Feasibility analysis for deploying national healthcare information system (NHIS) for Pakistan

Mapping national information and communication technology (ICT) infrastructure to the requirements of potential digital health interventions in low- and middle-income countries

“…We identified 17 studies reporting digital health solutions that provided exemplar designs of the initiatives that RESPIRE colleagues had included on their "wish list" (Table 4). Examples included remote clinics for consultation and diagnosis, pregnancy monitoring system, centralised EHR, ICT in community pharmacies, though there were challenges such as lack of interoperable systems; unstable internet connections; and lack of security and legislative frameworks [82][83][84][85][86]. or fixed broadband at home (at least 24%) to access the mobile health care services.…”

“…The accounting and logistics software was the most used feature [80]. Centralised electronic health record (EHR): Five studies in India and Pakistan implemented proof-of-concept EHR systems in hospital and primary health centre with limited resources [82][83][84][85][86]. Major challenges were the lack of interoperable systems; logistical issues (unstable internet connections, lack of eHealth skills); staff perceptions that the system was time-consuming, differences in the native languages, gender imbalances and lack of national standardisation, security and legislative framework.…”

Assessing the Interoperability of mLab and Ushauri mHealth Systems to Enhance Care for HIV/AIDS Patients in Kenya

“…Interoperability enables stakeholders, targeted users, and beneficiaries to optimize the use of systems. Knowledge management and connectivity of national health information systems play a pivotal role in improving the quantity and quality of information available for decision-making (Menachemi, & Collum, 2011;Yaqoob et al, 2017). According to Li et al (2021), patient safety and health system costs can be detrimental if interoperability is meagre.…”

“…Most developed countries own functional and interoperable health information systems (Gambo et al, 2011;Tao et al, 2015). The National Health Interview Survey (NHIS) of any country should provide technological infrastructure to allow information storage and sharing in the most appropriate manner (Yaqoob et al, 2017). In line with the Kenya Big Four Agenda to improve health care, the Ministry of Health established the eHealth unit to oversee the adoption of digital health and support the national-level systems such as the master facilities list (MFL) and the District Health Information Software (DHIS2) to collect health statistics (Muinga et al, 2020;Nyangena et al, 2021).…”

“…). Trends of technological innovations are now very dynamic, and the world is rapidly moving towards a more substantial and national-level implementation of health-related information systems (Yaqoob et al, 2017).…”