Evidence map›Paper›PMID 41196957›Full record

ArticleJournal of global health2025

Scaling digital health in low- and middle-income countries: lessons from Malaysia's cross-sector capacity-building approach.

Jayakayatri Jeevajothi Nathan, Adina Abdullah, Jay Evans, Siti Nurkamilla Ramdzan, Monica Fletcher, Norita Hussein, Nik Sherina Hanafi, Ee Ming Khoo, RESPIRE Collaboration

Abstract read
In one paragraph

Article in Journal of global health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

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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

9 authors.

Jayakayatri Jeevajothi NathanDepartment of Primary Care Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.
Adina AbdullahDepartment of Primary Care Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.
Jay EvansNIHR Global Health Research Unit on Respiratory Health (RESPIRE), Usher Institute, University of Edinburgh, Edinburgh, UK.
Siti Nurkamilla RamdzanDepartment of Primary Care Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.
Monica FletcherNIHR Global Health Research Unit on Respiratory Health (RESPIRE), Usher Institute, University of Edinburgh, Edinburgh, UK.
Norita HusseinDepartment of Primary Care Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.
Nik Sherina HanafiDepartment of Primary Care Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.
Ee Ming KhooDepartment of Primary Care Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.
RESPIRE Collaboration

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The COVID-19 pandemic catalysed the development of digital health interventions across the globe, including low- and middle-income countries (LMICs) such as Malaysia. However, moving from pockets of innovation to sustainable implementation at scale remains a major challenge. This viewpoint presents insights from a digital health training programme using a multi-stakeholder engagement series convened by the National Institute for Health and Care Research Global Health Research Unit on Respiratory Health (RESPIRE) during the pandemic. Through co-designed workshops involving policymakers, healthcare providers, small and medium-sized enterprises, and academic researchers, participants examined systemic barriers to scaling digital health innovations in Malaysia, including issues with infrastructure, regulation, and workforce readiness. We used a home-based pulmonary rehabilitation initiative as a case study to explore these dynamics in practice. Broader lessons include the importance of ecosystem-building, capacity development, regulatory clarity, and inclusive design. Our findings offer transferable insights for strengthening digital health systems in LMICs.

Indexed as

Capacity BuildingCOVID-19Developing CountriesTelemedicineDigital HealthHumansMalaysiaSARS-CoV-2

Identifiers

PMID41196957
PMCPMC12591507

What OpenQuestion holds

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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.