from client and provider organizations represent one of the first integrated views on the critical importance of cultural compatibility on multiple levels, provide manifold examples for its complex effect on ITO success, as well as moderators and potential management techniques to promote ITO success.

This paper contributes relevant empirical insights to the growing body of literature on culture and its underestimated role in ITO success. It builds on tentative theory that is confirmed and refined.

The paper helps in substantiating the complex and intangible nature of culture and demonstrates means for its effective management.

The results from interviews with top managers from client and provider organizations represent one of the first integrated views on the critical importance of cultural compatibility on multiple levels, provide manifold examples for its complex effect on ITO success, as well as moderators and potential management techniques to promote ITO success.

This paper seeks to reflect on the importance of surprise in qualitative research on information‐technology initiatives. It also aims to consider how the use of social theory in the context of surprise can help to shape and guide field methods, data transformation, and substantive findings.

The discussion is personal and reflective. The paper considers the significance of surprise surrounding events within two of the authors' own research projects. It also reports on a perusal of the literature for explicit treatments of surprise.

Surprise in qualitative research is twofold. First, the research subjects experience surprise; indeed, surprise appears to be quite prevalent in IT‐related projects. Second, researchers too can be surprised in the course of their own work. Where these two kinds of surprise come together, one can find especially fruitful occasions for insight. In the authors' own projects, the element of surprise helped establish their respective commitments to actor‐network theory (ANT) as an effective approach for recognizing and understanding the crucial events in the emergence and evolution of information systems projects. Based on a literature search, the paper can add a third category of surprise to the first two: the authors' surprise at finding that surprise, despite its practical prevalence, remains largely unrecognized in information systems research.

The value of the paper lies in calling forth the element of surprise as an important kind of research event that deserves qualitative researchers' explicit attention. It also points toward the usefulness of social theory in systematizing the researcher's response to surprise.