Evidence map›Paper›PMID 37115778›Full record

ArticlePloS one2023

Digital health in fragile states in the Middle East and North Africa (MENA) region: A scoping review of the literature.

Fadi El-Jardali, Lama Bou-Karroum, Mathilda Jabbour, Karen Bou-Karroum, Andrew Aoun, Sabine Salameh, Patricia Mecheal, Chaitali Sinha

Open access · goldAbstract readScoping Review
In one paragraph

Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 pooled it
15.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 51 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 2 countries.

Fadi El-JardaliDepartment of Health Management and Policy, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon.ORCID 0000-0002-4084-6524
Lama Bou-KarroumDepartment of Health Management and Policy, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon.
Mathilda JabbourDepartment of Health Management and Policy, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon.
Karen Bou-KarroumDepartment of Health Management and Policy, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon.
Andrew AounDepartment of Health Management and Policy, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon.
Sabine SalamehDepartment of Health Management and Policy, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon.
Patricia MechealHealthEnabled, Washington, DC, United States of America.
Chaitali SinhaInternational Development Research Centre, Ottawa, Ontario, Canada.ORCID 0000-0001-8682-8121
American University of Beirut · LBImpact · CAInternational Development Research Centre · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionConflict, fragility and political violence, that are taking place in many countries in the Middle East and North Africa (MENA) region have devastating effects on health. Digital health technologies can contribute to enhancing the quality, accessibility and availability of health care services in fragile and conflict-affected states of the MENA region. To inform future research, investments and policy processes, this scoping review aims to map out the evidence on digital health in fragile states in the MENA region.

methodWe conducted a scoping review following the Joanna Briggs Institute (JBI) guidelines. We conducted descriptive analysis of the general characteristics of the included papers and thematic analysis of the key findings of included studies categorized by targeted primary users of different digital health intervention.

resultsOut of the 10,724 articles identified, we included 93 studies. The included studies mainly focused on digital health interventions targeting healthcare providers, clients and data services, while few studies focused on health systems or organizations managers. Most of the included studies were observational studies (49%). We identified no systematic reviews. Most of the studies were conducted in Lebanon (32%) followed by Afghanistan (13%) and Palestine (12%). The first authors were mainly affiliated with institutions from countries outside the MENA region (57%), mainly United Kingdom and United States. Digital health interventions provided a platform for training, supervision, and consultation for health care providers, continuing education for medical students, and disease self-management. The review also highlighted some implementation considerations for the adoption of digital health such as computer literacy, weak technological infrastructure, and privacy concerns.

conclusionThis review showed that digital health technologies can provide promising solutions in addressing health needs in fragile and conflict-affected states. However, rigorous evaluation of digital technologies in fragile settings and humanitarian crises are needed to inform their design and deployment.

Indexed as

Biomedical TechnologyAfrica, NorthernArmed ConflictsHumansMiddle East

Identifiers

PMID37115778
PMCPMC10146476
OpenAlexW4367309302

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.