ReviewJournal of public health in Africa2026
Digital health maturity models for Human Resources for Health Information Systems in low- and middle-income countries in Africa: A scoping review.
Review in Journal of public health in Africa, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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3 authors.
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Abstract
Background: Health workforce challenges in Africa are exacerbated by fragmented and underdeveloped Human Resources for Health Information Systems (HRH-IS). While digital health maturity models exist, their applicability to HRH-IS in low- and middle-income countries (LMICs) remains unclear, with limited evidence of context-specific frameworks. Aim: This scoping review aimed to (1) map digital health and health information system (HIS) maturity models, frameworks, tools and guidelines relevant to HRH-IS, and (2) synthesise key domains to inform the development of a context-appropriate HRH-IS maturity model for African LMICs. Setting: The study was conducted in low- and middle-income countries in Africa. Methods: A scoping review was conducted following the Arksey and O'Malley framework and Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews guidelines. PubMed, EBSCO-hosted databases, Google Scholar and grey literature sources, including institutional repositories and global health agency publications were searched. Data were extracted using a structured form and analysed descriptively, with thematic synthesis used to identify transferable domains. Results: A total of 3128 records were screened, and 41 were included. Only one tool targeted HRH-IS. Most identified frameworks addressed broader digital health or HIS. Six cross-cutting domains were synthesised: (1) governance and leadership; (2) workforce and organisational capacity; (3) financing and sustainability; (4) data architecture and interoperability; (5) data quality and analytics; and (6) equity, trust and system adoption. Conclusion: There is limited evidence of dedicated HRH-IS maturity models in African LMICs. However, existing digital health and HIS frameworks provide a strong foundation for adaptation. Contribution: The six synthesised domains offer a preliminary basis for developing and validating a context-specific HRH-IS maturity model to strengthen workforce data systems and support evidence-informed policy.
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