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数字健康技术在改善撒哈拉以南非洲地区卫生筹资和全民健康覆盖方面的作用:一项全面的叙述性综述。

Role of digital health technologies in improving health financing and universal health coverage in Sub-Saharan Africa: a comprehensive narrative review.

作者信息

Awosiku Olutola Vivian, Gbemisola Ibrahim Nafisa, Oyediran Oluwafiponmile Thomas, Egbewande Oluwaseyi Muyiwa, Lami Jibril Habibah, Afolabi Daniel, Okereke Melody, Effiong Fortune

机构信息

University College Hospital Ibadan, Ibadan, Nigeria.

Faculty of Clinical Sciences, University of Ilorin, Ilorin, Nigeria.

出版信息

Front Digit Health. 2025 May 16;7:1391500. doi: 10.3389/fdgth.2025.1391500. eCollection 2025.

Abstract

Digital technologies play a key role in developing a comprehensive and resilient healthcare delivery system in many low and middle-income countries in Sub-Saharan Africa. These technologies aim not only to address the financial accessibility gap for health needs but also to enhance innovation, partnerships, data management, and performance across healthcare stakeholders. By bridging gaps in access and reducing inequities, digital health technologies have the potential to mitigate socioeconomic disparities in healthcare delivery, particularly in resource-limited settings. This paper explores existing data on health challenges, financing, and universal health coverage in sub-Saharan Africa, along with examining digital health technologies, their adoption, and implementation. Case studies from initiatives such as M-TIBA in Kenya, JAMII in Tanzania, and L'UNION TECHNIQUE DE LA MUTUALITÉ MALIENNE in Mali are presented, along with recommendations for scale-up, policy enhancement, collaboration, support, and identification of research gaps and areas for further exploration.

摘要

数字技术在撒哈拉以南非洲的许多低收入和中等收入国家发展全面且有韧性的医疗服务体系中发挥着关键作用。这些技术不仅旨在解决健康需求方面的资金可及性差距,还致力于加强医疗保健利益相关者之间的创新、伙伴关系、数据管理和绩效。通过弥合获取差距并减少不平等现象,数字健康技术有潜力缓解医疗服务中的社会经济差异,尤其是在资源有限的环境中。本文探讨了撒哈拉以南非洲地区有关健康挑战、融资和全民健康覆盖的现有数据,同时审视了数字健康技术、其采用情况和实施情况。文中介绍了肯尼亚的M-TIBA、坦桑尼亚的JAMII以及马里的L'UNION TECHNIQUE DE LA MUTUALITÉ MALIENNE等项目的案例研究,并就扩大规模、加强政策、合作、支持以及确定研究差距和进一步探索领域提出了建议。

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