Self-Reinforcing Linkages Between Value and Local Ownership: Rethinking Sustainability of ICT4D Project

Abstract : 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.
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Sundeep Sahay, Arunima Mukherjee. Self-Reinforcing Linkages Between Value and Local Ownership: Rethinking Sustainability of ICT4D Project. 14th International Conference on Social Implications of Computers in Developing Countries (ICT4D), May 2017, Yogyakarta, Indonesia. pp.487-497, ⟨10.1007/978-3-319-59111-7_40⟩. ⟨hal-01650111⟩

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