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Perspectives of Digital Health Innovations in Low- and Middle-Income Health Care Systems From South and Southeast Asia

Perspectives of Digital Health Innovations in Low- and Middle-Income Health Care Systems From South and Southeast Asia

This viewpoint paper critically examines the diverse challenges and opportunities encountered in digital health innovations in low- and middle-income countries (LMICs), drawing on perspectives from the experiences of health systems in South and Southeast Asia, a vibrant and multifarious region. Just as many have highlighted the advantages of a “human-in-the-loop” approach to AI, we emphasize the potential benefits of a “researcher-in-the-loop” approach to digital health innovations in LMICs.

Siyan Yi, Esabelle Lo Yan Yam, Kochukoshy Cheruvettolil, Eleni Linos, Anshika Gupta, Latha Palaniappan, Nitya Rajeshuni, Kiran Gopal Vaska, Kevin Schulman, Karen N Eggleston

J Med Internet Res 2024;26:e57612

Digital Mental Health Interventions for Adolescents in Low- and Middle-Income Countries: Scoping Review

Digital Mental Health Interventions for Adolescents in Low- and Middle-Income Countries: Scoping Review

Moreover, mental health conditions disproportionately affect adolescents in low- and middle-income countries (LMICs) [1]. LMIC economies are those in which the 2022 gross national income per capita was less than US $13,845 [9]. Approximately 90% of the world’s 1.2 billion adolescents reside in LMICs [8].

Carolina Wani, Lisa McCann, Marilyn Lennon, Caterina Radu

J Med Internet Res 2024;26:e51376

The Impact of Heat Waves on Health Care Services in Low- or Middle-Income Countries: Protocol for a Systematic Review

The Impact of Heat Waves on Health Care Services in Low- or Middle-Income Countries: Protocol for a Systematic Review

Reviews that examined the impact of heat waves on health services in low- or middle-income countries (LMICs) are still scare [52,54], with the majority concentrating on high-income countries (HICs) [34] or a combination of LMICs and HICs [55,56].

Hadita Sapari, Mohamad Ikhsan Selamat, Mohamad Rodi Isa, Rohaida Ismail, Wan Rozita Wan Mahiyuddin

JMIR Res Protoc 2023;12:e44702

The Vinyasa Tool for mHealth Solutions: Supporting Human-Centered Design in Nascent Digital Health Ecosystems

The Vinyasa Tool for mHealth Solutions: Supporting Human-Centered Design in Nascent Digital Health Ecosystems

Implementations of m Health have been increasing among LMICs as health systems seek to use expanding telecommunication networks to improve public health system access and processes [3,4]. However, despite large investments, few m Health solutions in LMICs have succeeded in scaling up or attaining sustainability [5]. There is little evidence that m Health interventions have substantively strengthened health systems [6-8].

Verghese Thomas, Bharat Kalidindi, Abijeet Waghmare, Abhishek Bhatia, Tony Raj, Satchit Balsari

JMIR Form Res 2023;7:e45250

Perceptions of Global Health Engagements in Relation to the COVID-19 Pandemic Among Health Care Workers and Administrators in Western Kenya: Protocol for a Multistage Qualitative Study

Perceptions of Global Health Engagements in Relation to the COVID-19 Pandemic Among Health Care Workers and Administrators in Western Kenya: Protocol for a Multistage Qualitative Study

Over the past 30 years, there has been growing interest in global health volunteering and service-learning trips in low- and middle-income countries (LMICs) among individuals living in high-income countries (HICs) [1,2]. This is reflected in a large increase in the number of colleges, universities, and medical schools that offer programs of study and experiences in global health to their students.

Erick Amick, Violet Naanyu, Sherri Bucher, Beverly W Henry

JMIR Res Protoc 2023;12:e41836

An mHealth App (eSkinHealth) for Detecting and Managing Skin Diseases in Resource-Limited Settings: Mixed Methods Pilot Study

An mHealth App (eSkinHealth) for Detecting and Managing Skin Diseases in Resource-Limited Settings: Mixed Methods Pilot Study

The health system built upon this approach is also expected to benefit not only skin NTDs but other skin diseases that are prevalent in LMICs [13,14]. Observation of the skin could be very informative. Without undergoing invasive examinations requiring special skills and equipment, many skin diseases could be diagnosed with just a sufficient patient history and examination of the skin. This is well suited to field settings in LMICs.

Rie R Yotsu, Diabate Almamy, Bamba Vagamon, Kazuko Ugai, Sakiko Itoh, Yao Didier Koffi, Mamadou Kaloga, Ligué Agui Sylvestre Dizoé, Kouamé Kouadio, N’guetta Aka, Luc Kowaci Gontran Yeboue, Koffi Aubin Yao, Ronald E Blanton

JMIR Dermatol 2023;6:e46295

Evaluating the Efficacy of a Social Media–Based Intervention (Warna-Warni Waktu) to Improve Body Image Among Young Indonesian Women: Parallel Randomized Controlled Trial

Evaluating the Efficacy of a Social Media–Based Intervention (Warna-Warni Waktu) to Improve Body Image Among Young Indonesian Women: Parallel Randomized Controlled Trial

These barriers are amplified in lower- and middle-income countries (LMICs), where health care provision is even sparser; stigma attached to mental health is heightened; and in geographically diverse contexts such as Indonesia, such care is inaccessible to many [10,13]. Relatedly, most effective interventions to reduce body dissatisfaction have been developed and evaluated in high-income English-speaking regions, mainly Australia, the United States, and Western Europe [14].

Kirsty M Garbett, Sharon Haywood, Nadia Craddock, Caterina Gentili, Kholisah Nasution, L Ayu Saraswati, Bernie Endyarni Medise, Paul White, Phillippa C Diedrichs, Heidi Williamson

J Med Internet Res 2023;25:e42499

Effects of mHealth Interventions on Improving Antenatal Care Visits and Skilled Delivery Care in Low- and Middle-Income Countries: Systematic Review and Meta-analysis

Effects of mHealth Interventions on Improving Antenatal Care Visits and Skilled Delivery Care in Low- and Middle-Income Countries: Systematic Review and Meta-analysis

Mobile health (m Health) interventions are becoming more widespread in LMICs because the technology involved is more rapid and accessible than internet access. Labrique et al [10] reported on 12 m Health applications that could respond to various health issues.

Md Obaidur Rahman, Noyuri Yamaji, Yasuko Nagamatsu, Erika Ota

J Med Internet Res 2022;24(4):e34061