Lily L. Tsai

Becoming Infrastructure: A Critical Realist Account of the Evolution of DHIS2 as Digital Public Health Infrastructure in Sierra Leone

In this article, we examine the design, implementation, and maintenance of DHIS2 as health information systems infrastructure in Sierra Leone over a period of 14 years - from 2008 to 2022. \hl{Today, DHIS2 has become the de-facto standard for open-source health management information systems and Sierra Leone's status…