  Although the basic application of Information and Communication Technologies
(ICT) in the Tanzanian health care systems started years ago, still
fragmentation of Information Systems (IS) and limited interoperability remain
to be big challenges. In this paper, we present an analysis done on the present
health care delivery service, HIS and on some of existing eHealth solutions
focusing on interoperability and collaboration. Through interviews,
questionnaires and analysis on e-health implementations in relation to
interoperability and collaboration we have established that, the lack of
standard procedures to guide the lifecycle of eHealth systems across the health
sector and poor willingness to collaboration among health stakeholders are key
issues which hinders the manifestation of the benefit of ICT use in the health
sector of Tanzania. Based on the findings, we provide some recommendations with
a view to improve interoperability and collaboration.

Computers and Society