Understanding E-Health Implementation in the Democratic Republic of the Congo: A Systematic Literature Review
DOI:
https://doi.org/10.63746/njtd.v22i5.3269Keywords:
Digital Health, E-health Electronic medical, E-health Telemedicine, Health Informatics , ICTs, mHealth (Mobile Health), Systematic reviewAbstract
The Democratic Republic of the Congo (DRC) faces an abysmal health system comprising lack of access, extreme shortage of healthcare workers, and?high disease burden. The use of information and?communication technologies (ICTs) in health (e-health) is a potential solution to these challenges. This systematic literature review synthesizes existing evidence surrounding e-health in the Democratic Republic of the Congo and explores the?success and challenges faced during the implementation as well as the perceived potential of e-health in this complex environment. This study is a?systematic review aimed at investigating and evaluating the literature on e-health implementation in DRC. The study finds that, although?e-health provides great potential, its uptake. problems associated with infrastructure, human resources, funding, policy, and sociocultural?factors are still developing. This paper presents the findings, highlighting key trends, challenges, and opportunities, and offering recommendations for practitioners and researchers to accelerate the effective and sustainable integration of e-health into the DRC's healthcare system.
References
Ahmed, F. et al.(2024). Insights into Internet of Medical Things (IoMT): Data fusion, security issues and potential solutions. Information Fusion, 102(102060).
Akilimali, A. et al. (2023). “One Health” outlook in the Democratic Republic of Congo. IJS Global Health, 6(5).
Alix, B. et al.(2024). Using intervention mapping to develop an implementation strategy to improve timely uptake of streamlined birth-dose vaccines in the Democratic Republic of the Congo. Global Public Heatlh, p. https://doi.org/10.1371/journal.pgph.0002641.
ANICNS, (2023). Feuille de Route Pour L'Implémentation: Du Dossier Patient Informatisé dans 300 Formation Sanitaire de la Villa Province de Kinshasa. République Democratique du Congo.
Anwar, F., Shamim, A. & Khan, S.(2012). Barriers in implementation of health information technology in developing societies. International Journal of Advanced Computer Science, 2(1).
Avgerou, C.(2008). Information systems in developing countries: a critical research review. Journal of Information Technology, Volume 23, pp. 133-46.
Baker, J. & Stanley, A., 2018. Telemedicine technology: a review of services, equipment, and other aspects, 1-8: Current allergy and asthma reports.
Barbarella, F. et al.(2022). How Can eHealth Improve Care for People With Multimorbidity in Europe?. European Observatory on Health Systems and Policies.
Barlow, J., Bayer, S. & Curry, R.(2006). Implementing complex innovations in fluid multi-stakeholder environments: Experiences of ‘telecare’,. Technovation, 26(3), pp. 396-406.
Bhatia, S.(2014). Adoption of Telemedicine in India– An Exploratory Study. nternational Journal of Emerging Technology and Advanced Engineering, 4(10).
Bizimana, R.(2024). The Impact of Digital Health on Improving Patient Outcomes. NEWPORT INTERNATIONAL JOURNAL OF RESEARCH IN MEDICAL SCIENCES (NIJRMS), 5(3), pp. 38-41.
BOORE, C.(2018) A FRAMEWORK FOR E-HEALTH IMPLEMENTATION IN THE HEALTH CARE SECTOR IN KENYA: A GROUNDED THEORY APPROACH. NAIROBI: UNIVERSITY OF NAIROBI.
Chloe, G. & Eric, M.(2022) Turning mobile big data insights into public health responses in times of pandemics: Lessons learnt from the Democratic Republic of the Congo. Cambridge University Press, Volume 4.
Connor, O., Anderson, B., Odufuwa, F. & Lawrence, S.(2020). Economic Impacts of Submarine Fiber Optic Cables and Broadband Connectivity in the Democratic Republic of Congo, s.l.: Research Triangle Park, NC, USA: RTI International.
David, H., Lauren, B. & Leslie, C.(2024) Assessing the impact of complex health systems strengthening program on maternal health care utilization in fragile and conflict-affected states: evidence from the Democratic Republic of the Congo. research square.
Djamba, K. J. & & Irene, B. N.(2024). INTEGRATION D'UNE APPLICATION MOBILE AU SYSTEME DE REGULATION DU NIVEAU D'EAU D'UN RESERVOIR. British Journal of Multidisciplinary and Advanced Studies, 5(1), pp. 8-22.
Djamba, K. J. (2022) Cloud-Based Centralizing system for academic history, plagiarism prevention management in Higher Education Institution IN DRC: Benefit, Challenges.. British Journal of Multidisciplinary and Advanced Studies, 3(2), pp. 142-152.
Djamba, K. J., Havyarimana, V., Mbambazi, B. P. & & Niyongabo, J.(2025). E-Health Implementation in the Democratic Republic of the Congo: Current Position. International Journal of Health Sciences, Volume 9, pp. 210-222.
Djamba, K. J. et al.(2025). Machine-Learning Prognostic Models From The 2018–2020 Ebola Outbreak in Democratic Republic of Congo. Scientific Journal of Engineering, and Technology, 2(1), pp. 101-111.
Etty, N., Karen, S. & Monika, G.(2020). Implementation of eHealth Technology in Community Health Care: the complexity of stakeholder involvement. BMC Health Services Research.
Eysenbach, G.(2023). Editorial: Poverty, Human Development, and the Role of e-Health. Journal of Medical Internet Research, Volume 4, p. 34.
Faber, S., van, G. & Reuver, M.(2017). eHealth adoption factors in medical hospitals: a focus on the Netherlands.. Int J Med Inform, pp. 77-89.
Fuamba, M. & Badibanga, E. K.(2023). Business Opportunities of Information and Communication Technologies (ICTs) in Health Services for Democratic Republic of Congo. The Journal of Entrepreneurship, p. 32.
Georges, H., Erwan, Q. & Stefania, R.(2021). Access to electricity and digital inclusion: evidence from mobile call detail records. Humanities and Social Science Communications, Volume 17, p. 8.
Grobler, D., (2020). A model for the teaching of imaging informatics, a platform in biomedical informatics, in a future integrated National Health Insurance system in South Africa. Bloemfontein: (Doctoral dissertation, University of the Free State)..
Haleem, A., Javaid, M., Singh, P. & Suman, R.(2022). Telemedicine for healthcare: Capabilities, features, barriers, and applications. Sensors international, 2(100117).
Hedström, A. & Andersson, T.(2012). Hopes and fears in implementation of Electronic health records in Bangladesh. Electronic journal of information systems in developing countries, 58(8), pp. 1-18.
Idoga, P. & Mehmet, T.(2016). “A literature review of eHealth sector and challenges in Nigeria. HONET-ICT, pp. 145-149.
Internet Alliance for Affordable, 2021. Data-Only Mobile-Broadband.
ITU.(2023). Measuring digital development Facts and Figures: Focus on Least Developed Countries , https://www.itu.int/en/ITUD/Statistics/pages/facts/default.aspx: ITU.
Itulelo, I., Patrick, N. & Manoj, M.(2017). A design of a mobile health intervention for the prevention and treatment of Cholera in South Kivu in the Democratic Republic of Congo. San Jose, CA, USA, s.n., pp. 1-5.
Jean-Robert, E., Claire, V. & Leah, M.(2017). How the introduction of a human resources. Health Policy and Planning.
Justice, E.(2017). E-healthcare/telemedicine readiness assessment of some selected states in Western Nigeria. International Journal of Engineering and Technology, 2(2).
Kalala, K.( 2022). The Impact of Telemedicine on Maternal Health and Equity Outcomes in the Democratic Republic of Congo. International Journal of Science and Research (IJSR), 13(1).
Karemere, J. et al.(2024). Evaluating the implementation of automated malaria rapid diagnostic test readers in health facilities in the Democratic Republic of Congo: Process, challenges, and lessons learned. The American Journal of Tropical Medicine and Hygiene, 112(1), pp. 10-16.
Katehakis, D., Kouroubali, A. & Fundulaki, I. (2018). Towards the Development of a National eHealth Interoperability Framework to Address Public Health Challenges in Greece. California: SWH@ ISWC, s.n.
Khalifehsoltani, S. & Gerami, M.(2010). E-Health challenges, opportunities and experiences of developing countries. International Conference on In e-Education, e-Business, e-Management, and eLearning :IEEE, pp. 264-268.
Kidiamboko, S., Mancini, A., Longhi, S. & Spalazzi, L.(2008). A scalable telemedicine architecture for under developed countries. A case study: Democratic Republic of Congo. Italy, s.n., pp. 866-871.
Korpela, M., Ikävalko, P. & Luukkonen, I.(2013). How to develop services work and information system in healthcare. CSCW Journal, Volume 2nd revised version.
Kova?i?, M., Mutavdžija, M. & Buntak, K.(2022). E-health application, implementation and challenges: a literature review. Business Systems Research: International journal of the Society for Advancing Innovation and Research in Economy, 1(1-18), p. 13.
Lazaro, (2013). Underlying Challenges of E-Health Adoption in Tanzania. International Journal of Information and Communication Technology Research, 3(1).
Mbarika, V., Kituyi, M., Rwashana, A. & Isabalija, R., (may 2012). A Framework for Designing Sustainable Telemedicine Information Systems in Developing Countries. Emerald Journal of Systems and Information Technology, Volume 3.
Mekonnen, A. & Chanyalew, S.(2024). Leadership and Governance of Public Health Informatics. In Public Health Informatics: Implementation and Governance in Resource-Limited Settings, pp. 185-223.
Mishra, K.(2007). “‘E’ for Excellence; ‘e’ for Health”. eHealth, 2(1), pp. 36-37.
Morten, O., Cristina, C. & Ricardo, C., 2016. Review, ADHD in eHealth - A Systematic Literature. Norway, s.n.
Mutasa, L.(2022). E-health and e-governance integration framework for the Namibian government. Cape Town: Doctoral dissertation, Cape Peninsula University of Technology.
Mwiinga, J.(2013). Integrating HealthCare in Africa: The Role of ICTs in eHealth; Can we scale up Governance and Accountability? | Global Health Corps. Ghcorps.org.. [Online]
[Accessed 28 04 2024].
Nancy, B. et al.(2018). mLearning in the Democratic Republic of the Congo: A Mixed-Methods Feasibility and Pilot Cluster Randomized Trial Using the Safe Delivery App. Global Health: Science and Practice, 4(6).
Ndlanzi, S.(2021). Challenges affecting e-Health adoption in South African public hospitals: A case of Edendale hospital. KWAZULU-NATAL: UNIVERSITY OF KWAZULU-NATAL.
Oleribe, O. et al.(2019). Identifying key challenges facing healthcare. International journal of general medicine, pp. 395-403.
PATH(2022). Planning for a paradigm shift in the DRC's health system, s.l.: s.n.
Ranit, M. et al.(2017). mJustice: Preliminary Development of a Mobile App for Medical-Forensic Documentation of Sexual Violence in Low-Resource Environments and Conflict Zones. Global Health: Science and Practice, 5(1), pp. 138-151.
Ráti, J. & Ildikó, K.(2023). Factors influencing the adoption of e-health services by the patients. Corvinus Research,University of Budapest, p. 2.
Raynaud, J., (2022). L'e-santé en France: déclinaisons et implications territoriales. E-health in France: territorial variations and implications.. Netcom. Réseaux, communication et territoires,, pp. (36-3/4)..
Rosine, B. & Mamothena, M.(2024). Prioritization of maternal and newborn health policies and their implementation in the eastern conflict affected areas of the Democratic Republic of Congo: a political economy analysis. Health Research Policy and Systems, Issue 55.
Ruben, K. et al.(2024). Cyber Threats in the Health Sector in the DRC: Risks, Opportunities, Consequences and Preventive Measures. International Journal of Innovative Science and Research Technology, 9(6).
Ruth, K. et al.(2021). Assessment of the integrated disease surveillance and response system implementation in health zones at risk for viral hemorrhagic fever outbreaks in
Saleh, M., Yakim, K. & Faustin, M.( 2018). Evolution of the National Health Information System in the Democratic Republic of the Congo between 2009 and 2015. The Pan African medical journal, 28(225).
Simon, K., Adriano, M., Longhi, S. & Spalazzi, L., (2018). A scalable telemedicine architecture for under developed countries. A case study: Democratic Republic of Congo. 6th Mediterranean Conference on Conference: Control and Automation.
Sivan, R. & Zukarnain, Z.(2021). Security and privacy in cloud-based e-health system. Symmetry, 13(5), p. 742.
Sneha, S. & Straub, D.(2017). E-Health: Value proposition and technologies enabling. Maui, ScholarSpace.
Sonnenberg, C., Baumgart, D., Bakemeier, B. & Geißler, A., (2019). Telemedicine for chronic diseases in Germany: A systematic review. Int J Med Inform., 128([10.1016/j.ijmedinf.2019.06.003]), pp. 191-202.
The Global Fund, 2022. Fight for What Counts: Investment Case - Seventh replenishment.
Uddin, S., BHUIYAN, M., HAMID & M.(2024). Perception towards the acceptance of digital health services among the people of Bangladesh. WSEAS Transactions on Business and Economics, Volume 21, pp. 1557-1570.
UNDP,( 2022). What role can digital play in Africa’s health challenges?, s.l.: UNDP.
USAID, (2023). Power Africa in Democratic Republic of the Congo, s.l.: https://www.usaid.gov/powerafrica/democratic-republic-congo.
Usak, M. et al., (2019). Healthcare service delivery based on the internet of things: A systematic and comprehensive study. International Journal of Communication Systems, 33(2), p. 4179.
Vasan, A., Mabey, D., Chaudhri, S. & Brown, E., (2019). Support and performance improvement for primary health care workers in low-and middle-income countries: a scoping review of intervention design and methods. Health policy and planning, 32(3), pp. 437-52.
Verbeke, F., Pierrot Shamashanga, Clément Amisi & Gustave Karara, (2014). Developing a national e-health strategy for DR Congo: a preliminary. 9th Health Informatics in Africa Conference, Volume 9, p. 6.
Verheyden, J., (2024). DIGITAL HEALTH IN DRC: AN ASSESSMENT, Kinshasa: USAID Democratic Republic of the Congo.
Verod-Kepple., (2023). Report of Startup Ecosystem Survey in the Democratic Republic of Congo, s.l.: Nigeria Partners Limited. .
Vest, J.(2010). More than just a question of technology: factors related to hospitals’ adoption and implementation of health information exchange. Int J Med Inform., 79(12), pp. 797-806.
Volbrecht, A., 2019. The promise of a digitally connected DR Congo 2019. s.l.
Westbrook, J., Gospodarevskaya, E., Li, L. & Richardson, K., 2015. Cost-effectiveness analysis of a hospital electronic medication management system.. Journal of the American Medical Informatics Association, 22(4), pp. 84-93.
WHO.(2023). World Health Statistics 2023: Monitoring health for the SDGs, sustainable development goals. Geneva, s.n.
WHO,(2011). eHealth for Health-care Delivery,, Geneva: World Health Organization.
WHO, (2012). eHealth for Health-care Delivery, World Health Organization,. Geneva: WHO.
WHO, (2013). eHealth for Health-care Delivery, World Health Organization, Geneva. Geneva: World Health Organization.
WHO,(2019). WHO guideline: recommendations on digital interventions for health system strengthening., Geneva: World Health Organisation.
WHO,(2022). eHealth. World Health Organization Regional Office for the Eastern Mediterranean.
World Health Organization, (2023). Impact of e-health interventions in sub-Saharan Africa: Evidence from the DRC. IEEE Rev. Biomed. Eng, Volume 15, pp. 1-10.
Wynn, R., (2020). Special issue on E-Health Services. International Journal of Environmental Research and Public Health, 17(8), p. 2885.
Zakariae,E.,(2021). NOVEL ANONYMIZATION APPROACHES ENSURING PRIVACY: APPLICATION IN E-HEALTH. Casablanca: Université Mohammed 5 de Rabat.
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