Critical Success Factors in the Implementation of Healthcare Information Systems in Developing Countries

Many developing countries face persistent barriers to implementing healthcare information systems (HIS). Weak regulatory frameworks and outdated digital infrastructure remain key challenges. Bangladesh illustrates this situation, where fragmented services and limited electronic patient records reduce access to quality healthcare. Evidence suggests that standardised hospital information systems can improve patient management and service efficiency. However, successful adoption requires strong institutional and policy support. This chapter synthesises the critical factors influencing HIS implementation in developing country contexts. It draws on a systematic literature review grounded in information systems research. Eight core studies were identified from IEEE Xplore, EBSCO, and ScienceDirect following rigorous screening of 4,014 records. Twelve success factors emerged and were grouped into four policy-relevant themes. Effective resource allocation and governance capacity were identified as the most decisive factors for sustainable HIS implementation.