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www.jogh.org • doi: 10.7189/jogh.12.04094 1 2022 • Vol. 12 • 04094
Mapping national information and
communication technology (ICT) infrastructure
to the requirements of potential digital health
interventions in low- and middle-income countries
Electronic supplementary material:
The online version of this article contains supplementary material.
© 2022 The Author(s)
JoGH © 2022 ISoGH
Cite as: Yan Hui C, Abdullah A, Ahmed Z, Goel H, Monsur Habib GM, Teck Hock T, Khandakr P, Mahmood H, Nau-
tiyal A, Nurmansyah M, Panwar S, Patil R, Rinawan FR, Salim H, Satav A, Shah JN, Shukla A, Tanim CZH, Balharry D,
Pinnock H. Mapping national information and communication technology (ICT) infrastructure to the requirements
of potential digital health interventions in low- and middle-income countries. J Glob Health 2022;2:04094.
Chi Yan Hui
1
, Adina Abdulla
2
, Zakiuddin Ahmed
3
,
Himanshi Goel
4
, G M Monsur Habib
5
, Toh Teck Hock
6
,
Parisa Khandakr
7
, Hana Mahmood
8
, Animesh Nautiyal
9
,
Mulya Nurmansyah
10
, Shweta Panwar
4
, Rutuja Patil
1,11
, Fedri
Ruluwedrata Rinawan
10
, Hani Salim
12
, Ashish Satav
13
,
Jitendra Nandkumar Shah
13,14
, Akshita Shukla
4
, Chowdhury
Zabir Hossain Tanim
15
, Dominique Balharry
1
, Hilary
Pinnock
1
; the RESPIRE Group
1
NIHR Global Health Research Unit on Respiratory Health (RESPIRE), Usher
Institute, University of Edinburgh, UK
2
Department of Primary Care Medicine, Faculty of Medicine, University Malaya,
Kuala Lumpur, Malaysia
3
Riphah Institute of Healthcare Improvement & Safety and Secretary, Islamabad,
Pakistan
4
Centre for Technology Alternatives for Rural Areas (CTARA), Indian Institute of
Technology Bombay, Mumbai, India
5
Bangladesh Primary Care Respiratory Society (BPCRS), Khulna, Bangladesh
6
Clinical Research Centre, Sibu Hospital, Ministry of Health Malaysia, Kuala
Lumpur, Malaysia
7
Medinova Medical Services Ltd, Dhaka, Bangladesh
8
Neoventive Solutions, Islamabad, Pakistan
9
Indian Institute of Technology Bombay, Mumbai, India
10
Departmentof Public Health, Faculty of Medicine, Universitas Padjadjaran,
Bandung, West Java, Indonesia
11
Vadu Rural Health Program, King Edward Memorial Hospital Research Centre
Pune, India
12
Department of Family Medicine, Faculty of Medicine and Health Sciences,
University Putra Malaysia, Kuala Lumpur, Malaysia
13
MAHAN Trust, Mahatma Gandhi Tribal Hospital, Maharashtra, India
14
Indian Institute of Technology Bombay, Mumbai, India
15
Department of Physical Medicine and Rehabilitation, Sylhet MAG Osmani
Medical College Hospital, Sylhet, Bangladesh
Correspondence to:
Hilary Pinnock
Asthma UK Centre for Applied Research, Usher Institute, University of Edinburgh
Doorway 3, Medical School, Teviot Place
Edinburgh
United Kingdom
Tel: 0131 650 8102
Fax: 0131 650 9119
hilary.pinnock@ed.ac.uk
Background: Digital health can support
health care in low- and middle-income
countries (LMICs) by overcoming prob-
lems of distance, poor infrastructure and
the need to provide community practi-
tioners with specialist support. We used
five RESPIRE countries as exemplars (Ban-
gladesh, India, Indonesia, Malaysia, Paki-
stan) to identify the digital health solu-
tions that are valuable in their local setting,
worked together with local clinicians and
researchers to explore digital health pol-
icy, electricity/ICT infrastructure, and
socio-cultural factors influencing users’
ability to access, adopt and utilise digital
health.
Methods: We adopted the Joanna Briggs
Institute’s scoping review protocol and fol-
lowed the Cochrane Rapid Review method
to accelerate the review process, using the
Implementation and Operation of Mobile
Health projects framework and The Ex-
tended Technology Acceptance Model of
Mobile Telephony to categorise the results.
We conducted the review in four stages:
(1) establishing value, (2) identifying digi-
tal health policy, (3) searching for evidence
of infrastructure, design, and end-user
adoption, (4) local input to interpret rele-
vance and adoption factors. We used open-
source national/international statistics such
as the World Health Organization, Interna-
tional Telecommunication Union, Groupe
Speciale Mobile, and local news/articles/
government statistics to scope the current
status, and systematically searched five da-
tabases for locally relevant exemplars.