Abstract
The use of electronic health systems is rapidly spreading in low- and middle-income countries (LLMICs). Empirical evidence shows that eHealth systems can improve access, quality, and equitable healthcare delivery, especially for the poor and vulnerable. Studies suggest that a lack of systems thinking leads to inadequate technical infrastructure, lack of interoperability, streamlining of patientand health information sharing. This article assesses the BETTEReHEALTH
strategic priority factors from four African countries: Ethiopia, Ghana, Malawi, and Tunisia. The primary data source was eHealth policies from the four countries. A document analysis was conducted, complemented by deductive, qualitative content analysis. The results show these countries have adopted and implemented eHealth
policies. They have dedicated governing bodies that aim to strengthen the coordination of eHealth efforts. However, there is a need for more robust government support and regulation in creating a sustainable national eHealth
environment.
strategic priority factors from four African countries: Ethiopia, Ghana, Malawi, and Tunisia. The primary data source was eHealth policies from the four countries. A document analysis was conducted, complemented by deductive, qualitative content analysis. The results show these countries have adopted and implemented eHealth
policies. They have dedicated governing bodies that aim to strengthen the coordination of eHealth efforts. However, there is a need for more robust government support and regulation in creating a sustainable national eHealth
environment.