Evidence map›Paper›PMID 41142514›Full record

ArticleOxford open digital health2025

Strengthening digital health local capacity: driving forces and milestones in Ethiopia.

Amanuel Biru, Wubshet Denboba, Dawit Birhan, Abebaw Gebeyehu, Gemechis Melkamu, Tewodros Kersie, Oli Kaba

Abstract read
In one paragraph

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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
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

7 authors.

Amanuel BiruDigital Health, JSI Ethiopia Country Office Sunshine tower #4, Airport road, Addis Ababa, Ethiopia.ORCID https://orcid.org/0009-0005-6780-5633
Wubshet DenbobaHIS and Data Use, JSI Ethiopia Country Office Sunshine tower #4, Airport road, Addis Ababa, Ethiopia.
Dawit BirhanDigital Health, JSI Ethiopia Country Office Sunshine tower #4, Airport road, Addis Ababa, Ethiopia.
Abebaw GebeyehuM&E and Research, JSI Ethiopia Country Office Sunshine tower #4, Airport road, Addis Ababa, Ethiopia.
Gemechis MelkamuDigital Health LEO, Ministry of Health of Ethiopia Sudan St, P.O. Box 1234, Addis Ababa, Ethiopia.
Tewodros KersieDigital Health LEO, Ministry of Health of Ethiopia Sudan St, P.O. Box 1234, Addis Ababa, Ethiopia.
Oli KabaDigital Health LEO, Ministry of Health of Ethiopia Sudan St, P.O. Box 1234, Addis Ababa, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Strengthening local capacity is central to building sustainable digital health systems in low- and middle-income countries (LMICs). Ethiopia's experience illustrates how nationally led strategies can drive digital transformation. Methods: This study uses a qualitative descriptive case study approach, drawing on government policies, program reports, peer-reviewed literature and the authors' direct implementation experience. Data were reviewed and analyzed thematically to trace the driving forces, milestones, achievements and challenges of Ethiopia's digital health journey between 2016 and 2025. Findings: Ethiopia's transformation was enabled by strong national governance and institutional leadership, the adoption of interoperable standards and a unified health data platform, investments in workforce capacity through mentorship and university partnerships, and the introduction of innovative digital services such as electronic community health information system and electronic logistics systems. These initiatives improved data quality, expanded digital service delivery and supported evidence-based decision-making. However, persistent challenges include resource constraints, limited digital literacy among frontline workers, and heavy reliance on donor financing. Conclusions & Significance: Ethiopia's nationally led and capacity-focused approach demonstrates that sustainable digital health transformation in LMICs requires more than technology; it demands governance reform, local ownership and long-term financing strategies. The lessons from Ethiopia provide transferable insights for other countries seeking to build resilient, self-reliant digital health ecosystems.

Indexed as

digital healthEthiopiagovernancehealth information systemsinteroperabilityLMICssustainabilityworkforce capacity

Identifiers

PMID41142514
PMCPMC12548044

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.