In this paper, we explore how rurality influence the implementation of information and communication technology for development (ICT4D) projects and how do organisations navigate challenges associated with rurality during the implementation of these projects? Our findings, derived from an in-depth case study of a social enterprise in rural India, reveal two paradoxes that pose challenges to the effective implementation of Health Information Systems (HIS) in rural settings: the localisation paradox and the cultural embedding paradox. We found that contextually balanced engagement, comprising of prioritising; localising; cultural adjustment; and engaging stakeholders, help to navigate the challenges posed by the localisation and cultural embedding paradoxes.
Co-author (s): Israr Qureshi, Dhirendra Mani Shukla, Babita Bhatt, Ruonan Sun
Journal: Information Systems Journal
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