E-Health implementation in the Democratic Republic of the Congo: Current position

https://doi.org/10.53730/ijhs.v9n1.15543

Authors

  • Kalema Josue Djamba Ph. D student at Doctoral school, University of Burundi, Bujumbura, Burundi
  • Vincent Havyarimana Full Professor, Department of Computer Engineering, Ecole Normale Superieur, Bujumbura, Burundi
  • Businge Phelix Mbambazi Professor, Department of Information System, University of Kabale, Kabale, Uganda
  • Julius Niyongabo Ph. D Holder, Department of Information System, University of Burundi, Bujumbura, Burundi

Keywords:

digital health, E-health, electronic medical records, health information system, implementation

Abstract

E-health holds significant potential to address healthcare challenges in the Democratic Republic of Congo (DRC), a nation grappling with limited resources, vast geographical distances, and a fragile health system. This paper examines the current state of e-health implementation in the DRC, exploring existing initiatives, key achievements, and persistent obstacles. While nascent, e-health adoption is gaining momentum, driven by factors like increasing mobile phone penetration and government recognition of its potential. Successful projects include mHealth programs for disease surveillance, maternal health, and HIV/AIDS management, demonstrating positive impacts on data collection, patient follow-up, and health outcomes. However, significant challenges remain. These include inadequate infrastructure, particularly reliable internet access and electricity, limited funding, a shortage of skilled human resources in ICT and health informatics, and issues of interoperability between different systems. Furthermore, regulatory frameworks and national e-health strategies are still under development, hindering coordinated and sustainable implementation. This paper concludes by highlighting the need for strategic investments in infrastructure, capacity building, and policy development to unlock the full potential of e-health and improve healthcare delivery in the DRC.

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References

Abawajy, J. H., & Hassan, M. M. (2017). Federated internet of things and cloud computing pervasive patient health monitoring system. IEEE Communications Magazine, 55(1), 48-53. DOI: https://doi.org/10.1109/MCOM.2017.1600374CM

Adeniyi, A. O., Arowoogun, J. O., Chidi, R., Okolo, C. A., & Babawarun, O. (2024). The impact of electronic health records on patient care and outcomes: A comprehensive review. World Journal of Advanced Research and Reviews, 21(2), 1446-1455. DOI: https://doi.org/10.30574/wjarr.2024.21.2.0592

Adong, G., Odoyo, C., & Ondulo, J. (2024). Factors Influencing the Successful Implementation of eHealth in Healthcare Facilities in Developing Countries: A Scoping Review. Journal of Science, Innovation and Creativity, 3(2), 8-17. DOI: https://doi.org/10.58721/jsic.v3i2.731

Alexandra, W. (2024). Digitale Gesundheits-Apps. Medizin aktuell, 65, 1261–1265. DOI: https://doi.org/10.1007/s00108-024-01774-4

Arora, S., Huda, R. K., Verma, S., Khetan, M., Sangwan, R. K., HUda Sr, R. K., & Sangwan, R. K. (2024). Challenges, barriers, and facilitators in telemedicine implementation in India: a scoping review. Cureus, 16(8). DOI: https://doi.org/10.7759/cureus.67388

Ayat, M. (2024). E-Health Implementation Challenges and HIS Evaluation in Accordance with EMRAM in Iran. Health Technology Assessment in Action. DOI: https://doi.org/10.18502/htaa.v8i2.15628

Barbabella, F., Melchiorre, M. G., Quattrini, S., Papa, R., Lamura, G., Richardson, E., & van Ginneken, E. (2017). How can eHealth improve care for people with multimorbidity in Europe?. Copenhagen: World Health Organization, Regional Office for Europe.

Barlow, J., Bayer, S., & Curry, R. (2006). Implementing complex innovations in fluid multi-stakeholder environments: experiences of ‘telecare’. Technovation, 26(3), 396-406. https://doi.org/10.1016/j.technovation.2005.06.010 DOI: https://doi.org/10.1016/j.technovation.2005.06.010

Bigirinama, R. N., Makali, S. L., Mothupi, M. C., Chiribagula, C. Z., St Louis, P., Mwene-Batu, P. L., ... & Porignon, D. G. (2023). Ensuring leadership at the operational level of a health system in protracted crisis context: a cross-sectional qualitative study covering 8 health districts in Eastern Democratic Republic of Congo. BMC health services research, 23(1), 1362. DOI: https://doi.org/10.1186/s12913-023-10336-7

Bizimana, R. (2024). The Impact of Digital Health on Improving Patient Outcomes. Newport International Journal Of Research In Medical Sciences (NIJRMS), 5(3), 38-41. DOI: https://doi.org/10.59298/NIJRMS/2024/5.3.3841

Boore, C. (2018). A framework for e-health implementation in the health care sector in Kenya: a grounded theory approach (Doctoral dissertation, University of Nairobi).

Business, A. H. (2021). Democratic Republic Of Congo’s Health Sector. Nairobi: www.ahb.co.ke/publications.

Cures. (2019). www.congress.gov. Consulté le 06 25, 2024, sur Online].

David, H., Lauren, B., & Leslie, C. (2024). Assessing the impact of complex health systems strengthening program on maternal health care utilization in fragile and conflict-affected states: evidence from the Democratic Republic of the Congo. research square.

Emilia, G., Yordanka, M., & Nenko, T. (2023). The advantages of new technologies in digital healthcare. Journal of Varna Medical College. doi:http://dx.doi.org/10.14748/jmk.v6i1.9056

Etshumba, J. M., Bebe, D. N., Emina, J., & Ndosimao, C. N. (2023). Profiles of Community Care Sites and provider Community Health Workers: A Case study at Gombe Matadi, Kenge and Kisantu Rural Health Zones in the Democratic Republic of Congo. DOI: https://doi.org/10.21203/rs.3.rs-3347654/v1

Etty , R., Karen , S., & Monika, G. (2020). Implementation of eHealth Technology in Community Health Care: the complexity of stakeholder involvement. BMC Health Services Research. doi:https://doi.org/10.1186/s12913-020-05287-2

Faber, S., van Geenhuizen, M., & de Reuver, M. (2017). eHealth adoption factors in medical hospitals: a focus on the Netherlands. International journal of medical informatics, 100, 77-89. https://doi.org/10.1016/j.ijmedinf.2017.01.009 DOI: https://doi.org/10.1016/j.ijmedinf.2017.01.009

Fins, A. I., Stripling, A. M., Dautovich, N. D., Sabet, S. M., & Ghose, S. (2024). Conclusions and Future Directions: Recommendations for Policy, Practice, and Research. In Sleep Disruption, Aggression, and Violence (pp. 79-82). Cham: Springer Nature Switzerland. DOI: https://doi.org/10.1007/978-3-031-53165-1_7

Fuamba, M., Badibanga, E. M., & Kashale, K. N. (2023). Business Opportunities of Information and Communication Technologies (ICTs) in Health Services for Democratic Republic of Congo. The Journal of Entrepreneurship, 32(2_suppl), S142-S158. DOI: https://doi.org/10.1177/09713557231201182

Georgieva, E., Mihailova, Y., Tsvetkov, N., & Nedev, N. (2023). The advantages of new technologies in digital healthcare. Journal of Varna Medical College, 6(1), 5-8. DOI: https://doi.org/10.14748/jmk.v6i1.9056

Global. (2023). Accountability, Improving Health Service Delivery in DRC. Consulté le 06 29, 2024, sur https://www.thegpsa.org/project/improving-health-service-delivery-drc.

Graham, W., Woodd, S., Byass, P., Filippi, V., Gon, G., Virgo, S., ... & Singh, S. (2016). Diversity and divergence: the dynamic burden of poor maternal health. The Lancet, 388(10056), 2164-2175. DOI: https://doi.org/10.1016/S0140-6736(16)31533-1

Health, O. W. (2022). eHealth. World Health Organization Regional Office for the Eastern Mediterranean.

INS. (2019). Enquête par grappes à indicateurs multiples, 2017-2018. rapport de résultats de l’enquête. Kinshasa.

J, H. (2008). Implementing e-health in developing countries. Guidance and principles. Geneva.

J., Z. (2018). Mega-crisis in DR Congo. The Lancet, 6, 297. DOI: https://doi.org/10.1016/S0140-6736(18)30137-5

Janarthanan, V., Nagrale, N. V., Singh, O. G., Raj, K. V., & Singh, G. (2024). Legal and Ethical Issues Associated With Challenges in the Implementation of the Electronic Medical Record System and Its Current Laws in India. Cureus, 16(3). DOI: https://doi.org/10.7759/cureus.56518

Katehakis, D. G., Kouroubali, A., & Fundulaki, I. (2018). Towards the Development of a National eHealth Interoperability Framework to Address Public Health Challenges in Greece. In SWH@ ISWC.

Kidiamboko, S., Mancini, A., Longhi, S., & Spalazzi, L. (2008). A scalable telemedicine architecture for under developed countries. A case study: Democratic Republic of Congo. In 2008 16th Mediterranean Conference on Control and Automation (pp. 866-871). IEEE. DOI: https://doi.org/10.1109/MED.2008.4602255

Koblinsky, M., Moyer, C. A., Calvert, C., Campbell, J., Campbell, O. M., Feigl, A. B., ... & Langer, A. (2016). Quality maternity care for every woman, everywhere: a call to action. The Lancet, 388(10057), 2307-2320.

Kumari, R., Singh, A. K., Verma, R., & Fetais, A. H. M. (2022). Enablers and challenges for e-health services: a systematic literature review. International Journal of Electronic Government Research (IJEGR), 18(1), 1-17. DOI: https://doi.org/10.4018/IJEGR.298626

Lademann, M., Lademann, M., Jensen, A. B., & Brunak, S. (2019). Incorporating symptom data in longitudinal disease trajectories for more detailed patient stratification. International journal of medical informatics, 129, 107-113. https://doi.org/10.1016/j.ijmedinf.2019.06.003 DOI: https://doi.org/10.1016/j.ijmedinf.2019.06.003

Lee, N. K., & Kim, J. S. (2024). Status and Trends of the Digital Healthcare Industry. Healthcare Informatics Research, 30(3), 172-183. DOI: https://doi.org/10.4258/hir.2024.30.3.172

Mehta, A., da Silva Dias, L., Espinal, M., Jillellamudi, R., Mathew, R., Chauhan, A., ... & Verma, S. (2024). E-Health Implementation Challenges: A Comprehensive Review of Digital Healthcare in the United States. Journal of Knowledge Learning and Science Technology ISSN: 2959-6386 (online), 3(4), 233-246. DOI: https://doi.org/10.60087/jklst.v2.n3.p233

Mengiste, S. A., Antypas, K., Johannessen, M. R., Klein, J., & Kazemi, G. (2023). eHealth policy framework in Low and Lower Middle-Income Countries; a PRISMA systematic review and analysis. BMC Health Services Research, 23(1), 328. DOI: https://doi.org/10.1186/s12913-023-09325-7

Messner, J. J., Haken, N., Taft, P., Blyth, H., Maglo, M., Fiertz, C., ... & Wilson, W. (2018). The Fragile States Index Team. nd.

Mwiinga, J. (2013). Integrating HealthCare in Africa: The Role of ICTs in eHealth; Can we scale up Governance and Accountability? | Global Health Corps. Ghcorps.org. (Global Health Corps)

Mwogosi, A., & Kibusi, S. (2024). Unveiling barriers to EHR implementation for effective decision support in tanzanian primary healthcare: Insights from practitioners. Health Informatics Journal, 30(4), 14604582241304698. DOI: https://doi.org/10.1177/14604582241304698

Nahala, A., Nishtha, P., & Vimlesh, T. (2024). Examining the implementation challenges and benefits of electronic health records (EHR) systems in large hospital settings. International journal of advanced academic studies, 6(1), 59-66. DOI: https://doi.org/10.33545/27068919.2024.v6.i1a.1153

Ndlanzi, S. (2021). Challenges affecting e-Health adoption in South African public hospitals: A case of Edendale Hospital (Doctoral dissertation, University of KwaZulu-Natal, Westville).

Nilsen, E. R., Stendal, K., & Gullslett, M. K. (2020). Implementation of eHealth Technology in Community Health Care: the complexity of stakeholder involvement. BMC health services research, 20, 1-13. DOI: https://doi.org/10.1186/s12913-020-05287-2

Patience, I. E., & Toycan, M. (2016). A literature review of eHealth sector and challenges in Nigeria. 2016 HONET-ICT, 145-149. DOI: https://doi.org/10.1109/HONET.2016.7753438

Publique Ministere De La Sante, M. (2021). RDC-Plan-National-de-Developpement-Sanitaire. Consulté le 11 03, 2024, sur

Ráti, J., & Kemény, I. (2023). Factors influencing the adoption of e-health services by the patients. DOI: https://doi.org/10.22541/au.168312075.54284526/v1

Rayan, R. A. (2020). E-health opportunities for the low and middle-income countries. Global Journal of Public Health Medicine (GJPHM), 2(Special Issue), 158-163. DOI: https://doi.org/10.37557/gjphm.v2iSP1.40

Raynaud, J. (2022). L'e-santé en France: déclinaisons et implications territoriales. Netcom. Réseaux, communication et territoires, (36-3/4). DOI: https://doi.org/10.4000/12q89

Ruben, K., Hervé, K., Michel, K., Anderson, M., Pathy, N., Bruno, L., & Hugor, B. (2024). Cyber Threats in the Health Sector in the DRC: Risks, Opportunities, Consequences and Preventive Measures. International Journal of Innovative Science and Research Technology, 9(6).

Sarah, N., Dina, M., & Pirkko, N. (2016). Quality maternity care for every woman, everywhere: a call to action. Lancet, 20, 2307. DOI: https://doi.org/10.1016/S0140-6736(16)31333-2

Schoenfelder, T., & Schaal, T. (2024). Digital health applications: acceptance, benefit assessment, and costs from the perspective of patients and medical professionals. Frontiers in health services, 4, 1501903. DOI: https://doi.org/10.3389/frhs.2024.1501903

Simran, A., Ramesh, K., & Sakshi, V. (s.d.). Challenges, Barriers, and Facilitators in Telemedicine Implementation in India: A Scoping Review. Cureus, 16(8). doi:10.7759/cureus.67388

Sneha S, S. D. (2017). E-Health: Value proposition and technologies enabling. Proceedings of the 50th Hawaii International. Maui: ScholarSpace. DOI: https://doi.org/10.24251/HICSS.2017.108

Stearns, D. (2011). he Glory of Monsters: The Collapse of the Congo and the Great War of Africa. Philadelphia: Perseus Books.

Steeven, B., & Parick, M. (2021). Essential Health Services: Democratic Republic Of The Congo. Consulté le 06 30, 2024,

Verbeke, F., Shamashanga, P., Amisi, C., & Karara, G. (2014). Developing a national e-health strategy for DR Congo: a preliminary analysis of business needs, existing information systems and solutions. Journal of Health Informatics in Africa, 2(2).

Vest, J. R. (2010). More than just a question of technology: factors related to hospitals’ adoption and implementation of health information exchange. International journal of medical informatics, 79(12), 797-806. https://doi.org/10.1016/j.ijmedinf.2010.09.003 DOI: https://doi.org/10.1016/j.ijmedinf.2010.09.003

WH, O. (2019). Trends in maternal mortality 2000 to 2017: estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division.

Zayyad, M. A., & Toycan, M. (2018). Factors affecting sustainable adoption of e-health technology in developing countries: an exploratory survey of Nigerian hospitals from the perspective of healthcare professionals. PeerJ, 6, e4436. DOI: https://doi.org/10.7717/peerj.4436

Zhang, L., Aimar, Z., & Luo, H. (2020). Telehealth for chronic disease management during the COVID-19 pandemic: A rapid review of the literature. J Telemed Telecare, 26([10.1177/1357633X20933942]), 7-8,521-28.

Ziadi, F., Fourati, H., & Saidane, L. A. (2024). AI and IoT Uses, Challenges and Opportunities for e-Health: a review. 2024 International Wireless Communications and Mobile Computing (IWCMC), 873-878. DOI: https://doi.org/10.1109/IWCMC61514.2024.10592569

Ziegler, B. R., Kansanga, M., Sano, Y., Kangmennaang, J., Kpienbaareh, D., & Luginaah, I. (2020). Antenatal care utilization in the fragile and conflict-affected context of the Democratic Republic of the Congo. Social Science & Medicine, 262, 113253. https://doi.org/10.1016/j.socscimed.2020.113253 DOI: https://doi.org/10.1016/j.socscimed.2020.113253

Published

21-02-2025

How to Cite

Djamba, K. J., Havyarimana, V., Mbambazi, B. P., & Niyongabo, J. (2025). E-Health implementation in the Democratic Republic of the Congo: Current position. International Journal of Health Sciences, 9(1), 210–222. https://doi.org/10.53730/ijhs.v9n1.15543

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Section

Peer Review Articles