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Mapping national information and communication technology (ICT) infrastructure to the requirements of potential digital health interventions in low- and middle-income countries
BACKGROUND: Digital health can support health care in low- and middle-income countries (LMICs) by overcoming problems of distance, poor infrastructure and the need to provide community practitioners with specialist support. We used five RESPIRE countries as exemplars (Bangladesh, India, Indonesia, M...
Autores principales: | , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
International Society of Global Health
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9804211/ https://www.ncbi.nlm.nih.gov/pubmed/36579436 http://dx.doi.org/10.7189/jogh.12.04094 |
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author | Hui, Chi Yan Abdulla, Adina Ahmed, Zakiuddin Goel, Himanshi Monsur Habib, G M Teck Hock, Toh Khandakr, Parisa Mahmood, Hana Nautiyal, Animesh Nurmansyah, Mulya Panwar, Shweta Patil, Rutuja Rinawan, Fedri Ruluwedrata Salim, Hani Satav, Ashish Shah, Jitendra Nandkumar Shukla, Akshita Tanim, Chowdhury Zabir Hossain Balharry, Dominique Pinnock, Hilary |
author_facet | Hui, Chi Yan Abdulla, Adina Ahmed, Zakiuddin Goel, Himanshi Monsur Habib, G M Teck Hock, Toh Khandakr, Parisa Mahmood, Hana Nautiyal, Animesh Nurmansyah, Mulya Panwar, Shweta Patil, Rutuja Rinawan, Fedri Ruluwedrata Salim, Hani Satav, Ashish Shah, Jitendra Nandkumar Shukla, Akshita Tanim, Chowdhury Zabir Hossain Balharry, Dominique Pinnock, Hilary |
author_sort | Hui, Chi Yan |
collection | PubMed |
description | BACKGROUND: Digital health can support health care in low- and middle-income countries (LMICs) by overcoming problems of distance, poor infrastructure and the need to provide community practitioners with specialist support. We used five RESPIRE countries as exemplars (Bangladesh, India, Indonesia, Malaysia, Pakistan) to identify the digital health solutions that are valuable in their local setting, worked together with local clinicians and researchers to explore digital health policy, electricity/ICT infrastructure, and socio-cultural factors influencing users’ ability to access, adopt and utilise digital health. METHODS: We adopted the Joanna Briggs Institute’s scoping review protocol and followed the Cochrane Rapid Review method to accelerate the review process, using the Implementation and Operation of Mobile Health projects framework and The Extended Technology Acceptance Model of Mobile Telephony to categorise the results. We conducted the review in four stages: (1) establishing value, (2) identifying digital health policy, (3) searching for evidence of infrastructure, design, and end-user adoption, (4) local input to interpret relevance and adoption factors. We used open-source national/international statistics such as the World Health Organization, International Telecommunication Union, Groupe Speciale Mobile, and local news/articles/government statistics to scope the current status, and systematically searched five databases for locally relevant exemplars. RESULTS: We found 118 studies (2015-2021) and 114 supplementary online news articles and national statistics. Digital health policy was available in all countries, but scarce skilled labour, lack of legislation/interoperability support, and interrupted electricity and internet services were limitations. Older patients, women and those living in rural areas were least likely to have access to ICT infrastructure. Renewable energy has potential in enabling digital health care. Low usage mobile data and voice service packages are relatively affordable options for mHealth in the five countries. CONCLUSIONS: Effective implementation of digital health technologies requires a supportive policy, stable electricity infrastructures, affordable mobile internet service, and good understanding of the socio-economic context in order to tailor the intervention such that it functional, accessible, feasible, user-friendly and trusted by the target users. We suggest a checklist of contextual factors that developers of digital health initiatives in LMICs should consider at an early stage in the development process. |
format | Online Article Text |
id | pubmed-9804211 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | International Society of Global Health |
record_format | MEDLINE/PubMed |
spelling | pubmed-98042112023-01-09 Mapping national information and communication technology (ICT) infrastructure to the requirements of potential digital health interventions in low- and middle-income countries Hui, Chi Yan Abdulla, Adina Ahmed, Zakiuddin Goel, Himanshi Monsur Habib, G M Teck Hock, Toh Khandakr, Parisa Mahmood, Hana Nautiyal, Animesh Nurmansyah, Mulya Panwar, Shweta Patil, Rutuja Rinawan, Fedri Ruluwedrata Salim, Hani Satav, Ashish Shah, Jitendra Nandkumar Shukla, Akshita Tanim, Chowdhury Zabir Hossain Balharry, Dominique Pinnock, Hilary J Glob Health Articles BACKGROUND: Digital health can support health care in low- and middle-income countries (LMICs) by overcoming problems of distance, poor infrastructure and the need to provide community practitioners with specialist support. We used five RESPIRE countries as exemplars (Bangladesh, India, Indonesia, Malaysia, Pakistan) to identify the digital health solutions that are valuable in their local setting, worked together with local clinicians and researchers to explore digital health policy, electricity/ICT infrastructure, and socio-cultural factors influencing users’ ability to access, adopt and utilise digital health. METHODS: We adopted the Joanna Briggs Institute’s scoping review protocol and followed the Cochrane Rapid Review method to accelerate the review process, using the Implementation and Operation of Mobile Health projects framework and The Extended Technology Acceptance Model of Mobile Telephony to categorise the results. We conducted the review in four stages: (1) establishing value, (2) identifying digital health policy, (3) searching for evidence of infrastructure, design, and end-user adoption, (4) local input to interpret relevance and adoption factors. We used open-source national/international statistics such as the World Health Organization, International Telecommunication Union, Groupe Speciale Mobile, and local news/articles/government statistics to scope the current status, and systematically searched five databases for locally relevant exemplars. RESULTS: We found 118 studies (2015-2021) and 114 supplementary online news articles and national statistics. Digital health policy was available in all countries, but scarce skilled labour, lack of legislation/interoperability support, and interrupted electricity and internet services were limitations. Older patients, women and those living in rural areas were least likely to have access to ICT infrastructure. Renewable energy has potential in enabling digital health care. Low usage mobile data and voice service packages are relatively affordable options for mHealth in the five countries. CONCLUSIONS: Effective implementation of digital health technologies requires a supportive policy, stable electricity infrastructures, affordable mobile internet service, and good understanding of the socio-economic context in order to tailor the intervention such that it functional, accessible, feasible, user-friendly and trusted by the target users. We suggest a checklist of contextual factors that developers of digital health initiatives in LMICs should consider at an early stage in the development process. International Society of Global Health 2022-12-29 /pmc/articles/PMC9804211/ /pubmed/36579436 http://dx.doi.org/10.7189/jogh.12.04094 Text en Copyright © 2022 by the Journal of Global Health. All rights reserved. https://creativecommons.org/licenses/by/4.0/This work is licensed under a Creative Commons Attribution 4.0 International License. |
spellingShingle | Articles Hui, Chi Yan Abdulla, Adina Ahmed, Zakiuddin Goel, Himanshi Monsur Habib, G M Teck Hock, Toh Khandakr, Parisa Mahmood, Hana Nautiyal, Animesh Nurmansyah, Mulya Panwar, Shweta Patil, Rutuja Rinawan, Fedri Ruluwedrata Salim, Hani Satav, Ashish Shah, Jitendra Nandkumar Shukla, Akshita Tanim, Chowdhury Zabir Hossain Balharry, Dominique Pinnock, Hilary Mapping national information and communication technology (ICT) infrastructure to the requirements of potential digital health interventions in low- and middle-income countries |
title | Mapping national information and communication technology (ICT) infrastructure to the requirements of potential digital health interventions in low- and middle-income countries |
title_full | Mapping national information and communication technology (ICT) infrastructure to the requirements of potential digital health interventions in low- and middle-income countries |
title_fullStr | Mapping national information and communication technology (ICT) infrastructure to the requirements of potential digital health interventions in low- and middle-income countries |
title_full_unstemmed | Mapping national information and communication technology (ICT) infrastructure to the requirements of potential digital health interventions in low- and middle-income countries |
title_short | Mapping national information and communication technology (ICT) infrastructure to the requirements of potential digital health interventions in low- and middle-income countries |
title_sort | mapping national information and communication technology (ict) infrastructure to the requirements of potential digital health interventions in low- and middle-income countries |
topic | Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9804211/ https://www.ncbi.nlm.nih.gov/pubmed/36579436 http://dx.doi.org/10.7189/jogh.12.04094 |
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