Systematic review of barriers and facilitators to digital health technology interventions for chronic disease management in Ethiopia: Insights for implementing digital health in developing countries

Abstract

Introduction: Non-communicable diseases are a global health concern endangering public health as well as social and economic progress worldwide. Although Ethiopia’s healthcare delivery system has seen tremendous advancements in the use of digital health technology (DHT) for disease management, no major changes have been made. Thus, this study aims to assess barriers and facilitators of DHT intervention for chronic disease management in Ethiopia. Method: A systematic review of literatures was conducted following PRISMA guidelines and using the PICOS approach. Studies were identified through PubMed, Cochrane, HINARI search and other gray literature between March and April 2024. Data was extracted and organized using a standardized Excel sheet, and a descriptive thematic analysis was performed to categorize and summarize the findings and presented in tables and diagrams. Results and conclusion: This review included 12 articles that fulfilled inclusion criteria. The review revealed barriers to DHTs such as lack of technological understanding, negative attitudes, and limited access to necessary resources and facilitators like, perceived usefulness, positive attitudes towards DHTs, and good access to necessary technological tools. This review highlights the need for promotion of facilitators and addressing barriers with targeted strategies to improve the design, implementation, scaling, and sustainability of DHTs.