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1 – 10 of 13Sundeep Sahay and Esther N. Landen
The purpose of this paper is to understand how digital interventions are mediating the identity work of community health workers (CHWs) in the context of two African countries.
Abstract
Purpose
The purpose of this paper is to understand how digital interventions are mediating the identity work of community health workers (CHWs) in the context of two African countries.
Design/methodology/approach
This paper analyzes the everyday work of CHWs in two low- and middle-income country (LMIC) contexts (Uganda and Malawi) and seeks to understand changes in collective identity and the role of Information and Communication Technologies (ICTs) in mediating this “identity work”. As CHWs conduct their everyday tasks of care giving, data reporting and maintaining social interactions, they play two primary roles. One is the care giving role oriented towards the community, and two, is reporting and administrative work by virtue of them being affiliated with the Ministry of Health, either in formal or voluntary capacity. The ambivalence which they experience as they move back and forth between these two worlds of work is significantly now mediated through ICTs. The paper analyzes these dynamics and identifies three key sets of ambivalence in identity work: (1) role embracing-institutional distancing; (2) conformist-resistant and (3) dramaturgical-transformative. The paper makes unique contributions to information systems (IS) and ICT for development (ICT4D) studies in that it focuses on a nonprofessional group, which plays a fundamental role in providing care to underserved populations and also conducts data work which provides the foundation of the national health information system. This contrasts with dominant research in the field which focuses on professional groups, largely based in Western business organizations.
Findings
The paper identifies identity related tensions that emerge with the mediation of digital technologies in the work world of CHWs. These include tensions of conformist-resistant; and (3) dramaturgical-transformative. These findings are relevant and unique to the field of IS and ICT4D studies in that it focuses on a nonprofessional group, which plays a fundamental role in providing care to underserved populations and also conducts data work which provides the foundation of the national health information system.
Research limitations/implications
While acknowledging identity construction and negotiation is a function of both work and social lives, in this paper we could only focus on the work lives.
Practical implications
As digital interventions in the health sector of low and middle income countries is becoming increasingly widespread, often the focus is more on the supply side (the supply of the technology) rather than on the demand side (users experiences and aspirations). Identity becomes a lens to understand these demand side dynamics, which helps provides practical guidance on implementation approaches to ensure that the technology adds value to user work processes and there is a seamless and not a disruptive transition.
Social implications
CHWs are the most neglected cadre in the health system of low and middle income countries, even though they provide the cutting edge in care provision work to the most marginalized populations, living in rural and underserved areas. By focusing on how technologies can be more effectively implemented to support these care processes, the paper provides important social implications both for practice and research.
Originality/value
Analysis of identity construction and negotiation of informal groups in the unorganized sector of low and middle income countries has not received adequate attention in IS research. The paper seeks to fill this important gap.
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Shirin Madon and Sundeep Sahay
Notes how rapid urbanization is transforming the developing world – creating cities, which on the one hand offer opportunities for global economic activity, but on the other hand…
Abstract
Notes how rapid urbanization is transforming the developing world – creating cities, which on the one hand offer opportunities for global economic activity, but on the other hand are beset with serious local civic, economic and social problems. New networks based on information and communication technologies are increasingly being woven into the fabric of these cities supporting the connectedness of powerful groups both within the city and between cities around the world. These flows of global information and communication between powerful groups in the city involved in global economic activity coexist with intense face‐to‐face interactions at the local level. Bangalore in South India presents a major case study of this global/local interaction, being a focal point for software development in the Asian region and globally, but also beset with local problems of civic deficiencies, growing poverty and income inequality. Explores some of the issues which arise as Bangalore serves as a nexus that links global and local networks of exchange. Examines two Bangalore networks which typify global and local duality: the network of software firms located in high technology enclaves in and around the city, and the ostracised network of the slum dwellers of Bangalore, gradually being brought into mainstream discussions of governance in the city. Finds considerable similarities between global networks and local networks and outlines some of these dynamics.
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Lars Erik Kjekshus and Bendik Bygstad
The digitalisation of healthcare services has proven to be difficult, with numerous negative effects. We argue that the reason for the problem is not poor project management, but…
Abstract
Purpose
The digitalisation of healthcare services has proven to be difficult, with numerous negative effects. We argue that the reason for the problem is not poor project management, but a clash of different institutional logics. The aim of this article is to explore, define and theorise the concept of digitalism, as a term for a new institutional logic in contrast to other, more known logics in organisations, such as managerialism and professionalism, to better understand processes of digitalisation.
Design/methodology/approach
We illustrate our arguments with a case study of a process of organizational development before and after the implementation of centralised large-scale IT systems at a large Norwegian hospital. Data was extracted from documents and observations from January 2015 to January 2016 during an organizational audit. In addition, a follow-up study was conducted in 2019 and 2024 by interviewing eight key personnel who were involved in the implementation process.
Findings
The implementation of a new digital health record in a Norwegian hospital is a process of social restructuring that involves new actors, logics and control systems. The process of digitalisation shows us how digitalism create tensions, diverges and merges with other institutional logics.
Practical implications
Understanding digitalism as a sensitising concept offers insights into how large-scale technology and organizations are tied together and can help to reduce organizational dysfunctionalities and improve the implementation of IT systems.
Originality/value
This study contributes to a new understanding of digitalisation processes and links an ongoing theoretical debate on the digitalisation of organizations with empirical findings.
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Geographic information systems (GIS) makes use of geographic data, such as streets, store points, and block or neighborhood areas, and attribute data, such as population, income…
Abstract
Geographic information systems (GIS) makes use of geographic data, such as streets, store points, and block or neighborhood areas, and attribute data, such as population, income levels, competition, and store sales, by integrating the two into a powerful spatial query. The techniques utilized include geographic mapping, digital mapping, aerial photographs, etc. Along with the convenience of using GIS, there are some concerns about privacy and security of the data and information. This paper addresses the security concerns related to this emerging technology.
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Abstract
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