Title: Challenges of adopting ICT solutions in a Nigerian healthcare SME

Authors: Hilary Berger; Noah O. Adedeji

Addresses: Cardiff School of Management, Cardiff Metropolitan University, Llandaff Campus, Western Avenue, Cardiff, CF5 2YB, UK ' Cardiff School of Management, Cardiff Metropolitan University, Llandaff Campus, Western Avenue, Cardiff, CF5 2YB, UK

Abstract: The drive to optimise the benefits of Information Systems (IS) in developing countries has led to the increasing use of Information and Communication Technology (ICT) to provide solutions whilst exploiting technological advances. In recent years governments across West Africa have utilised ICT to improve healthcare delivery. Whilst improvements in health statistics have been recorded, literature continues to evidence that a lack of engagement by the direct users involved limits the value of ICT solutions implemented. Our exploratory case study explores how ICT solutions utilised in an SME, although successfully diffused, negatively influenced the level of value realised. After identifying the key factors preventing the successful uptake of the ICT solutions implemented, we determine 'why' such non-engagement continues to occur in practice despite its acknowledgement in the literature and propose a framework of recommendations for SMEs to realise optimal benefit and value from ICT investment.

Keywords: diffusion; information systems; ICT implementation; negative influences; Nigeria; healthcare delivery; developing countries; technological advances; West Africa; health statistics; direct users; user engagement; ICT solutions; value levels; non-engagement; optimal benefits; optimal value; ICT investment; hospitals; management practice; ICT adoption; information technology; information and communications technology; small and medium-sized enterprises; SMEs.

DOI: 10.1504/IJMP.2013.052318

International Journal of Management Practice, 2013 Vol.6 No.1, pp.77 - 93

Available online: 26 Feb 2013 *

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