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Mobile technology is very prevalent in Kenya-mobile phone penetration is at 88% and mobile data subscriptions form 99% of all internet subscriptions. While there is great potential for such ubiquitous technology to revolutionise access and quality of healthcare in low-resource settings, there have been few successes at scale. Implementations of electronic health (e-Health) and mobile health (m-Health) technologies in countries like Kenya are yet to tackle human resource constraints or the political, ethical and financial considerations of such technologies. We outline recent innovations that could improve access and quality while considering the costs of healthcare. One is an attempt to create a scalable clinical decision support system by engaging a global network of specialist doctors and reversing some of the damaging effects of medical brain drain. The other efficiently extracts digital information from paper-based records using low-cost and locally produced tools such as rubber stamps to improve adherence to clinical practice guidelines. By bringing down the costs of remote consultations and clinical audit, respectively, these projects offer the potential for clinics in resource-limited settings to deliver high-quality care. This paper makes a case for continued and increased investment in social enterprises that bridge academia, public and private sectors to deliver sustainable and scalable e-Health and m-Health solutions.

Original publication

DOI

10.1136/archdischild-2015-308556

Type

Journal article

Journal

Arch Dis Child

Publication Date

10/2016

Volume

101

Pages

974 - 979

Keywords

Evidence Based Medicine, Health Service, Information Technology, Cell Phone, Delivery of Health Care, Developing Countries, Diffusion of Innovation, Guideline Adherence, Healthcare Disparities, Humans, Internet, Kenya, Physicians, Practice Guidelines as Topic, Remote Consultation, Telemedicine