Challenges, barriers, and facilitators in implementing digital health initiatives for NP-NCD management in India's public health system: A scoping review

IF 1.7 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Clinical Epidemiology and Global Health Pub Date : 2025-07-16 DOI:10.1016/j.cegh.2025.102137

R.V.N.S.P. Meghana , Jayvardhan Singh , Ramesh Kumar Huda

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引用次数: 0

Abstract

Background

Non-communicable diseases (NCDs) such as diabetes, hypertension, and cardiovascular diseases pose significant public health challenges in India, especially within resource-limited settings. To address these, the Government of India launched the National Programme for Prevention and Control of Non-Communicable Diseases (NP-NCD), supported by the NP-NCD Portal—a digital health initiative aimed at improving service delivery, data management, and care coordination across public health facilities.

Objective

This scoping review explores the challenges, barriers, and facilitators influencing the implementation of digital health initiatives for NP-NCD management in India's public healthcare system.

Methods

Using the Arksey and O'Malley framework and PRISMA-ScR guidelines, a comprehensive literature search was conducted across PubMed, Google Scholar, Scopus Embase, government websites, and grey literature sources.

Results

Thirteen studies published between 2010 and 2025 were included, encompassing qualitative, quantitative, and mixed-methods research. Thematic analysis revealed key barriers such as inadequate digital infrastructure, poor internet connectivity, limited digital literacy, high workloads, dual data entry requirements, and workflow disruptions. Facilitators identified included structured training programs, dedicated data personnel, supportive leadership, offline functionality, regional language support, and integration with broader health systems. Community engagement through frontline workers (ASHAs, ANMs) and incentive structures played a vital role in improving adoption and outreach.

Conclusion

Findings underscore the need for robust infrastructure, continuous capacity building, interoperable systems, and workforce support to optimize digital health implementation. These insights can inform strategies to enhance NCD care delivery in India and other low- and middle-income countries facing similar challenges.

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在印度公共卫生系统实施NP-NCD管理数字卫生举措的挑战、障碍和促进因素：范围审查

背景：糖尿病、高血压和心血管疾病等非传染性疾病在印度构成了重大的公共卫生挑战，特别是在资源有限的情况下。为了解决这些问题，印度政府启动了国家预防和控制非传染性疾病方案（NP-NCD），得到了NP-NCD门户网站的支持，这是一项数字卫生倡议，旨在改善公共卫生设施的服务提供、数据管理和护理协调。目的：本综述探讨了影响印度公共卫生系统实施数字卫生倡议以进行NP-NCD管理的挑战、障碍和促进因素。方法采用Arksey和O’malley框架和PRISMA-ScR指南，对PubMed、谷歌Scholar、Scopus Embase、政府网站和灰色文献资源进行全面的文献检索。结果纳入2010年至2025年间发表的13项研究，包括定性、定量和混合方法研究。专题分析揭示了主要障碍，如数字基础设施不足、互联网连通性差、数字素养有限、工作量高、双重数据输入要求和工作流程中断。确定的促进因素包括结构化培训计划、专门的数据人员、支持性领导、离线功能、区域语言支持以及与更广泛的卫生系统的整合。通过一线工作人员（asha、ANMs）和激励机制进行的社区参与在改善采用和推广方面发挥了至关重要的作用。结论：研究结果强调需要健全的基础设施、持续的能力建设、可互操作的系统和人力支持来优化数字卫生的实施。这些见解可以为印度和其他面临类似挑战的低收入和中等收入国家加强非传染性疾病医疗服务的战略提供信息。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Epidemiology and Global Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.60

自引率

7.70%

发文量

218

审稿时长

66 days

期刊介绍： Clinical Epidemiology and Global Health (CEGH) is a multidisciplinary journal and it is published four times (March, June, September, December) a year. The mandate of CEGH is to promote articles on clinical epidemiology with focus on developing countries in the context of global health. We also accept articles from other countries. It publishes original research work across all disciplines of medicine and allied sciences, related to clinical epidemiology and global health. The journal publishes Original articles, Review articles, Evidence Summaries, Letters to the Editor. All articles published in CEGH are peer-reviewed and published online for immediate access and citation.