Factors influencing the sustainability of digital health interventions in low-resource settings: Lessons from five countries

Judith Mccool; Rosie Dobson; Naomi Muinga; Chris Paton; Claudia Pagliari; Smisha Agawal; Alain Labrique; Helen Tanielu; Robyn Whittaker

doi:10.7189/jogh.10.020396

Factors influencing the sustainability of digital health interventions in low-resource settings: Lessons from five countries

Judith Mccool, Rosie Dobson, Naomi Muinga, Chris Paton, Claudia Pagliari, Smisha Agawal, Alain Labrique, Helen Tanielu, Robyn Whittaker

Research output: Contribution to journal › Article › peer-review

Abstract / Description of output

Optimism about the potential value of digital health has resulted in a flurry of pilot implementation projects over the past decade. Alas, the majority of thesefailed to translate into scaled, routine services, leaving many health leaders cautious and uncertain of how to proceed. In this paper, we draw on experiences in designing, implementing and evaluating digital health initiatives within low resource settings to identify lessons about factors that can influence successful and sustainable integration of digital health within local health systems.

Original language	English
Journal	Journal of Global Health
Volume	10
Issue number	2
DOIs	https://doi.org/10.7189/jogh.10.020396
Publication status	Published - 23 Nov 2020

Keywords / Materials (for Non-textual outputs)

Digital Health
mHealth
Implementation Science
Sustainability
LMIC
Low-Resource Settings
Sociotechnical factors
health systems

Access to Document

10.7189/jogh.10.020396Licence: Creative Commons: Attribution (CC-BY)

Factors influencing the sustainability of digital health interventions in low-resource settingsFinal published version, 2.83 MBLicence: Creative Commons: Attribution (CC-BY)

http://jogh.org/documents/issue202002/jogh-10-020396.pdfLicence: Creative Commons: Attribution (CC-BY)

3 Article
1 Poster
1 Comment/debate
1 Editorial
More
- 1 Other contribution

Exploring the Equity Impact of Current Digital Health Design Practices
Evans, L., Evans, J., Pagliari, C. & Källander, K., 17 May 2022, In: JMIR Research Protocols. 11, 5, p. e34013
Research output: Contribution to journal › Article › peer-review

Open Access
File
Digitally-enabled primary care: Past, present and prospects
Pagliari, C., 2 Jul 2021, In: Journal of Global Health. 11, 01005, p. 1-9 9 p., 01005.
Research output: Contribution to journal › Article › peer-review

Open Access
File
The ethics and value of contact tracing apps: International Insights and Implications for Scotland
Pagliari, C., 10 Dec 2020, In: Journal of Global Health. 10, 2, 18 p.
Research output: Contribution to journal › Editorial › peer-review

Open Access
File

3 Invited talk
2 Contribution to the work of national or international committees and working groups
1 Providing oral or written evidence for non-academic board, committee, working group or advisory panel
1 Types of Business and Community - Continuing Professional Development (CPD)/Training

The many faces of inequality in a digitised world: thoughts on deprivation devices, data, deception, disruption and dialogue.
Claudia Pagliari (Invited speaker)
11 May 2022
Activity: Academic talk or presentation types › Invited talk
Data ethics in a pandemic. Navigating the dilemmas and complexities in a changing public health environment
Claudia Pagliari (Invited speaker)
22 Jan 2021
Activity: Academic talk or presentation types › Invited talk
Expert contribution - WHO consultation on development e-prescription systems in the Eastern Mediterranean Region
Claudia Pagliari (Advisor)
12 Aug 2020
Activity: Consultancy types › Providing oral or written evidence for non-academic board, committee, working group or advisory panel

Cite this

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title = "Factors influencing the sustainability of digital health interventions in low-resource settings: Lessons from five countries",

abstract = "Optimism about the potential value of digital health has resulted in a flurry of pilot implementation projects over the past decade. Alas, the majority of thesefailed to translate into scaled, routine services, leaving many health leaders cautious and uncertain of how to proceed. In this paper, we draw on experiences in designing, implementing and evaluating digital health initiatives within low resource settings to identify lessons about factors that can influence successful and sustainable integration of digital health within local health systems.",

keywords = "Digital Health, mHealth, Implementation Science, Sustainability, LMIC, Low-Resource Settings, Sociotechnical factors, health systems",

author = "Judith Mccool and Rosie Dobson and Naomi Muinga and Chris Paton and Claudia Pagliari and Smisha Agawal and Alain Labrique and Helen Tanielu and Robyn Whittaker",

note = "Published online November 23rd, 2020",

year = "2020",

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doi = "10.7189/jogh.10.020396",

language = "English",

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AU - Mccool, Judith

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AU - Muinga, Naomi

AU - Paton, Chris

AU - Pagliari, Claudia

AU - Agawal, Smisha

AU - Labrique, Alain

AU - Tanielu, Helen

AU - Whittaker, Robyn

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N2 - Optimism about the potential value of digital health has resulted in a flurry of pilot implementation projects over the past decade. Alas, the majority of thesefailed to translate into scaled, routine services, leaving many health leaders cautious and uncertain of how to proceed. In this paper, we draw on experiences in designing, implementing and evaluating digital health initiatives within low resource settings to identify lessons about factors that can influence successful and sustainable integration of digital health within local health systems.

AB - Optimism about the potential value of digital health has resulted in a flurry of pilot implementation projects over the past decade. Alas, the majority of thesefailed to translate into scaled, routine services, leaving many health leaders cautious and uncertain of how to proceed. In this paper, we draw on experiences in designing, implementing and evaluating digital health initiatives within low resource settings to identify lessons about factors that can influence successful and sustainable integration of digital health within local health systems.

KW - Digital Health

KW - mHealth

KW - Implementation Science

KW - Sustainability

KW - LMIC

KW - Low-Resource Settings

KW - Sociotechnical factors

KW - health systems

U2 - 10.7189/jogh.10.020396

DO - 10.7189/jogh.10.020396

M3 - Article

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JO - Journal of Global Health

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IS - 2

ER -

Factors influencing the sustainability of digital health interventions in low-resource settings: Lessons from five countries

Abstract / Description of output

Keywords / Materials (for Non-textual outputs)

Access to Document

Fingerprint

Research output

Exploring the Equity Impact of Current Digital Health Design Practices

Digitally-enabled primary care: Past, present and prospects

The ethics and value of contact tracing apps: International Insights and Implications for Scotland

Activities

The many faces of inequality in a digitised world: thoughts on deprivation devices, data, deception, disruption and dialogue.

Data ethics in a pandemic. Navigating the dilemmas and complexities in a changing public health environment

Expert contribution - WHO consultation on development e-prescription systems in the Eastern Mediterranean Region

Cite this