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1 – 10 of 12Sundeep Sahay and Esther N. Landen
The purpose of this paper is to understand how digital interventions are mediating the identity work of community health workers (CHWs) in the context of two African countries.
Abstract
Purpose
The purpose of this paper is to understand how digital interventions are mediating the identity work of community health workers (CHWs) in the context of two African countries.
Design/methodology/approach
This paper analyzes the everyday work of CHWs in two low- and middle-income country (LMIC) contexts (Uganda and Malawi) and seeks to understand changes in collective identity and the role of Information and Communication Technologies (ICTs) in mediating this “identity work”. As CHWs conduct their everyday tasks of care giving, data reporting and maintaining social interactions, they play two primary roles. One is the care giving role oriented towards the community, and two, is reporting and administrative work by virtue of them being affiliated with the Ministry of Health, either in formal or voluntary capacity. The ambivalence which they experience as they move back and forth between these two worlds of work is significantly now mediated through ICTs. The paper analyzes these dynamics and identifies three key sets of ambivalence in identity work: (1) role embracing-institutional distancing; (2) conformist-resistant and (3) dramaturgical-transformative. The paper makes unique contributions to information systems (IS) and ICT for development (ICT4D) studies in that it focuses on a nonprofessional group, which plays a fundamental role in providing care to underserved populations and also conducts data work which provides the foundation of the national health information system. This contrasts with dominant research in the field which focuses on professional groups, largely based in Western business organizations.
Findings
The paper identifies identity related tensions that emerge with the mediation of digital technologies in the work world of CHWs. These include tensions of conformist-resistant; and (3) dramaturgical-transformative. These findings are relevant and unique to the field of IS and ICT4D studies in that it focuses on a nonprofessional group, which plays a fundamental role in providing care to underserved populations and also conducts data work which provides the foundation of the national health information system.
Research limitations/implications
While acknowledging identity construction and negotiation is a function of both work and social lives, in this paper we could only focus on the work lives.
Practical implications
As digital interventions in the health sector of low and middle income countries is becoming increasingly widespread, often the focus is more on the supply side (the supply of the technology) rather than on the demand side (users experiences and aspirations). Identity becomes a lens to understand these demand side dynamics, which helps provides practical guidance on implementation approaches to ensure that the technology adds value to user work processes and there is a seamless and not a disruptive transition.
Social implications
CHWs are the most neglected cadre in the health system of low and middle income countries, even though they provide the cutting edge in care provision work to the most marginalized populations, living in rural and underserved areas. By focusing on how technologies can be more effectively implemented to support these care processes, the paper provides important social implications both for practice and research.
Originality/value
Analysis of identity construction and negotiation of informal groups in the unorganized sector of low and middle income countries has not received adequate attention in IS research. The paper seeks to fill this important gap.
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Shirin Madon and Sundeep Sahay
Notes how rapid urbanization is transforming the developing world – creating cities, which on the one hand offer opportunities for global economic activity, but on the other hand…
Abstract
Notes how rapid urbanization is transforming the developing world – creating cities, which on the one hand offer opportunities for global economic activity, but on the other hand are beset with serious local civic, economic and social problems. New networks based on information and communication technologies are increasingly being woven into the fabric of these cities supporting the connectedness of powerful groups both within the city and between cities around the world. These flows of global information and communication between powerful groups in the city involved in global economic activity coexist with intense face‐to‐face interactions at the local level. Bangalore in South India presents a major case study of this global/local interaction, being a focal point for software development in the Asian region and globally, but also beset with local problems of civic deficiencies, growing poverty and income inequality. Explores some of the issues which arise as Bangalore serves as a nexus that links global and local networks of exchange. Examines two Bangalore networks which typify global and local duality: the network of software firms located in high technology enclaves in and around the city, and the ostracised network of the slum dwellers of Bangalore, gradually being brought into mainstream discussions of governance in the city. Finds considerable similarities between global networks and local networks and outlines some of these dynamics.
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Geographic information systems (GIS) makes use of geographic data, such as streets, store points, and block or neighborhood areas, and attribute data, such as population, income…
Abstract
Geographic information systems (GIS) makes use of geographic data, such as streets, store points, and block or neighborhood areas, and attribute data, such as population, income levels, competition, and store sales, by integrating the two into a powerful spatial query. The techniques utilized include geographic mapping, digital mapping, aerial photographs, etc. Along with the convenience of using GIS, there are some concerns about privacy and security of the data and information. This paper addresses the security concerns related to this emerging technology.
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Abstract
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Sundeep Singh Sondhi, Prashant Salwan, Abhishek Behl, Suman Niranjan and Tim Hawkins
This paper aims to derive a model that explores how the interplay between knowledge integration capability and innovation impacts strategic orientation, leading to the attainment…
Abstract
Purpose
This paper aims to derive a model that explores how the interplay between knowledge integration capability and innovation impacts strategic orientation, leading to the attainment of sustainable competitive advantage. The study considers the constituents of strategic orientation, namely, customer orientation, competitor orientation and technology orientation, as the basis for achieving sustainable competitive advantage. The study suggests that the firm’s capacity for integrating external and internal knowledge shapes how strategic orientation influences sustainable competitive advantage through service innovation.
Design/methodology/approach
This empirical research relies on qualitative and quantitative data gathered from telecom professionals to assess how knowledge integration and service innovation influence sustained competitive advantage. Structured equation modeling is used to examine the model and its interrelationships.
Findings
The research establishes significant relationships between strategic orientations, knowledge integration capability, service innovation and sustainable competitive advantage. Knowledge integration capability and service innovation are found to mediate the relationship between strategic orientations and the achievement of sustainable competitive advantage.
Practical implications
The study highlights the significant contribution of a firm’s knowledge integration capability in driving service innovation, especially in technology-intensive service industries facing hypercompetition. It also advocates prioritizing technology orientation and integrating knowledge from internal and external sources for competitive advantage.
Originality/value
To the best of the authors’ knowledge, this study is the first to model the effect of knowledge integration capability and service innovation on strategic orientation-led sustainable competitive advantage.
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