SynthesisBulletin of the World Health Organization2025
Health workers' adoption of digital health technology in low- and middle-income countries: a systematic review and meta-analysis.
Synthesis in Bulletin of the World Health Organization, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Health workers' adoption of digital health technology in low- and middle-income countries: a systematic review and meta-analysis.Bulletin of the World Health Organization · 2025Pooled it
- Factors affecting nurses' acceptance of a digital triage platform in primary health care in Sweden: an extended UTAUT analysis.Scandinavian journal of primary health care · 2026Article
- Resource allocation efficiency in Ethiopian hospitals: technology utilization as mediator and staff competency as moderator.Cost effectiveness and resource allocation : C/E · 2026Article
- Determinants of Behavioral Intention to Use Digital Healthcare Services: A Cross-Sectional PLS-SEM Study on the Shukhee App in Bangladesh.Health science reports · 2026Article
- Digital health system integration in Ghana: a scoping review of governance arrangements, interoperability aspirations, and regulatory gaps.BMC health services research · 2026Article
- Transitioning to a digital TB case-based surveillance system: a mixed-methods study of the DHIS2 TB e-Tracker system.IJTLD open · 2026Article
- Building the Workforce's Capacity to Support the Digital Transformation of Public Health: Environmental Scan of Training Programs for Digital Technologies in Public Health.JMIR public health and surveillance · 2025Article
- Digital health governance in China by a whole-of-society approach.NPJ digital medicine · 2025Review
- Barriers to and facilitators of clinician acceptance and use of artificial intelligence in healthcare settings: a scoping review.BMJ open · 2025Article
- Harnessing digital health to achieve equitable and efficient health systems.Bulletin of the World Health Organization · 2025Article
- Implementation of a marketing plan for the dissemination of the WHO SkinNTDs app in Cameroon.PloS one · 2025Article
- Accelerating Community Engagement: Measuring Results.International journal of public health · 2025Article
- Personalized AI for workplace health promotion: performance management and healthcare worker engagement through digital analytics.Frontiers in public health · 2025Review
- Knowledge, attitudes, and practices of nurses towards mobile and digital health information tools in Ujjain, India.Digital healthArticle
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective: To conduct a systematic review and meta-analysis of the facilitators of and barriers to the acceptance and use of digital health technology by health workers in low- and middle-income countries. Methods: We searched several databases for relevant articles published until 25 April 2024. We extracted data on four unified theories of acceptance and use of technology factors (performance expectancy, effort expectancy, social influence and facilitating conditions) and six additional factors (attitude, habit, incentive, risk, trust and self-efficacy); how these affected the outcomes of behavioural intention and actual use; and the strength of association if reported. We conducted a meta-analysis of the quantitative studies. Findings: We reviewed 36 publications, 20 of which were included in our meta-analysis. We observed that performance expectancy was the most frequently reported facilitator (in 21 studies; 58.3%) and that lack of facilitating conditions was the most cited barrier (10; 27.8%). From our meta-analysis, trust ( Conclusion: Our approach of clustering the facilitators of and barriers to the acceptance and use of digital health technology from the perspective of health workers highlighted the importance of creating an enabling ecosystem. Supportive infrastructure, tailored training programmes and incentive policies should be incorporated in the implementation of digital health programmes in low- and middle-income countries.
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Registered trials
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.