Challenges to implementing a National Health Information System in Cameroon: perspectives of stakeholders

Submitted: 18 January 2013
Accepted: 4 February 2014
Published: 17 March 2014
Abstract Views: 3300
PDF: 1134
HTML: 725
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.


In the early 90s, the Cameroon Ministry of Health implemented a National Health Information System (NHIS) based on a bottom- up approach of manually collecting and reporting health data. Little is known about the implementation and functioning of the NHIS. The purpose of this study was to assess the implementation of the NHIS by documenting experiences of individual stakeholders, and to suggest recommendations for improvement. We reviewed relevant documents and conducted face-to-face interviews (N=4) with individuals directly involved with data gathering, reporting and storage. Content analysis was used to analyze textual data. We found a stalled and inefficient NHIS characterized by general lack of personnel, a labor-intensive process, delay in reporting data, much reliance on field staff, and lack of incentives. A move to an electronic health information system without involving all stakeholders and adequately addressing the issues plaguing the current system is premature.

Emmanuel Ngwakongnwi, University of Calgary, Doha
Research Officer

Supporting Agencies

Canadian Institutes for Health Research, Michael Smith Foreign Study Supplement (CIHR-MSFSS)

Ngwakongnwi, E., Atanga, M. B. S., & Quan, H. (2014). Challenges to implementing a National Health Information System in Cameroon: perspectives of stakeholders. Journal of Public Health in Africa, 5(1).


Download data is not yet available.