EHealth designs from inside the LMICs off Africa and you can Asia: a literature opinion investigating activities impacting execution, scale-right up, and you will sustainability

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12 ديسمبر، 2023

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EHealth designs from inside the LMICs off Africa and you can Asia: a literature opinion investigating activities impacting execution, scale-right up, and you will sustainability

step one Middle getting Security and you may Health Systems, Around the globe Center to have Diarrhoeal Problem Browse, Bangladesh (ICDDR,B), Mohakhali, Dhaka, Bangladesh; dos Service out of Health Functions Search and Policy, London College or university regarding Health and Warm Medication, London area, UK; step 3 College out of Public Health and Society Treatments, The new College of brand new South Wales, Kensington, NSW, Australia; 4 Institute regarding Advancement Degree, School of Sussex, Brighton, East Sussex, Uk

Posts addressing eHealth designs were selected according to research by the after the conditions: interventions situated in LMICs out of China and you may Africa; treatments greater than one year in the course; and you can treatments that cover one or more section otherwise province out-of a country

Background: In lots of lowest- and you may middle-earnings regions (LMICs), fitness system demands based on weakened governance, fitness workforce shortages, and geographical and you may economic traps to worry delay active delivery off wellness functions to those in need of assistance. The fresh quick development of recommendations and you will correspondence development within the last few decades offers the possibility of approaching any of these pressures with creative possibilities, particularly if offered by measure. This opinion shows for the popular features of large and much more situated eHealth interventions that will subscribe to the application, scale-up and sustainability and you will, ultimately, to enhanced fitness effects.

Methods: Seven boffins presented a literary works article on eHealth designs from inside the LMICs away from China and you will Africa. Significant on the web database searched provided Medline (via PubMed) and you may Websites away from Research. Specific small databases have been including accessed. Picked stuff had been assessed and you can compared using a structure strategy. Results: Centered on specified inclusion and you can exemption requirements, 14 fellow-examined content (seven intervention degree, half dozen analysis) was basically recognized one to claimed toward eHealth designs. Half dozen key size was recognized as important on the effective implementation, utilization and you will measure-upwards regarding an eHealth development. eHealth methods need certainly to: become developed in a reaction to identified health demands and you may goals; be supported by an enabling environment; ensure They options combination; expose active commitment ranging from stakeholders; verify implementation criteria was met; and you will pre-empt and you may address things related to avoid users’ efficiency to get into, faith, accept, and you will use a keen eHealth product. Conclusion: Attention of your own has understood within opinion implementers, and you may innovators mixed up in planning, structure, and implementation of productive eHealth designs intended to target high-scale ungarsk Г¦gteskabsagentur for damer inhabitants wellness demands into the money-limited setup.

Even after continuous work with the health improvement in reduced- and you will middle-money regions (LMICs), progress might have been hindered by poor or impaired health assistance you to neglect to send high quality, sensible healthcare in order to populations in need. Internationally wellness staff shortages; geopolitical, financial, and you will ecological crises; geographic barriers; and you may weak governance are some of the items that are difficult energetic healthcare birth. step 1

One to guaranteeing section of innovation is the applying of information and you will telecommunications development (ICTs) as a way to help you approaching these demands, especially if such as for instance units should be offered by measure. dos The potential of just what ICTs normally send and work out fitness care and attention even more accessible, reasonable and you will productive has lead to a proliferation of the latest details and you will designs, many of which are being used inside LMICs. But not, the little level and you may pilot characteristics of several ones ICT interventions, colloquially known as “pilotitis”, step 3 is actually extensively experienced a boundary so you’re able to finding sustainability during the scale. cuatro A serious examination of particular highest-scale interventions you will thus subscribe to distinguishing the characteristics regarding ICT wellness treatments that support utilization, scale-up-and durability.

Peer-examined books typed anywhere between was thought to own addition on opinion

Software off ICT regarding the wellness industry was referred to as eHealth, defined by Business Fitness Providers (WHO) while the “the fresh import off wellness resources and you will medical care by the electronic form”. eHealth treatments include: 1) providing health guidance to possess health care professionals and you may wellness people from the Websites and you may telecommunication; 2) using it and you will elizabeth-trade adjust societal wellness properties, eg, through the education and you may studies from health gurus; and you can 3) using e-trade and you will age-business practices into the fitness options management. 5 A good subcomponent from eHealth is mHealth, and that identifies “medical and you can societal health practice supported by smart phones, such as for instance phones, patient overseeing products, individual digital assistants (PDAs), and other wireless products”. six LMICs account for three-residence of your own quickly expanding sites and you will mobile cellular subscriptions global, eight thus carrying out potential getting creative and value-active wellness functions by applying ICT. Nonetheless they offer range to have getting fitness designs closer to difficult-to-arrived at communities who have minimal access to healthcare institution. 8,9

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EHealth designs from inside the LMICs off Africa and you can Asia: a literature opinion investigating activities impacting execution, scale-right up, and you will sustainability

Peer-examined books typed anywhere between was thought to own addition on opinion

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