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. 2024 Dec 9;15(1):769.
doi: 10.4102/jphia.v15i1.769. eCollection 2024.

Leveraging digital health systems maturity assessments to guide strategic priorities

Phiona Vumbugwa  1   2 , Nancy Puttkammer  1   2 , Moira Majaha  3 , Andrew Likaka  4 , Sonora Stampfly  2 , Paul Biondich  5 , Jennifer E Shivers  5 , Kendi Mburu  6 , Olusegun O Soge  1   7   8 , Chris Longenecker  1   9 , Jan Flowers  2 , Caryl Feldacker  1   2
Affiliations

Leveraging digital health systems maturity assessments to guide strategic priorities

Phiona Vumbugwa et al. J Public Health Afr. .

Abstract

Background: Many low- and middle-income countries (LMICs) face the daunting task of digitising, maturing and deciding where to invest in digital health systems.

Aim: Describing the facilitators and barriers to conducting digital health maturity assessments and how health leaders can prioritise the assessments.

Setting: eHealth leaders from 10 African countries, working or supporting Ministries of Health's digital health and participating in the eHealth Leaders' Forum from July 2023 to September 2023.

Methods: This qualitative, descriptive study utilised key informant interviews conducted via Zoom with 14 conveniently selected leaders. We used Dedoose Version 9.0 to develop themes based on the health system's building blocks.

Results: Participants identified maturity assessments as a critical first step to digital health strengthening, showing the system's performance and building a baseline response to systematic data quality challenges. Barriers to conducting digital health maturity assessment include lacking collaborators' buy-in, fragmented vision, overdependence on donor priorities, non-supportive policies and an inadequately skilled workforce. Facilitators include multi-stakeholder engagement, understanding the country's digital health ecosystem and appropriately integrating maturity assessment objectives. Recommendations include capacity building in data use and conducting maturity assessments at all health system levels to grow the demand and value of digital health strengthening.

Conclusion: Promoting digital health maturity assessments can help leaders to make appropriate decisions to prioritise areas of improvement and steward maturity advancement as a pathway to strengthening the health system.

Contribution: We spotlight the perspectives of African eHealth leaders, centering voices on the barriers, facilitators to planning and recommendations for implementing digital health systems maturity assessments.

Keywords: digital health; digital health governance; digital health systems maturity assessments (DHSMA); eHealth; health information systems (HIS); health systems strengthening (HSS).

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Conflict of interest statement

The authors declare that they have no financial or personal relationships that may have inappropriately influenced them in writing this article.

Figures

FIGURE 1
FIGURE 1
Conceptual framework for digital health systems maturity assessments and the contribution to health systems strengthening.
See this image and copyright information in PMC

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