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Complex systems and public health information systems: Insights from India’s national health information architecture

By: Sahay, Sundeep et al.
Material type: materialTypeLabelBookPublisher: Economic & Political Weekly Description: 60(47), Nov 22, 2025: p.36-41. In: Economic & Political WeeklySummary: Many low- and middle-income countries are actively strengthening their National Health Information Architectures to keep pace with ever-evolving health data and integration needs. As these systems are large and complex, embedded in diverse socio-technical and political contexts, their evolution often comes with emergent properties and unintended consequences. Through a complex-systems lens, this article examines the Indian NHIA as it evolved over the past 15 years. While the information infrastructure has expanded explosively, persistent and growing fragmentation has hindered the use of data to generate actionable insights on health outcomes. – Reproduced https://www.epw.in/journal/2025/47/insight/complex-systems-and-public-health-information.html
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Articles Articles Indian Institute of Public Administration
60(47), Nov 22, 2025: p.36-41 Available AR137920

Many low- and middle-income countries are actively strengthening their National Health Information Architectures to keep pace with ever-evolving health data and integration needs. As these systems are large and complex, embedded in diverse socio-technical and political contexts, their evolution often comes with emergent properties and unintended consequences. Through a complex-systems lens, this article examines the Indian NHIA as it evolved over the past 15 years. While the information infrastructure has expanded explosively, persistent and growing fragmentation has hindered the use of data to generate actionable insights on health outcomes. – Reproduced

https://www.epw.in/journal/2025/47/insight/complex-systems-and-public-health-information.html

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