Amarynth Sichel, Adele Waugaman, Robert Rosenbaum, Joy Kamunyori, Emily Lark Harris, Marc Cunningham, Folake Olayinka, Beth Tritter
{"title":"How emergency digital health and data use investments can strengthen health systems and support global health security.","authors":"Amarynth Sichel, Adele Waugaman, Robert Rosenbaum, Joy Kamunyori, Emily Lark Harris, Marc Cunningham, Folake Olayinka, Beth Tritter","doi":"10.1093/oodh/oqae004","DOIUrl":"https://doi.org/10.1093/oodh/oqae004","url":null,"abstract":"<p><p>This commentary is focused on a body of research examining a subset of the United States Agency for International Development (USAID) global vaccine delivery investments made during the emergency phase of the coronavirus disease 2019 pandemic (COVID-19). Taken together, the research illustrates the importance of the digital health enabling environment-the presence or absence of conditions that allow digital health investments to thrive-as a contributor to an effective emergency response and as a determinant of whether digital investments deployed during an emergency can contribute to stronger health systems and increased preparedness for future health shocks. The commentary distills findings from this journal supplement into three high-level insights and offers recommendations to translate these insights into actions that can improve future health emergency responses and strengthen health systems. Abrégé Ce commentaire se concentre sur un corpus de recherche examinant un sous-ensemble des investissements mondiaux de l'USAID dans la livraison de vaccins réalisés pendant la phase d'urgence de la pandémie de COVID-19. Prise dans son ensemble, la recherche illustre l'importance de l'environnement propice à la santé numérique - la présence ou l'absence de conditions permettant aux investissements en santé numérique de prospérer - en tant que facteur contribuant à une intervention d'urgence efficace et permettant de déterminer si les investissements dans le numérique réalisés pendant une urgence peuvent jouer un rôle positif dans le renforcement des systèmes de santé et l'amélioration de la préparation aux futurs chocs sanitaires. Le commentaire tire des conclusions présentées dans ce supplément de revue trois enseignements de haut niveau et formule un certain nombre de recommandations pour traduire ces enseignements en actions susceptibles d'améliorer les futures interventions d'urgence sanitaire et de renforcer les systèmes de santé. Resumen Este comentario se centra en un corpus de investigaciones sobre un subconjunto de las inversiones que USAID realizó para la entrega de vacunas en todo el mundo durante la fase de emergencia de la pandemia de COVID-19. En conjunto, las investigaciones demuestran la importancia del entorno propicio para la salud digital, es decir, la presencia o ausencia de condiciones que permitan que las inversiones en salud digital prosperen, como factor que contribuye a una respuesta de emergencia efectiva y como determinante de si las inversiones digitales implementadas durante una emergencia pueden contribuir a fortalecer los sistemas de salud y aumentar la preparación para futuras crisis de salud. El comentario resume los hallazgos de este suplemento de revista en tres ideas de alto nivel y ofrece recomendaciones para traducir estas ideas en acciones que puedan mejorar las futuras respuestas a emergencias sanitarias y fortalecer los sistemas de salud.</p>","PeriodicalId":520498,"journal":{"name":"Oxford open digital health","volume":"2 Suppl 1","pages":"i1-i6"},"PeriodicalIF":0.0,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11936325/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Godefroid Mpanya, Constant Kingongo, Julia Ngomba, Erick Biduaya Panu, Papy Mbokolo, Djeneba Coulibaly, Sang Dao Dinh, Dung Tham Chi, Trung Pham, Thao Le, Hawa Idde, Yannick Agui, Wendy Prosser, Ana Costache, Audry Hong, Elan Ebeling, Grace Awantang, Jessica C Shearer
{"title":"Interventions and adaptations to strengthen data quality and use for COVID-19 vaccination: a mixed methods evaluation.","authors":"Godefroid Mpanya, Constant Kingongo, Julia Ngomba, Erick Biduaya Panu, Papy Mbokolo, Djeneba Coulibaly, Sang Dao Dinh, Dung Tham Chi, Trung Pham, Thao Le, Hawa Idde, Yannick Agui, Wendy Prosser, Ana Costache, Audry Hong, Elan Ebeling, Grace Awantang, Jessica C Shearer","doi":"10.1093/oodh/oqae010","DOIUrl":"https://doi.org/10.1093/oodh/oqae010","url":null,"abstract":"<p><p>Many countries used digital health solutions to support COVID-19 vaccination but struggled to implement them, resulting in adaptations. This theory-driven mixed methods evaluation of COVID-19 vaccine-related data and digital interventions from the Democratic Republic of the Congo, Niger and Vietnam aimed to uncover (i) what drove mid-course adaptations of these digital health interventions, (ii) how these adapted interventions may have contributed to improved availability, quality and use of COVID-19 vaccine-related data and (iii) if and how these interventions strengthened eHealth building blocks. Methods consisted of interviews, document review, secondary data analysis and observation. Findings indicated that decisions to adapt original interventions were driven by need and the availability of funding. Adapted interventions improved the availability and quality of data. Data use improved in all three countries although there were ongoing challenges observed in the Democratic Republic of the Congo and Niger. The interventions did not appear to strengthen the eHealth building blocks, although in the Democratic Republic of the Congo and Niger they had positive effects on routine immunization systems. Achieving longer-term improvements in eHealth building blocks requires intentional focus from the design stage, which may be more challenging in an emergency context. Abrégé De nombreux pays ont utilisé des solutions de santé numériques pour appuyer la vaccination contre la COVID-19, mais ont eu du mal à les mettre en œuvre, ce qui a conduit à des adaptations. Cette évaluation à base théorique des données liées au vaccin contre la COVID-19 et des interventions numériques de la République démocratique du Congo, du Niger et du Vietnam vise à découvrir (1) ce qui a motivé les adaptations à mi-parcours de ces interventions de santé numérique, (2) comment ces interventions adaptées ont pu contribuer à accroître la disponibilité, la qualité, et l'utilisation des données relatives au vaccin contre la COVID-19 et (3) si et comment ces interventions ont renforcé les composantes de cybersanté. Les méthodes ont compris des entretiens, un examen des documents, une analyse des données secondaires et l'observation. Les résultats indiquent que les décisions d'adapter les interventions originales étaient dictées par les besoins et la disponibilité des financements. Les interventions adaptées ont permis d'accroître la disponibilité et la qualité des données. L'utilisation des données s'est améliorée dans ces trois pays, bien que des problèmes persistent en République démocratique du Congo et au Niger. Les interventions n'ont pas semblé renforcer les composantes de cybersanté, bien qu'elles aient eu des effets positifs sur les systèmes de vaccination systématique en République démocratique du Congo et au Niger. Améliorer les composantes de cybersanté nationales sur le plus long terme exige une intentionnalité accrue dès la phase de conception, ce qui peut être pl","PeriodicalId":520498,"journal":{"name":"Oxford open digital health","volume":"2 Suppl 1","pages":"i52-i63"},"PeriodicalIF":0.0,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11936330/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Emily Carnahan, Austin Van Grack, Brian Kangethe, Mamadou Mballo Diallo, Dominic Mutai, Oury Bah, Hassan Mtenga, Constant Kingongo, Julia Ngomba, Jessica Shearer, Joy Kamunyori, Robert Rosenbaum, Colleen Oakes, Maya Rivera Hildebrand, Matthew Morio, Mira Emmanuel-Fabula
{"title":"Root causes of COVID-19 data backlogs: a mixed methods analysis in four African countries.","authors":"Emily Carnahan, Austin Van Grack, Brian Kangethe, Mamadou Mballo Diallo, Dominic Mutai, Oury Bah, Hassan Mtenga, Constant Kingongo, Julia Ngomba, Jessica Shearer, Joy Kamunyori, Robert Rosenbaum, Colleen Oakes, Maya Rivera Hildebrand, Matthew Morio, Mira Emmanuel-Fabula","doi":"10.1093/oodh/oqae009","DOIUrl":"https://doi.org/10.1093/oodh/oqae009","url":null,"abstract":"","PeriodicalId":520498,"journal":{"name":"Oxford open digital health","volume":"2 Suppl 1","pages":"i16-i28"},"PeriodicalIF":0.0,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11936319/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144050007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Developing and refining the COVID-19 to Routine Immunization Information System Transferability Assessment (CRIISTA) tool: a decision support tool to leverage COVID-19 immunization information system investments for routine immunization.","authors":"Nami Kawakyu, Allison Osterman, Jimi Michel, Dominic Mutai, Edith Jepleting, Grace Njenga, Parysa Oskouipour, Jessica C Shearer","doi":"10.1093/oodh/oqae006","DOIUrl":"https://doi.org/10.1093/oodh/oqae006","url":null,"abstract":"<p><p>To achieve the Immunization Agenda 2030 vaccine equity vision of a world where everyone everywhere benefits from vaccines, it is essential to invest in immunization information systems that can support the identification, reach and monitoring of zero-dose and under-immunized children. The rapid nature of COVID-19 vaccine introduction led to the investment of new systems to collect, manage and use immunization data. While many digital health assessment tools exist, there is an absence of tools to support decision-makers to systematically assess the suitability of transferring an immunization information system from one health context to another. To address this gap, the COVID-19 to Routine Immunization Information System Transferability Assessment tool was developed, informed by literature review, expert consultation and usability testing. The tool is organized into five thematic areas: context, functionality, technology, users and resources. Each thematic area has questions about the COVID-19 immunization information system, the current and desired state of the routine immunization information system and the gaps between them. Suitability scores are then calculated to assess whether a COVID-19 immunization information system is suitable for routine immunization so governments can leverage these investments to strengthen routine immunization programs and the broader health information ecosystem. Abrégé Pour réaliser la vision du Programme pour la vaccination à l'horizon 2030 concernant l'équité vaccinale d'un monde où tout le monde, partout, bénéficie des vaccins, il est essentiel d'investir dans des systèmes d'information sur la vaccination capables d'appuyer l'identification, l'accès et le suivi des enfants zéro dose et insuffisamment vaccinés. La nature rapide de l'introduction du vaccin contre la COVID-19 a entraîné l'investissement dans de nouveaux systèmes de collecte, de gestion et d'utilisation des données sur la vaccination. Bien que de nombreux outils numériques d'évaluation de la santé existent, on ne dispose d'aucun outil pour aider les décideurs à évaluer systématiquement la pertinence du transfert d'un système d'information sur la vaccination d'un contexte de santé à un autre. Pour combler cette lacune, l'outil d'évaluation de la transférabilité de la COVID-19 au système d'information sur la vaccination de routine a été élaboré, éclairé par un examen documentaire, des consultations d'experts et des tests bêta. Cet outil s'articule autour de cinq domaines thématiques: contexte, fonctionnalité, technologie, utilisateurs et ressources. Chaque domaine thématique comprend des questions sur le système d'information sur la vaccination contre la COVID-19, l'état actuel et souhaité du système d'information sur la vaccination de routine et les écarts entre eux. Les scores de pertinence sont ensuite calculés pour évaluer si un système d'information sur la vaccination contre la COVID-19 convient à la vaccination de routine afin que les pou","PeriodicalId":520498,"journal":{"name":"Oxford open digital health","volume":"2 Suppl 1","pages":"i75-i85"},"PeriodicalIF":0.0,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11936324/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144061667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nena do Nascimento, Amarynth Sichel, Adele Waugaman, Joy Kamunyori, Robert Rosenbaum, Jessica Shearer, Emily Carnahan, Caitlin Madevu-Matson, Eric Ramirez, Kevin Sakaguchi, Lauren Gilliss
{"title":"Learning from digital health investments during COVID-19 vaccine program implementation: a research collaboration and theory of change.","authors":"Nena do Nascimento, Amarynth Sichel, Adele Waugaman, Joy Kamunyori, Robert Rosenbaum, Jessica Shearer, Emily Carnahan, Caitlin Madevu-Matson, Eric Ramirez, Kevin Sakaguchi, Lauren Gilliss","doi":"10.1093/oodh/oqae005","DOIUrl":"https://doi.org/10.1093/oodh/oqae005","url":null,"abstract":"<p><p>Responses to recent epidemics provide critical lessons on how the use of digital technologies and data systems can support timely and evidence-driven responses to public health emergencies. The arrival of COVID-19 and, subsequently, the COVID-19 vaccine, compelled many countries to attempt to create digitized, individual-level records on a large scale and quickly. In 2022, the United States Agency for International Development (USAID) brought together four global USAID-funded projects to explore whether and how USAID's COVID-19 vaccine data and digital health investments supporting the emergency response strengthened the digital health enabling environment and, by extension, contributed to broader health system strengthening. Each project designed and implemented individual learning activities aligned to their specific USAID-funded COVID-19 vaccine response activities. The group collaboratively developed a theory of change to explore the potential relationship between COVID-19 vaccine-related digital and data investments and their immediate COVID-19 response, as well as two intermediate- and longer-term impact pathways: one focused on COVID-19-specific outcomes and impact, and a second focused on strengthening the digital health enabling environment and broader health system. The focus of this supplement is primarily to explore the theory of change associated with this latter pathway. Recognizing that health emergencies triggered by shocks due to disease outbreaks, climate change and conflict are likely to continue to characterize the environment in which health programs are delivered, this research seeks to contribute to a better understanding of how digital technologies and data systems can be most effectively leveraged to meet immediate needs while strengthening country resilience over the long term. Abrégé Les réponses aux récentes épidémies ont permis de tirer d'importants enseignements sur la façon dont le recours aux technologies numériques et aux systèmes de données peut appuyer le déclenchement rapide d'interventions fondées sur des éléments probants contre les urgences de santé publique. L'arrivée de la COVID-19 et, par la suite, celui du vaccin contre la COVID-19 ont contraint de nombreux pays à tenter de créer des dossiers numérisés au niveau individuel à grande échelle et rapidement. En 2022, l'United States Agency for International Development (USAID) a rassemblé quatre projets mondiaux qu'elle finançait dans le but d'explorer si et comment les données de l'USAID relatives au vaccin contre la COVID-19 ainsi que les investissements en santé numérique appuyant la réponse d'urgence avaient renforcé l'environnement propice à la santé numérique et, par extension, s'ils avaient contribué au renforcement du système de santé dans son ensemble. Chaque projet a conçu et mis en œuvre des activités d'apprentissage individuelles alignées sur leurs activités spécifiques de riposte au vaccin contre la COVID-19 financées par l'USAID. Le group","PeriodicalId":520498,"journal":{"name":"Oxford open digital health","volume":"2 Suppl 1","pages":"i7-i15"},"PeriodicalIF":0.0,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11936322/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144016131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Miriam Nkangu, Mildred Nkeng Njoache, Pamela Obegu, Franck Wanda, Ngo Valery Ngo, Arone Fantaye, Mwenya Kasonde, Amos Wung Buh, Regina Sinsai, Evrard Kepgang, Odette Kibu, Sarah Pascale Ngassa Detchaptche, Nkengfac Fobellah, Ronald Gobina, Brice Tangang, Denis Foretia, Arthur Pessa, Julian Little, Donald Weledji, Sanni Yaya
{"title":"Developing the BornFyne prenatal management system version 2.0: a mixed method community participatory approach to digital health for reproductive maternal health.","authors":"Miriam Nkangu, Mildred Nkeng Njoache, Pamela Obegu, Franck Wanda, Ngo Valery Ngo, Arone Fantaye, Mwenya Kasonde, Amos Wung Buh, Regina Sinsai, Evrard Kepgang, Odette Kibu, Sarah Pascale Ngassa Detchaptche, Nkengfac Fobellah, Ronald Gobina, Brice Tangang, Denis Foretia, Arthur Pessa, Julian Little, Donald Weledji, Sanni Yaya","doi":"10.1093/oodh/oqae012","DOIUrl":"https://doi.org/10.1093/oodh/oqae012","url":null,"abstract":"<p><p>Despite the growing number of global initiatives aimed at reducing adverse maternal health outcomes, there remain critical gaps and disparities in access to maternal health services in Cameroon and across the sub-Saharan Africa. Digital health innovations represent unique opportunities for addressing maternal and newborn child health in sub-Saharan Africa. This article documents the approach to developing the BornFyne-Prenatal Management System (PNMS) as an intervention to support maternal health issues in Cameroon. The mixed-method design employed the three-delays model conducted in four health districts purposefully selected with a mix of urban and rural settings as defined in the context. The study employed focus group discussions and interviews to inform the development features. A total of 25 providers were interviewed, 12 focus group discussions and 4 workshops were held and a total of 3654 households were surveyed. Participants highlighted multifaceted advantages of using digital health platform such as BornFyne-PNMS to enhance communication and care during pregnancy such as remote consultations, emergency response, increased patient engagement and improved continuity of care and convenience. Most respondents believed that the use of a digital platform like BornFyne-PNMS would greatly facilitate access to health facilities, especially during emergencies. The BornFyne-PNMS deployment includes community engagement, training and practical skills building of health workers in the use of digital technologies, the establishment of an emergency transport mechanism for response to emergency cases, assessment and upgrading of the computer hardware of enrolled health facilities and support to health system managers to review and interpret the BornFyne data and interoperability with the national health management information system.</p>","PeriodicalId":520498,"journal":{"name":"Oxford open digital health","volume":"2 ","pages":"oqae012"},"PeriodicalIF":0.0,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11932395/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144061700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Telemedicine in Peru: origin, implementation, pandemic escalation, and prospects in the new normal.","authors":"Gareth H Rees, Felipe Peralta","doi":"10.1093/oodh/oqae002","DOIUrl":"https://doi.org/10.1093/oodh/oqae002","url":null,"abstract":"<p><p>For many countries telemedicine was speedily adopted as a result of the COVID-19 pandemic, though for some countries telemedicine may have been implemented in a context of limited regulations or few plans or strategies to scale quickly. This article recounts how telemedicine was developed in Peru as a measure to support the country's Universal Health Coverage and service access to rural and locations with low workforce numbers and its deployment. From a range of data, we find that Peru's development of telehealth began before the pandemic, which by 2020 was sufficient to be able to foster a rapid and wider deployment and while the telemedicine service volumes quickly grew from the pandemic onset, these numbers then begin to reduce suggesting that telemedicine was considered more as a pandemic emergency measure rather than a change to the mix of health provision. From these data we offer two lessons, (i) that Peru's preparedness in terms of telemedicine policy and regulation were helpful to rapidly expand telemedicine at a time of necessity and (ii) that due to this investment and with a better understanding, Peru now has a short-run window of opportunity for the Peruvian Government to continue its regulatory development and investment to further deploy telemedicine services as a UHC improvement measure and to better align the health system to the country's health needs.</p>","PeriodicalId":520498,"journal":{"name":"Oxford open digital health","volume":"2 ","pages":"oqae002"},"PeriodicalIF":0.0,"publicationDate":"2024-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11932397/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144061489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Caryl Feldacker, Joel Usiri, Christine Kiruthu-Kamamia, Geetha Waehrer, Hiwot Weldemariam, Jacqueline Huwa, Jessie Hau, Agness Thawani, Mirriam Chapanda, Hannock Tweya
{"title":"Crossing the digital divide: the workload of manual data entry and integration between mobile health applications and eHealth infrastructure.","authors":"Caryl Feldacker, Joel Usiri, Christine Kiruthu-Kamamia, Geetha Waehrer, Hiwot Weldemariam, Jacqueline Huwa, Jessie Hau, Agness Thawani, Mirriam Chapanda, Hannock Tweya","doi":"10.1093/oodh/oqae025","DOIUrl":"10.1093/oodh/oqae025","url":null,"abstract":"<p><p>Many digital health interventions (DHIs), including mobile health (mHealth) apps, aim to improve both client outcomes and efficiency like electronic medical record systems (EMRS). Although interoperability is the gold standard, it is also complex and costly, requiring technical expertise, stakeholder permissions and sustained funding. <i>Manual data linkage</i> processes are commonly used to 'integrate' across systems and allow for assessment of DHI impact, a best practice, before further investment. For mHealth, the manual data linkage workload, including related monitoring and evaluation (M&E) activities, remains poorly understood. As a baseline study for an open-source app to mirror EMRS and reduce healthcare worker (HCW) workload while improving care in the Nurse-led Community-based Antiretroviral therapy Program (NCAP) in Lilongwe, Malawi, we conducted a time-motion study observing HCWs completing data management activities, including routine M&E and manual data linkage of individual-level app data to EMRS. Data management tasks should reduce or end with successful app implementation and EMRS integration. Data were analysed in Excel. We observed 69:53:00 of HCWs performing routine NCAP service delivery tasks: 39:52:00 (57%) was spent completing M&E data related tasks of which 15:57:00 (23%) was spent on manual data linkage workload, alone. Understanding the workload to ensure quality M&E data, including to complete manual data linkage of mHealth apps to EMRS, provides stakeholders with inputs to drive DHI innovations and integration decision making. Quantifying potential mHealth benefits on more efficient, high-quality M&E data may trigger new innovations to reduce workloads and strengthen evidence to spur continuous improvement.</p>","PeriodicalId":520498,"journal":{"name":"Oxford open digital health","volume":"2 Suppl 2","pages":"ii9-ii17"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11936321/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143797583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Garrett L Mehl, Martin G Seneviratne, Matt L Berg, Suhel Bidani, Rebecca L Distler, Marelize Gorgens, Karin E Kallander, Alain B Labrique, Mark S Landry, Carl Leitner, Peter B Lubell-Doughtie, Alvin B Marcelo, Yossi Matias, Jennifer Nelson, Von Nguyen, Jean Philbert Nsengimana, Maeghan Orton, Daniel R Otzoy Garcia, Daniel R Oyaole, Natschja Ratanaprayul, Susann Roth, Merrick P Schaefer, Dykki Settle, Jing Tang, Barakissa Tien-Wahser, Steven Wanyee, Fred Hersch
{"title":"A full-STAC remedy for global digital health transformation: open standards, technologies, architectures and content.","authors":"Garrett L Mehl, Martin G Seneviratne, Matt L Berg, Suhel Bidani, Rebecca L Distler, Marelize Gorgens, Karin E Kallander, Alain B Labrique, Mark S Landry, Carl Leitner, Peter B Lubell-Doughtie, Alvin B Marcelo, Yossi Matias, Jennifer Nelson, Von Nguyen, Jean Philbert Nsengimana, Maeghan Orton, Daniel R Otzoy Garcia, Daniel R Oyaole, Natschja Ratanaprayul, Susann Roth, Merrick P Schaefer, Dykki Settle, Jing Tang, Barakissa Tien-Wahser, Steven Wanyee, Fred Hersch","doi":"10.1093/oodh/oqad018","DOIUrl":"10.1093/oodh/oqad018","url":null,"abstract":"<p><p>The global digital health ecosystem is project-centric: point solutions are developed for vertical health programs and financed through vertical funding allocations. This results in data fragmentation and technology lock-in, compromising health care delivery. A convergence of trends enabled by interoperability and digital governance makes possible a shift towards person-focused health. Together, open Standards, open Technologies, open Architectures and open Content represent a next-generation 'full-STAC' remedy for digital health transformation. Local developers and implementers can avoid reinventing the wheel, and instead build digital tools suited to local needs-where data travels with an individual over time, evidence-based practice is easily integrated, and insights are gleaned from harmonized data. This is the culmination of the vision endorsed by 194 WHO Member States in the Global Strategy on Digital Health 2020 to 2025.</p>","PeriodicalId":520498,"journal":{"name":"Oxford open digital health","volume":"1 ","pages":"oqad018"},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11932414/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144047909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}