Interesting News and Research

Development and formative evaluation of the e-Health Implementation Toolkit (e-HIT)
Elizabeth Murray1, Carl May2, Frances Mair3

1 E-Health Unit, Research Department of Primary Care and Population Health, University College London, London, United Kingdom
2 Faculty of Health Sciences, University of Southampton, Southampton, United Kingdom
3 Section of General Practice & Primary Care, Centre for Population and Health Sciences, University of Glasgow, Glasgow, United Kingdom

BMC Medical Informatics and Decision Making 2010, 10:61doi:10.1186/1472-6947-10-61
Published: 18 October 2010
Available online PDF [24p.] at:
“….The use of Information and Communication Technology (ICT) or e-Health is seen as essential for a modern, cost-effective health service.

However, there are well documented problems with implementation of e-Health initiatives, despite the existence of a great deal of research into how best to implement e-Health (an example of the gap between research and practice).

This paper reports on the development and formative evaluation of an e-Health Implementation Toolkit (e-HIT) which aims to summarise and synthesise new and existing research on implementation of e-Health initiatives, and present it to senior managers in a user-friendly format.

The content of the e-HIT was derived by combining data from a systematic review of reviews of barriers and facilitators to implementation of e-Health initiatives with qualitative data derived from interviews of “implementers”, that is people who had been charged with implementing an e-Health initiative. These data were summarised, synthesised and combined with the constructs from the Normalisation Process Model.

The software for the toolkit was developed by a commercial company (RocketScience). Formative evaluation was undertaken by obtaining user feedback.

There are three components to the toolkit – a section on background and instructions for use aimed at novice users; the toolkit itself; and the report generated by completing the toolkit.

It is available to download from

The e-HIT shows potential as a tool for enhancing future e-Health implementations.

Further work is needed to make it fully web-enabled, and to determine its predictive potential for future implementations.

From Balancing Act Africa a great article on the work that UNICEF’s Innovation Unit has done deploying ICT for Development.

ISSUE NO 503 7th May 2010

UNICEF and Text For Change: how they are using technology in different ways

Donorland has been littered with pilot projects over the last ten years that took interesting technology and ideas and sought to make them work in the unforgiving African context. All too often they had little idea of what potential users actually wanted and once the funding ended, the water closed over them and that was that. There is now a second generation of ICT4D projects that seem to have learnt the lessons of these early failures. Russell Southwood spoke to Terra Weikel and Sean Blaschke of UNICEF and Bas Hoefman of Text for Change about how they are using technology in different ways.

Read the rest here