The main challenge rather than obstacles is to convince Ministry of Finance for the best options available to update the IT, so they can secure the required budget within the cost that affordable and within the allocated budget.
The choice for doing the project through outsourcing model with payment in installments, as the project outsource for 10 years with a total cost of 25 million Bahraini Dinars, thus the yearly payment is 2,5 millions, and if the project will create a one million electronic medical record, the cost of each record is costing 2,5 Dinar /year ( an average of 12 US$ for each file/year)
This argument was persuasive to emphasize the cost effectiveness of the project and the ministry of finance able to finance it without major burden on the yearly budget.
Other attractive factors related to the expected saving when avoiding duplication of investigation and saving the cost of chemical and developing x-ray films as this will not be needed when using the digital pictures ( as the existing budget for x-ray films is 300,000 Dinars).
Other challenges related to integrated and migrating the data was not complicated, as it was implemented in pilot processes and gradually integrated with new system, intensive training and creating tutors from different medical field play an important role in making the user accept the new change in the system, as learning from frindes who share with the staff the same concern and inquires.