Factors Influencing the Implementation of Hospital Management & Information System at Lubaga Hospital, Kampala, Uganda
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FACTORS INFLUENCING THE IMPLEMENTATION OF HOSPITAL MANAGEMENT & INFORMATION SYSTEM AT LUBAGA HOSPITAL, KAMPALA, UGANDA. BY ANDREW SSEKITOOLEKO (MAY15/EMBA/0515U) SUPERVISOR: DR. TONNYMUZAALE A RESEARCH PROPOSAL SUBMITTED TO THE SCHOOL OF BUSINESS AND MANAGEMENT IN PARTIAL FULFILMENT OF THE REQUIREMENTS FOR THE AWARD OF THE EXECUTIVE MASTERS IN BUSINESS ADMINISTRATION IN PROJECT PLANNING AND MANAGEMENT DEGREE OF UGANDA TECHNOLOGY AND MANAGEMENT UNIVERSITY (UTAMU) APRIL, 2017 TABLE OF CONTENTS LIST OF ABBREVIATIONS ..................................................................................................... iv CHAPTER ONE ............................................................................................................................. 1 INTRODUCTION ........................................................................................................................ 1 1.1 Introduction ............................................................................................................................... 1 1.2 Background to the study ........................................................................................................... 1 1.2.1 Historical Perspective ............................................................................................................ 1 1.2.2 Theoretical perspective .......................................................................................................... 5 1.2.3 Conceptual perspective .......................................................................................................... 6 1.2.4 Contextual Perspective ........................................................................................................... 8 1.3 Statement of the problem .......................................................................................................... 9 1.4 Purpose of the study ................................................................................................................ 10 1.5Specific Objectives .................................................................................................................. 10 1.6 Research Questions ................................................................................................................. 10 1.7 Research Hypotheses .............................................................................................................. 10 1.8 Conceptual Framework ........................................................................................................... 11 1.9Justification of the study .......................................................................................................... 12 1.10Significance of study .............................................................................................................. 13 1.11Scope of the Study ................................................................................................................. 13 1.11.1 Geographical scope ............................................................................................................ 13 1.11.2 Content Scope .................................................................................................................... 13 1.11.3 Time Scope ........................................................................................................................ 14 1.12Operational Definitions .......................................................................................................... 14 CHAPTER TWO .......................................................................................................................... 15 LITERATURE REVIEW ............................................................................................................. 15 2.1 Introduction ............................................................................................................................. 15 2.2 Theoretical review .................................................................................................................. 15 2.3 Review of Related Literature .................................................................................................. 16 2.3.1 Cultural factors in the successful implementation of the HMIS .......................................... 17 2.3.2 Strategic factors in the implementation of HMIS ................................................................ 20 2.3.3 Tactical factors in ERP implementation .............................................................................. 26 2.4 Gap Identification and Synthesis ............................................................................................ 30 ii CHAPTER THREE ...................................................................................................................... 31 METHODOLOGY ....................................................................................................................... 31 3.1. Introduction ............................................................................................................................ 31 3.2. Research Design ..................................................................................................................... 31 3.3. Study Population .................................................................................................................... 32 3.4. Sample Size and Determination ............................................................................................. 32 3.5. Sampling Techniques and Procedure ..................................................................................... 33 3.6. Data Collection Methods ....................................................................................................... 34 3.6.1 Questionnaire Survey ........................................................................................................... 34 3.6.2 Interviews ............................................................................................................................. 34 3.6.3 Documentary Review ........................................................................................................... 35 3.7 Data collection Instruments .................................................................................................... 35 3.7.1 Questionnaire ....................................................................................................................... 36 3.7.2 Interview Guide ................................................................................................................... 36 3.7.3 Documentary Review Check list ......................................................................................... 37 3.8 Quality Control of Data Collection/Pretesting (Validity and Reliability) .............................. 37 3.8.1 Validity ................................................................................................................................ 37 3.8.2 Reliability ............................................................................................................................. 38 3.9 Data collection Procedure ...................................................................................................... 38 3.10. Data Analysis ....................................................................................................................... 39 3.10.1 Quantitative Data Analysis ................................................................................................ 39 3.10.2 Qualitative data analysis .................................................................................................... 39 3.11 Measurement of Variables .................................................................................................... 40 3.12 Ethical Considerations .......................................................................................................... 40 REFERENCES ............................................................................................................................. 43 APPENDICES: ............................................................................................................................. 55 APPENDIX (i) QUESTIONNAIRE ............................................................................................. 55 APPENDIX (ii): ............................................................................................................................ 59 APPENDIX (iii): ........................................................................................................................... 60 APPENDIX (iv): ........................................................................................................................... 61 iii LIST OF ABBREVIATIONS CEO Chief Executive Officer CSFs Critical Success Factors DHIS District-oriented Health Information System ERP Enterprise Resource Planning FRD Functional Requirements Document GST General Systems Theory HIS Health Information System HIV Human Immune Virus HMIS Hospital Management & Information System IT Information Technology KCCA Kampala Capital City Authority MBA Master’s in Business Administration MoH Ministry of Health MTUHA Mfumo wa Tarifa za Uendeshji wa Huduma za Afya TOR Terms of Reference UAT User Acceptability Test UTAMU Uganda Technology & Management University WHO World Health Organization iv CHAPTER ONE INTRODUCTION 1.1 Introduction This study focuses on examining the factors influencing