ArticleOxford open digital health2026
Strengthening digital competencies in India's health workforce: development and feasibility evaluation of a digital health competency framework for frontline healthcare workers in Uttar Pradesh.
Article in Oxford open digital health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Universal immunization program in India: a review of childhood vaccine updates over the last decade (2014-2024).IJID regions · 2026Review
- Review
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Authors and funding
8 authors.
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Abstract
The rapid growth of digital health initiatives has heightened reliance on frontline health workers (FLHWs) to deliver, document, and manage services through digital tools, particularly in low- and middleincome countries (LMICs). In India, the widespread rollout of platforms under the Ayushman Bharat Digital Mission (ABDM) is not yet matched by a standardized digital health competency framework (DHCF) for FLHWs, hindering systematic skill development, assessment, and integration. This study designed, developed, and evaluated a theory-driven, evidence-based, and scalable DHCF for India's health workforce. Framed as a feasibility and proof-ofconcept study, it was piloted among FLHWs in Uttar Pradesh using a three-stage approach comprising design, implementation, and evaluation. The framework development drew on a systematic literature review and the Government of India's Framework for Roles, Activities, and Competencies (FRAC). A cadre-agnostic competency dictionary was created, spanning functional, behavioral, domainspecific, and intervention-specific skills across graded proficiency levels. Competencies were mapped to FLHW roles, and aligned training materials and assessments were developed. The framework was piloted through in-person, instructor-led sessions for Auxiliary Nurse Midwives (ANMs) in two districts (
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