Thesis Open Access

ADOPTING A CLOUD COMPUTING FRAMEWORK FOR HEALTH MANAGEMENT INFORMATION

EZEDIN ABDELA MOHAMMED

Thesis supervisor(s)

Million Meshesha (PhD )

Health Management Information System (HMIS) is considered as one of the building blocks essential for strengthening the health system in Ethiopia. Most of the Ethiopian health centers, starting from healthcare facilities to the Federal Ministry of Health, are keeping their HMIS data in manual paper-based or on standalone HMIS systems. Reports generated at these facilities are transferred to the next level using paper reports, CD or DVD, flash drive or email that result in poor report generation and untimely information delivery. However, there is no clear framework to collect HMIS data centrally and generate reports for decision making, where this study aims to deal with. This study aimed to design a cloud computing-based framework for HMIS system for delivering HMIS services with low cost, high usability, and high clinical value. The research used Design Science Research Methodology. We analyzed multiple works of literature to identify the problem and consequently developed a conceptual model. The researchers performed a survey analysis to deeply understand the current HMIS implementation. We identified the requirement definitions, including flexibility, scope and performance, costs, service and cloud management, IT and security compliance, and reliability and trustworthiness. We designed and demonstrated the proposed framework. The cloud computing-based framework was designed in a layered architecture. External systems are interfaced with CHMIS using the SDMX-HD data interchange standard. The multi-tenant model of HMIS was designed as a shared data warehouse, with a separate schema for each tenant through a single application. The data warehouse was then subdivided into multiple data marts depending upon their subject area. Users can use data from data marts and perform analysis, reporting or data mining. The proposed framework was evaluated based on the ISO/IEC 25010:2011 quality standard and results of the evaluation have shown that most of the evaluators evaluated the proposed framework to be very useful. The study expects that cloud-based HMIS will allow health institutions and decision-makers to adopt information infrastructures and health information technology with low system operations and maintenance costs. The study recommends the full evaluation of the framework upon full implementation of the system of cloud computing environment.
 

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