Assessing the feasibility of eHealth and mHealth: a systematic review and analysis of initiatives implemented in Kenya.

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TitleAssessing the feasibility of eHealth and mHealth: a systematic review and analysis of initiatives implemented in Kenya.
Publication TypeJournal Article
AuthorsNjoroge M, Zurovac D, Ogara EAA, Chuma J, Kirigia D
Abbrev. JournalBMC Res Notes
JournalBMC research notes
Year of Publication2017
Volume10
Issue1
Pagination90
Publication Languageeng
KeywordsE-learning, Kenya, M-health, Primary care, Systematic review
Abstract

BACKGROUND: The growth of Information and Communication Technology in Kenya has facilitated implementation of a large number of eHealth projects in a bid to cost-effectively address health and health system challenges. This systematic review aims to provide a situational analysis of eHealth initiatives being implemented in Kenya, including an assessment of the areas of focus and geographic distribution of the health projects. The search strategy involved peer and non-peer reviewed sources of relevant information relating to projects under implementation in Kenya. The projects were examined based on strategic area of implementation, health purpose and focus, geographic location, evaluation status and thematic area.

RESULTS: A total of 114 citations comprising 69 eHealth projects fulfilled the inclusion criteria. The eHealth projects included 47 mHealth projects, 9 health information system projects, 8 eLearning projects and 5 telemedicine projects. In terms of projects geographical distribution, 24 were executed in Nairobi whilst 15 were designed to have a national coverage but only 3 were scaled up. In terms of health focus, 19 projects were mainly on primary care, 17 on HIV/AIDS and 11 on maternal and child health (MNCH). Only 8 projects were rigorously evaluated under randomized control trials.

CONCLUSION: This review discovered that there is a myriad of eHealth projects being implemented in Kenya, mainly in the mHealth strategic area and focusing mostly on primary care and HIV/AIDs. Based on our analysis, most of the projects were rarely evaluated. In addition, few projects are implemented in marginalised areas and least urbanized counties with more health care needs, notwithstanding the fact that adoption of information and communication technology should aim to improve health equity (i.e. improve access to health care particularly in remote parts of the country in order to reduce geographical inequities) and contribute to overall health systems strengthening.

PubMed URL

http://www.ncbi.nlm.nih.gov/pubmed/28183341?dopt=Abstract

DOI10.1186/s13104-017-2416-0
Download PDFhttps://bmcresnotes.biomedcentral.com/articles/10.1186/s13104-017-2416-0