Research Article
Unlocking the Potential of Health Information Systems in Public Hospitals: A Case Study of Mauritius
Parishma Guttoo*
Issue:
Volume 12, Issue 1, March 2026
Pages:
1-7
Received:
1 April 2025
Accepted:
29 September 2025
Published:
29 January 2026
Abstract: While health information systems (HIS) help with managing patient data, and improving cost-effectiveness in healthcare, its implementation in developing countries comprises several challenges including limited resources and inadequate support. As Mauritius is modernizing its health systems, it is important to assess the readiness of hospitals for HIS adoption in Mauritian hospitals. Methods: A descriptive cross-sectional survey examined factors influencing HIS adoption in Mauritian public hospitals. Data was collected via questionnaires from physicians, nurses, and administrators across three hospitals. The study aimed to understand the benefits, challenges, and facilitators of HIS implementation in the Mauritian context. Results: Of 142 questionnaires distributed, 82 (57.7%) were completed. Respondents included administrators (41.5%), nurses (40.2%), and doctors (18.3%). Computerized scheduling (37.9%), EHR (32.3%), and telemedicine (25.5%) were widely used. M-health was the most preferred for future implementation (19.4%). Most respondents (87.8%) reported needing HIS training. Key challenges included security (23.5%), ICT capacity (22.5%), and infrastructure (21.6%). The main benefits identified were improved health quality (16.6%), service efficiency (13.7%), knowledge sharing (13.7%), and improved decision-making (13.7%). Discussion: The survey of 82 respondents showed higher engagement from administrators (41.5%) and nurses (40.2%) compared to doctors (18.3%). HIS, EHR, and telemedicine are widely used, with m-health preferred for future implementation. Key benefits include improved health quality and efficiency, while challenges involve security, ICT capacity, and infrastructure. Most respondents (87.8%) reported needing HIS training. Conclusion: Mauritius still faces challenges in implementing HIS in public hospitals, thus findings from this study can inform strategies to improve HIS adoption and address existing barriers.
Abstract: While health information systems (HIS) help with managing patient data, and improving cost-effectiveness in healthcare, its implementation in developing countries comprises several challenges including limited resources and inadequate support. As Mauritius is modernizing its health systems, it is important to assess the readiness of hospitals for H...
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Review Article
Bridging the Industry 4.0 Skills-Maturity Gap through Digital Leadership: Evidence from a Systematic Review of TVET Institutions
Ahmed Gashaw Yimam*
Issue:
Volume 12, Issue 1, March 2026
Pages:
8-19
Received:
22 June 2026
Accepted:
24 July 2026
Published:
17 August 2026
Abstract: The "skills-maturity gap" a situation in which institutional outputs fall short of industrial demands, leading to structural unemployment and the "vocational paradox" persists despite initiatives like Digital Ethiopia 2030. This study examines how digital leadership improves labor market alignment using the "Vocational Intelligence" Sextuple-A framework. Based on Dynamic Capabilities Theory, the research explores how leaders’ sense, seize, and transform institutional culture. The central question is on how digital leadership may help close the skills-maturity divide. This study evaluated the effects of leadership on institutional agility by conducting a systematic literature review (SLR) of 42 high-impact publications using the PRISMA 2020 technique and theme synthesis. The results show that while institutional agility serves as a crucial bridge between digital leadership and market responsiveness, traditional transactional management impedes advancement. The study comes to the conclusion that rather than a lack of resources, the vocational conundrum is a mismatch between leadership and maturity. Adopting the Sextuple-A Framework for institutional audits, making Digital Leadership Certification essential for TVET deans, and giving "Training Factories" top priority to guarantee real-time synchronization with industry requirements are some of the recommendations. TVET institutions may become engines of national economic production by shifting from reactive to proactive, data-driven leadership, which will boost graduate employability and promote good social change.
Abstract: The "skills-maturity gap" a situation in which institutional outputs fall short of industrial demands, leading to structural unemployment and the "vocational paradox" persists despite initiatives like Digital Ethiopia 2030. This study examines how digital leadership improves labor market alignment using the "Vocational Intelligence" Sextuple-A fram...
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