Of course the insufficient use of data can not be blamed solely on an insufficient use of computers. However, a closer look at local SAPHMIS solutions reveals some typical faults, which play a major role:

• Limited functionality: many SAPHMIS solutions do not include functions for data analysis and presentation. A summary function for upward reporting is normally included, but is not sufficient for local analysis and feedback of data.
• Limited transparency: many SAPHMIS solutions were not developed with an eye on user needs, such as data entry clerks. This results in unreliable data entry and processing. Especially solutions, which rely on the use of several commercially available software application products such as office packages require a certain degree of computer literacy for successful utilization.
• Limited adaptability: many SAPHMIS solutions are not adequately adaptable to the ever changing information needs and reporting structures of a health management information system. These simply tend to be abandoned, when changes occur.
• Limited reliability: many SAPHMIS solutions were developed by expatriate consultants in a relatively short time without exhaustive testing. The consultant is difficult to find, when a programming error appears after a longer time of use, or an additional consultancy might just be to expensive.