Faraja Teddy Igira

Whose participation? whose knowledge?: exploring PD in Tanzania-Zanzibar and Sweden

In this paper we discuss two Participatory Design (PD) projects, one in Tanzania-Zanzibar and the other one in Sweden. In both countries the design process was done through the analysis of work practices involving both designers and users. The discussion focuses on a number of factors such as location, time and scene. We also ask how different projects can be that it is still possible to talk about PD as an overall participation and design approach. If PD is not a singular, definite, closed and fixed approach on the explicit layers, so how do these projects relate to each other when focusing on methods embracing the ambiguities of participation? The paper ends with a discussion of differences and similarities considering participation in the projects.

The situatedness of work practices and organizational culture: implications for information systems innovation uptake

This paper addresses work practices and organizational culture as situated actions and the implications for information systems innovation uptake. It reports research being conducted in Tanzania that brings an ethnographic research approach to understanding relations between local health care practices and health information systems development, by asking how health workers’ practices and everyday actions are influenced by the context of their specific situation. The research is being conducted in the context of a globally distributed open source software project to introduce and enhance health information systems in developing countries. Drawing on cultural historical activity theory, the study highlights the need for understanding each information system users and each organizations specific and detailed work processes, and how situational and organizational factors may come together with the health information systems innovation processes in meeting the challenges discussed. In order to establish fully the potential of activity theory to innovation processes, situatedness of work practices focusing on the organization context is emphasized.

Living with Contradictions: Complementing Activity Theory with the Notion of “Installed Base” to Address the Historical Dimension of Transformation

This article addresses the historical dimension of the relation between information systems innovation and organizational transformation. We analyse findings from a study of ongoing transformations in the healthcare sector in Zanzibar, Tanzania. The process is described with a particular focus on instances where some contradictions in the old activity system were not resolved but inherited by the new activity system. To address this we complement the activity theory framework with the notion of “installed base” from studies of information infrastructures. This helps to illuminate the theme of unresolved and continuing contradictions, and thus contribute to the concept of historicity in CHAT-informed studies.

The role of context in the co-evolution of work and tools: A case from the primary health sector in Tanzania

Purpose This paper presents a work-centred study of how information systems practices and tools become shaped by their context. The purpose of this paper is to increase the understanding of how practices and tools co-evolve, with a specific focus on the role of context, and based on this to offer relevant design implications. The empirical motivation comes from attempts to utilize information and communication technologies (ICT) in resource-constrained settings. Design/methodology/approach Empirical work was conducted in primary healthcare facilities in Tanzania that offer Prevention of Mother-To-Child Transmission services. Four health facilities with different organizational and socio-economic characteristics were studied using ethnographic methods (participant observation, interviews and document analysis). The authors have employed activity theory as the theoretical framework, since it explicitly places human activity within a cultural, social and temporal (developmental) context. Specifically, the concept of mediation breakdown was used for data analysis at activity, action and operation levels. Findings By focussing analytically on situations of mediation breakdown in the situation of use, at both an activity, action and operation level, the authors have achieved an understanding of how information tools are being adapted to both their contextual conditions and the information needs of the community of users. Research limitations/implications The study illustrates the decisive role that context may play in shaping the actual usage of information technology. While the detailed findings were specific to the concrete domain, time and place, in general, an increased awareness of the role of context may lead to more robust approaches to the introduction of ICT solutions. Originality/value While activity theory literature offers insight on how to analyse context, the discussion is limited to the understanding of how context can be modelled into artefacts. The paper suggests that the contradiction concept is useful for studying the role of context and its impact in co-evolution of work and information tools. The study also contributes to the discourse in health information systems in developing countries by emphasizing the crucial role of the front line health workers’ own problem solving, invention and adaptation of information tools.