Use of Digital Health Interventions in Sub-Saharan Africa for Health Systems Strengthening Over the Last 10 Years: A Scoping Review Protocol

Hillary Kipruto; Derrick Muneene; Benson Droti; Violet Jepchumba; Chukwudi Joseph Okeibunor; Juliet Nabyonga-Orem; Humphrey Cyprian Karamagi

doi:10.3389/fdgth.2022.874251

Use of Digital Health Interventions in Sub-Saharan Africa for Health Systems Strengthening Over the Last 10 Years: A Scoping Review Protocol

Front Digit Health. 2022 May 6:4:874251. doi: 10.3389/fdgth.2022.874251. eCollection 2022.

Authors

Hillary Kipruto¹, Derrick Muneene², Benson Droti³, Violet Jepchumba⁴, Chukwudi Joseph Okeibunor⁵, Juliet Nabyonga-Orem^{1

6}, Humphrey Cyprian Karamagi⁵

Affiliations

¹ WHO Regional Office for Africa, Inter Country Support Team for Eastern and Southern Africa, Harare, Zimbabwe.
² WHO Headquarters, Geneva, Switzerland.
³ Universal Health Coverage Life Course Cluster, WHO Regional Office for Africa, Brazzaville, Republic of Congo.
⁴ Public Health Consultant, Nairobi, Kenya.
⁵ Assistant Regional Director's Office, WHO Regional Office for Africa, Geneva, Switzerland.
⁶ Centre for Health Professions Education, Faculty of Health Sciences, North-West University, Potchefstroom, South Africa.

Abstract

Background: Digital Health Interventions (DHIs) refers to the utilization of digital and mobile technology to support the health system in service delivery. Over the recent years, advanced computing, genomics, and artificial intelligence are considered part of digital health. In the context of the World Health Organization (WHO) global strategy 2020-2025, digital health is defined as "the field of knowledge and practice associated with the development and use of digital technologies to improve health." The scoping review protocol details the procedure for developing a comprehensive list of DHIs in Sub-Saharan Africa and documenting their roles in strengthening health systems.

Method and analysis: A scoping review will be done according to the Joanne Briggs institute reviewers manual and following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) checklist and explanation. The protocol has been registered at the Open Science Framework (OSF) database at https://osf.io/5kzq7. The review will include DHIs conceptualized/developed/designed, adapted, piloted, deployed, scaled up, and addressing health challenges in Sub-Saharan Africa. We will retrieve data from the global DHI repository-the WHO Digital Health Atlas (DHA)- and supplement it with information from the WHO eHealth Observatory, eHealth Survey (2015), and eHealth country profiles report. Additional searches will be conducted in four (4) electronic databases: PubMed, HINARI-Reasearch4Life, Cochrane Library, and Google Scholar. The review will also include gray literature and reference lists of selected studies. Data will be organized in conceptual categories looking at digital health interventions' distinct function toward achieving health sector objectives.

Discussion: Sub-Saharan Africa is an emerging powerhouse in DHI innovations with rapid expansion and evolvement. The enthusiasm for digital health has experienced challenges including an escalation of short-lived digital health interventions, duplication, and minimal documentation of evidence on their impact on the health system. Efficient use of resources is important when striving toward the use digital health interventions in health systems strengthening. This can be achieved through documenting successes and lessons learnt over time.

Conclusion: The review will provide the evidence to guide further investments in DHIs, avoid duplication, circumvent barriers, focus on gaps, and scale-up successful interventions.

Keywords: Sub-Saharan Africa; digital health; digital health intervention; health systems strengthening; scoping review.

Grants and funding

001/WHO_/World Health Organization/International