PDF(Pubmed)
Abstract：
BACKGROUND: Digital health is being used as an accelerator to improve the traditional healthcare system, aiding countries in achieving their sustainable development goals. Burkina Faso aims to harmonize its digital health interventions to guide its digital health strategy for the coming years. The current assessment represents upstream work to steer the development of this strategic plan.
METHODS: This was a quantitative, descriptive study conducted between September 2022 and April 2023. It involved a two-part survey: a self-administered questionnaire distributed to healthcare information managers in facilities, and direct interviews conducted with software developers. This was complemented by a documentary review of the country\'s strategic and standards documents on digital transformation.
RESULTS: Burkina Faso possesses a relatively comprehensive collection of governance documents pertaining to digital transformation. The study identified a total of 35 digital health interventions. Analysis showed that 89% of funding originated from technical and financial partners as well as the private sector. While the use of open-source technologies for the development of the applications, software, or platforms used to implement these digital health interventions is well established (77%), there remains a deficiency in the integration of data from different platforms. Furthermore, the classification of digital health interventions revealed an uneven distribution between the different elements across domains: the health system, the classification of digital health interventions (DHI), and the subsystems of the National Health Information System (NHIS). Most digital health intervention projects are still in the pilot phase (66%), with isolated electronic patient record initiatives remaining incomplete. Within the public sector, these records typically take the form of electronic registers or isolated specialty records in a hospital. Within the private sector, tool implementation varies based on expressed needs. Challenges persist in adhering to interoperability norms and standards during tool design, with minimal utilization of the data generated by the implemented tools.
CONCLUSIONS: This study provides an insightful overview of the digital health environment in Burkina Faso and highlights significant challenges regarding intervention strategies. The findings serve as a foundational resource for developing the digital health strategic plan. By addressing the identified shortcomings, this plan will provide a framework for guiding future digital health initiatives effectively.
METHODS: This was a quantitative, descriptive study conducted between September 2022 and April 2023. It involved a two-part survey: a self-administered questionnaire distributed to healthcare information managers in facilities, and direct interviews conducted with software developers. This was complemented by a documentary review of the country\'s strategic and standards documents on digital transformation.
RESULTS: Burkina Faso possesses a relatively comprehensive collection of governance documents pertaining to digital transformation. The study identified a total of 35 digital health interventions. Analysis showed that 89% of funding originated from technical and financial partners as well as the private sector. While the use of open-source technologies for the development of the applications, software, or platforms used to implement these digital health interventions is well established (77%), there remains a deficiency in the integration of data from different platforms. Furthermore, the classification of digital health interventions revealed an uneven distribution between the different elements across domains: the health system, the classification of digital health interventions (DHI), and the subsystems of the National Health Information System (NHIS). Most digital health intervention projects are still in the pilot phase (66%), with isolated electronic patient record initiatives remaining incomplete. Within the public sector, these records typically take the form of electronic registers or isolated specialty records in a hospital. Within the private sector, tool implementation varies based on expressed needs. Challenges persist in adhering to interoperability norms and standards during tool design, with minimal utilization of the data generated by the implemented tools.
CONCLUSIONS: This study provides an insightful overview of the digital health environment in Burkina Faso and highlights significant challenges regarding intervention strategies. The findings serve as a foundational resource for developing the digital health strategic plan. By addressing the identified shortcomings, this plan will provide a framework for guiding future digital health initiatives effectively.
摘要：
背景：数字健康正被用作改善传统医疗保健系统的加速器，帮助各国实现可持续发展目标。布基纳法索旨在协调其数字卫生干预措施，以指导其未来几年的数字卫生战略。当前的评估代表了指导该战略计划制定的上游工作。
方法：这是定量的，2022年9月至2023年4月之间进行的描述性研究。它涉及一个由两部分组成的调查：一份自我管理的问卷，分发给设施中的医疗信息管理人员，以及与软件开发人员进行的直接访谈。此外，还对该国关于数字化转型的战略和标准文件进行了文献审查。
结果：布基纳法索拥有与数字化转型有关的相对全面的治理文件。该研究共确定了35种数字健康干预措施。分析显示，89%的资金来自技术和金融合作伙伴以及私营部门。虽然使用开源技术来开发应用程序，软件,或用于实施这些数字健康干预措施的平台已经建立(77%)，来自不同平台的数据集成仍然存在缺陷。此外，数字卫生干预措施的分类揭示了不同要素在各个领域之间的分布不均：卫生系统，数字健康干预措施(DHI)的分类，以及国家卫生信息系统(NHIS)的子系统。大多数数字健康干预项目仍处于试点阶段（66％），孤立的电子病历计划仍然不完整。在公共部门，这些记录通常采取电子登记册或医院中孤立的专业记录的形式。在私营部门，工具的实现根据表达的需求而有所不同。在工具设计过程中坚持互操作性规范和标准的挑战依然存在，对实现的工具生成的数据的利用率最低。
结论：本研究对布基纳法索的数字健康环境进行了有见地的概述，并强调了干预策略方面的重大挑战。这些发现是制定数字健康战略计划的基础资源。通过解决已确定的缺点，该计划将为有效指导未来的数字健康计划提供一个框架。
方法：这是定量的，2022年9月至2023年4月之间进行的描述性研究。它涉及一个由两部分组成的调查：一份自我管理的问卷，分发给设施中的医疗信息管理人员，以及与软件开发人员进行的直接访谈。此外，还对该国关于数字化转型的战略和标准文件进行了文献审查。
结果：布基纳法索拥有与数字化转型有关的相对全面的治理文件。该研究共确定了35种数字健康干预措施。分析显示，89%的资金来自技术和金融合作伙伴以及私营部门。虽然使用开源技术来开发应用程序，软件,或用于实施这些数字健康干预措施的平台已经建立(77%)，来自不同平台的数据集成仍然存在缺陷。此外，数字卫生干预措施的分类揭示了不同要素在各个领域之间的分布不均：卫生系统，数字健康干预措施(DHI)的分类，以及国家卫生信息系统(NHIS)的子系统。大多数数字健康干预项目仍处于试点阶段（66％），孤立的电子病历计划仍然不完整。在公共部门，这些记录通常采取电子登记册或医院中孤立的专业记录的形式。在私营部门，工具的实现根据表达的需求而有所不同。在工具设计过程中坚持互操作性规范和标准的挑战依然存在，对实现的工具生成的数据的利用率最低。
结论：本研究对布基纳法索的数字健康环境进行了有见地的概述，并强调了干预策略方面的重大挑战。这些发现是制定数字健康战略计划的基础资源。通过解决已确定的缺点，该计划将为有效指导未来的数字健康计划提供一个框架。
