• Kadari Rajeshwar
• Praveen Valaboju

The digital transformation of healthcare systems in South Asia has accelerated in recent years, with Management Information Systems (MIS) emerging as critical infrastructure for operational efficiency, healthcare accessibility, and evidence-based decision-making. This paper presents a multidimensional comparative analysis of MIS implementation in India, Bangladesh, Nepal, and Sri Lanka. Drawing on primary survey data from 500 healthcare facilities and interviews with 50 experts, as well as comprehensive secondary datasets—including NHSRC, HMIS, WHO GHO, Digital Health Atlas, DHS, World Bank Open Data, NDHM, and national eHealth initiatives—this study examines adoption patterns, digital infrastructure readiness, and the urban-rural divide. The results reveal substantial MIS deployment and usage disparities, shaped by infrastructure, policy, and institutional readiness. While India has achieved moderate success in urban digital health ecosystems under the NDHM framework, rural coverage and capacity building remain critical gaps. Regional comparisons underscore the importance of policy coherence and localized innovation in achieving scalable health digitization. The paper concludes with evidence-based recommendations and a roadmap for integrated, inclusive digital health systems in South Asia.

Management Information System, Health Care, eHealth

"Reconstructing Health Systems Through Information Architecture: A Multi-Level Study of MIS Implementation", International Journal of Emerging Technologies and Innovative Research (www.jetir.org), ISSN:2349-5162, Vol.12, Issue 4, page no.m719-m728, April-2025, Available :http://www.jetir.org/papers/JETIR2504C92.pdf

"Reconstructing Health Systems Through Information Architecture: A Multi-Level Study of MIS Implementation", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.12, Issue 4, page no. ppm719-m728, April-2025, Available at : http://www.jetir.org/papers/JETIR2504C92.pdf