ArticleOxford open digital health2025
Determining the total cost of ownership and end user perception of the Kenya National Cancer Registry (NaCaRE-KE): a DHIS2- based digital health System.
Article in Oxford open digital health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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
2 citing papers in PubMed.
- Staged, life-cycle approach to evidence generation for digital health interventions in low- and middle-income countries.BMJ digital health & AI · 2026Review
- Strengthening health information systems and inherent statistical outputs for improved malaria control and interventions in western Kenya.Frontiers in epidemiology · 2025Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The digital transformation of healthcare systems holds immense potential for improving healthcare delivery and achieving better health outcomes, particularly in low- and middle-income countries faced with numerous healthcare system challenges. The National Cancer Registry of Kenya (NaCaRe-KE) system is aimed at streamlining cancer surveillance data collection to inform scientific research and cancer control interventions in Kenya. This study aimed to estimate the total cost of ownership (TCO) of the NaCaRe-KE system across five facilities with varied characteristics in Nairobi County, Kenya and the National Cancer Institute of Kenya, providing insights into the financial requirements of developing and maintaining a comprehensive digital cancer registry. Leveraging quantitative methods using the Digital Square/PATH TCO tool and key informant interviews, the data revealed significant variations in the TCO based on facility size, service scope and ownership. Qualitative analysis of stakeholder interviews highlighted the perceived effectiveness of NaCaRe-KE in improving operational efficiency, although challenges such as staffing shortages and technical issues limiting its effective implementation were noted. Recommendations for enhancing NaCaRe-KE's utility and sustainability include addressing technical challenges, enhancing user training and promoting institutional investment in IT support. Overall, this study contributes to our understanding of the financial dynamics and operational implications of digital cancer registries and provides evidence-based investments in digital health interventions in Kenya and beyond.
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Registered trials
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