Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Dec 18;23(1):1433.
doi: 10.1186/s12913-023-10232-0.

Exploring health information system resilience during COVID-19 pandemic: case studies from Norway, Sri Lanka & Rwanda

Pamod Madusanka Amarakoon  1 , Ragnhild Bassøe Gundersen  2 , Andrew Muhire  2 , Vetle Alvenes Utvik  2 , Jørn Braa  2
Affiliations

Exploring health information system resilience during COVID-19 pandemic: case studies from Norway, Sri Lanka & Rwanda

Pamod Madusanka Amarakoon et al. BMC Health Serv Res. .

Abstract

The study aims at exploring health system resilience by defining the scope on health information systems, one of the six building blocks of the health system. The empirical evidence is derived using qualitative data collection and analysis in the context of Norway, Sri Lanka and Rwanda during the COVID-19 pandemic. The case studies elicit bounce back and bounce forward properties as well as the agility as major attributes of resilience present across the countries. Existing local capacity, networking and collaborations, flexible digital platforms and enabling antecedent conditions are identified as socio-technical determinants of information system resilience based on the case studies across the countries.

Keywords: Health system resilience; Information systems; Norway; Resilience; Rwanda; Sri Lanka.

PubMed Disclaimer

Conflict of interest statement

The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
Timeline of events: Sri Lanka
Fig. 2
Fig. 2
Timeline of events in Rwanda
Fig. 3
Fig. 3
Timeline of events: Norway
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Quanbeck A, Hennessy RG, Park L. Applying concepts from “rapid” and “agile” implementation to advance implementation research. Implement Sci Commun. 2022;3:1–10. doi: 10.1186/s43058-022-00366-3. - DOI - PMC - PubMed
    1. WHO | Monitoring the building blocks of health systems: a handbook of indicators and their measurement strategies. WHO. 2014.
    1. The United Nations. Sustainable Development Goals. 2016. https://sustainabledevelopment.un.org/?menu=1300. Accessed 22 Feb 2016.
    1. Rodela TT, Tasnim S, Mazumder H, Faizah F, Sultana A, Hossain MM. Economic Impacts of Coronavirus Disease (COVID-19) in Developing Countries. 2020. 10.31235/OSF.IO/WYGPK.
    1. Lupu D, Tiganasu R. COVID-19 and the efficiency of health systems in Europe. Health Econ Rev. 2022;12:1–15. doi: 10.1186/s13561-022-00358-y. - DOI - PMC - PubMed