ArticleBMJ global health2024
Building consensus on common features and interoperability use cases for community health information systems: a Delphi study.
Article in BMJ global health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Spatial disparities and dynamic evolution of health human resources in primary healthcare institutions in China: a study from the perspective of aggregation degree.BMC health services research · 2026Article
- A consensus-based evaluation framework for telehealth in resource-constrained settings: evidence from a community Delphi study in Colombia.Frontiers in digital health · 2026Article
- Improving governance in the age of synthetic biology, artificial intelligence, and diverging threats.Frontiers in bioengineering and biotechnology · 2026Article
- Essential aid made fully visible: understanding the proCHW financing landscape analysing accessible donor data sources.BMJ global health · 2025Article
- Responsible artificial intelligence in public health: a Delphi study on risk communication, community engagement and infodemic management.BMJ global health · 2025Article
- Developing an index for measuring gender lens investing in organizations: the GLIMETRICS framework.Frontiers in psychology · 2025Article
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Authors and funding
8 authors.
Funding
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Abstract
introductionInformation systems for community health have become increasingly sophisticated and evidence-based in the last decade and they are now the most widely used health information systems in many low-income and middle-income countries. This study aimed to establish consensus regarding key features and interoperability priorities for community health information systems (CHISs).
methodsA Delphi study was conducted among a systematically selected panel of CHIS experts. This impressive pool of experts represented a range of leading global health institutions, with gender and regional balance as well as diversity in their areas of expertise. Through five rounds of iterative surveys and follow-up interviews, the experts established a high degree of consensus. We supplemented the Delphi study findings with a series of focus group discussions with 10 community health worker (CHW) leaders.
resultsCHISs today are expected to adapt to a wide range of local contextual requirements and to support and improve care delivery. While once associated with a single role type (CHWs), these systems are now expected to engage other end users, including patients, supervisors, clinicians and data managers. Of 30 WHO-classified digital health interventions for care providers, experts identified 23 (77%) as being important for CHISs. Case management and care coordination features accounted for more than one-third (14 of 37, 38%) of the core features expected of CHISs today, a higher proportion than any other category. The highest priority use cases for interoperability include CHIS to health management information system monthly reporting and CHIS to electronic medical record referrals.
conclusionCHISs today are expected to be feature-rich, to support a range of user roles in community health systems, and to be highly adaptable to local contextual requirements. Future interoperability efforts, such as CHISs in general, are expected not only to move data efficiently but to strengthen community health systems in ways that measurably improve care.
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