Exploring the adoption of a risk management system for fiscal space expansion in Botswana

Abstract

The purpose of this study is to examine how civil servants in Botswana's healthcare sector perceive the adoption of risk management systems. Risk management systems (RMS) adoption factors are examined through technology adoption theories. Reviewing documents and conducting interviews reveals barriers such as little understanding, resistance to change, resource limitations, and system integration challenges. RMS adoption remains positive despite these obstacles, emphasizing the importance of financial resources, strong organizational support, active user involvement, and alignment with existing processes. Investing in comprehensive training programs to build confidence and competence within users is key to overcoming these barriers. Implications suggest significant policy changes to enhance RMS adoption in Botswana's healthcare sector. Implementing these findings could enhance accountability, transparency, efficiency, and safety. Applying the technology adoption model provides an understanding of RMS adoption factors in Botswana. Practically, it facilitates the implementation of RMS through actionable insights. Future research should examine the long-term impact of RMS adoption, compare it to other regions or sectors, and explore advanced technologies. Such research could improve the effectiveness of RMS in healthcare settings by providing deeper insights into best practices. Using this study, informed decisions can be made, and strategic planning can be implemented, enhancing healthcare quality.