scholarly journals Best practices in scaling digital health in low and middle income countries

2018 ◽  
Vol 14 (1) ◽  
Author(s):  
Alain B. Labrique ◽  
Christina Wadhwani ◽  
Koku Awoonor Williams ◽  
Peter Lamptey ◽  
Cees Hesp ◽  
...  
Keyword(s):  
Best Practices ◽  
Digital Health ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low And Middle Income

scholarly journals Best Practices of Blood Cultures in Low- and Middle-Income Countries

2019 ◽  
Vol 6 ◽  
Author(s):  
Sien Ombelet ◽  
Barbara Barbé ◽  
Dissou Affolabi ◽  
Jean-Baptiste Ronat ◽  
Palpouguini Lompo ◽  
...  
Keyword(s):  
Best Practices ◽  
Blood Cultures ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low And Middle Income

scholarly journals Evidence on Digital Mental Health Interventions for Adolescents and Young People: Systematic Overview

10.2196/25847 ◽  
2021 ◽  
Vol 8 (4) ◽  
pp. e25847
Author(s):  
Susanna Lehtimaki ◽  
Jana Martic ◽  
Brian Wahl ◽  
Katherine T Foster ◽  
Nina Schwalbe
Keyword(s):  
Mental Health ◽  
Cost Effectiveness ◽  
Young People ◽  
Digital Health ◽  
Health Interventions ◽  
Middle Income ◽  
Middle Income Countries ◽  
Mental Health Interventions ◽  
Meta Analyses ◽  
Low And Middle Income

Background An estimated 1 in 5 adolescents experience a mental health disorder each year; yet because of barriers to accessing and seeking care, most remain undiagnosed and untreated. Furthermore, the early emergence of psychopathology contributes to a lifelong course of challenges across a broad set of functional domains, so addressing this early in the life course is essential. With increasing digital connectivity, including in low- and middle-income countries, digital health technologies are considered promising for addressing mental health among adolescents and young people. In recent years, a growing number of digital health interventions, including more than 2 million web-based mental health apps, have been developed to address a range of mental health issues. Objective This review aims to synthesize the current evidence on digital health interventions targeting adolescents and young people with mental health conditions, aged between 10-24 years, with a focus on effectiveness, cost-effectiveness, and generalizability to low-resource settings (eg, low- and middle-income countries). Methods We searched MEDLINE, PubMed, PsycINFO, and Cochrane databases between January 2010 and June 2020 for systematic reviews and meta-analyses on digital mental health interventions targeting adolescents and young people aged between 10-24 years. Two authors independently screened the studies, extracted data, and assessed the quality of the reviews. Results In this systematic overview, we included 18 systematic reviews and meta-analyses. We found evidence on the effectiveness of computerized cognitive behavioral therapy on anxiety and depression, whereas the effectiveness of other digital mental health interventions remains inconclusive. Interventions with an in-person element with a professional, peer, or parent were associated with greater effectiveness, adherence, and lower dropout than fully automatized or self-administered interventions. Despite the proposed utility of digital interventions for increasing accessibility of treatment across settings, no study has reported sample-specific metrics of social context (eg, socioeconomic background) or focused on low-resource settings. Conclusions Although digital interventions for mental health can be effective for both supplementing and supplanting traditional mental health treatment, only a small proportion of existing digital platforms are evidence based. Furthermore, their cost-effectiveness and effectiveness, including in low- and middle-income countries, have been understudied. Widespread adoption and scale-up of digital mental health interventions, especially in settings with limited resources for health, will require more rigorous and consistent demonstrations of effectiveness and cost-effectiveness vis-à-vis the type of service provided, target population, and the current standard of care.

Mobile Health (mHealth) in Low- and Middle-Income Countries

2021 ◽  
Vol 43 (1) ◽  
Author(s):  
Judith McCool ◽  
Rosie Dobson ◽  
Robyn Whittaker ◽  
Chris Paton
Keyword(s):  
Private Sector ◽  
Digital Health ◽  
Mobile Technologies ◽  
Annual Review ◽  
Publication Date ◽  
Middle Income ◽  
Marginalized Communities ◽  
Middle Income Countries ◽  
Private Sector Investment ◽  
Low And Middle Income

This article reflects on current trends and proposes new considerations for the future of mobile technologies for health (mHealth). Our focus is predominantly on the value of and concerns with regard to the application of digital health within low- and middle-income countries (LMICs). It is in LMICs and marginalized communities that mHealth (within the wider scope of digital health) could be most useful and valuable. Peer-reviewed literature on mHealth in LMICs provides reassurance of this potential, often reflecting on the ubiquity of mobile phones and ever-increasing connectivity globally, reaching remote or otherwise disengaged populations. Efforts to adapt successful programs for LMIC contexts and populations are only just starting to reap rewards. Private-sector investment in mHealth offers value through enhanced capacity and advances in technology as well as the ability to meet increasing consumer demand for real-time, accessible, convenient, and choice-driven health care options. We examine some of the potential considerations associated with a private-sector investment, questioning whether a core of transparency, local ownership, equity, and safety are likely to be upheld in the current environment of health entrepreneurship. Expected final online publication date for the Annual Review of Public Health, Volume 43 is April 2022. Please see http://www.annualreviews.org/page/journal/pubdates for revised estimates.

scholarly journals Barriers to Scale of Digital Health Systems for Cancer Care and Control in Last-Mile Settings

2018 ◽  
pp. 1-3 ◽  
Author(s):  
Shreya Bhatt ◽  
Jay Evans ◽  
Sanchay Gupta
Keyword(s):  
Health Systems ◽  
Cancer Care ◽  
Digital Health ◽  
Pathways To Care ◽  
Control Policies ◽  
Middle Income ◽  
Middle Income Countries ◽  
Last Mile ◽  
And Control ◽  
Low And Middle Income

The growing cancer epidemic is a major public health challenge globally but especially in low- and middle-income countries where patients often have to make long and complex journeys to receive care. Extending cancer prevention, diagnosis, and treatment to low- and middle-income countries through innovative solutions such as digital health systems is an urgent health priority. We contend that such digital systems will achieve success and scale only when existing gaps in cancer care and control policies and practices are addressed to strengthen health systems and improve outcomes. We call for concerted action to focus on the effective implementation of cancer care and control policies and practice in last-mile settings to improve pathways to care for people with and at risk for cancer.

scholarly journals Evidence on Digital Mental Health Interventions for Adolescents and Young People: Systematic Overview (Preprint)

2020 ◽  
Author(s):  
Susanna Lehtimaki ◽  
Jana Martic ◽  
Brian Wahl ◽  
Katherine T Foster ◽  
Nina Schwalbe
Keyword(s):  
Mental Health ◽  
Cost Effectiveness ◽  
Young People ◽  
Digital Health ◽  
Health Interventions ◽  
Middle Income ◽  
Middle Income Countries ◽  
Mental Health Interventions ◽  
Meta Analyses ◽  
Low And Middle Income

BACKGROUND An estimated 1 in 5 adolescents experience a mental health disorder each year; yet because of barriers to accessing and seeking care, most remain undiagnosed and untreated. Furthermore, the early emergence of psychopathology contributes to a lifelong course of challenges across a broad set of functional domains, so addressing this early in the life course is essential. With increasing digital connectivity, including in low- and middle-income countries, digital health technologies are considered promising for addressing mental health among adolescents and young people. In recent years, a growing number of digital health interventions, including more than 2 million web-based mental health apps, have been developed to address a range of mental health issues. OBJECTIVE This review aims to synthesize the current evidence on digital health interventions targeting adolescents and young people with mental health conditions, aged between 10-24 years, with a focus on effectiveness, cost-effectiveness, and generalizability to low-resource settings (eg, low- and middle-income countries). METHODS We searched MEDLINE, PubMed, PsycINFO, and Cochrane databases between January 2010 and June 2020 for systematic reviews and meta-analyses on digital mental health interventions targeting adolescents and young people aged between 10-24 years. Two authors independently screened the studies, extracted data, and assessed the quality of the reviews. RESULTS In this systematic overview, we included 18 systematic reviews and meta-analyses. We found evidence on the effectiveness of computerized cognitive behavioral therapy on anxiety and depression, whereas the effectiveness of other digital mental health interventions remains inconclusive. Interventions with an in-person element with a professional, peer, or parent were associated with greater effectiveness, adherence, and lower dropout than fully automatized or self-administered interventions. Despite the proposed utility of digital interventions for increasing accessibility of treatment across settings, no study has reported sample-specific metrics of social context (eg, socioeconomic background) or focused on low-resource settings. CONCLUSIONS Although digital interventions for mental health can be effective for both supplementing and supplanting traditional mental health treatment, only a small proportion of existing digital platforms are evidence based. Furthermore, their cost-effectiveness and effectiveness, including in low- and middle-income countries, have been understudied. Widespread adoption and scale-up of digital mental health interventions, especially in settings with limited resources for health, will require more rigorous and consistent demonstrations of effectiveness and cost-effectiveness vis-à-vis the type of service provided, target population, and the current standard of care.

scholarly journals Telemedicine: Current Obstacles in Telemedicine system Implementation in Rural Areas in Pakistan

2021 ◽  
Vol VI (I) ◽  
pp. 8-15
Author(s):  
Mehwish Manzoor ◽  
Shazia Nosheen ◽  
Sairh Jabeen
Keyword(s):  
Health Outcome ◽  
Rural Areas ◽  
Digital Health ◽  
System Implementation ◽  
Telemedicine System ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low And Middle Income

Telemedicine is well-positioned in low and middle-income countries (LMICs) to revolutionize wellbeing care due, in portion to expending portable phone get to and web network. This paper assesses the basic components that can potentially facilitate or ruin the advanced wellbeing in Pakistan. The objective of this thing is to recognize the current computerized wellbeing ventures and considers being carried out in Pakistan, as well as the key partners included in these activities. We conclude that whereas telemedicine features a promising future in Pakistan, it is still in its earliest stage at the time of this study. In any case, due to the COVID-19 widespread, there's an increment in requests for digital health and execution of health outcome taking after worldwide social removing conventions, particularly in LMICs. And extend the digital health segment for the improvement of telemedicine frameworks in our country.

scholarly journals Legislative Best Practices for Securing Women’s Rights to Community Lands

2018 ◽  
Author(s):  
Keyword(s):  
Latin America ◽  
Best Practices ◽  
Women's Rights ◽  
Women’S Rights ◽  
Middle Income ◽  
Community Forests ◽  
Middle Income Countries ◽  
Low And Middle Income ◽  
Laws And Regulations

This brief highlights key attributes of national constitutions, laws, and regulations that play a fundamental role in protecting indigenous and rural women’s rights to community forests and other community lands. These legislative best practices were derived from a 2017 analysis of over 400 national laws and regulations, Power and Potential, which evaluates the extent to which women’s rights to community forests are recognized by national law in 30 low- and middle-income countries (LMICs) across Africa, Asia, and Latin America.

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