Africa’s Digital Health Revolution: The Digital Fit-Viability Model to Move From Innovation to Scaled Implementation
Digital innovations hold immense potential to transform health care delivery, particularly in sub-Saharan Africa, where financial, geographical, and infrastructural constraints continue to hinder progress toward universal health care delivery. Although a growing health tech sector offers creative solutions, few digital health interventions reach scaled implementation. In this paper, we present the digital fit/viability model-an adapted determinant framework to describe facilitators and barriers to moving from digital tools to integrated digital health implementation. We then use this model to describe the specific challenges and recommended solutions when developing digital health tools for health systems in sub-Saharan Africa.
Authors
- Milind Tambe (ORCID: https://orcid.org/0000-0003-3296-3672)
- Bethany Hedt‐Gauthier (ORCID: https://orcid.org/0000-0002-9689-5413)
- Afra Jiwa (ORCID: https://orcid.org/0000-0002-6488-0698)
- C. O’Brien (ORCID: https://orcid.org/0000-0001-5353-9163)
- Tobi Olatunji
- Niclas Boehmer (ORCID: https://orcid.org/0000-0001-5102-449X)
- R. Fletcher (ORCID: https://orcid.org/0000-0001-8470-8417)
- Kate Isoken Obayagbona (ORCID: https://orcid.org/0009-0004-7359-7554)
- Chris Opoku Fofie (ORCID: https://orcid.org/0000-0003-1490-3289)
- Adeline A. Boatin (ORCID: https://orcid.org/0000-0003-3420-7846)
- Antony Ngatia
- Karim Benali
- Sangu Delle
- Patrick Emedom-Nnamdi (ORCID: https://orcid.org/0000-0003-4442-924X)
Institutions
- University of North Carolina at Chapel Hill (US)
- Harvard University (US)
- Hasso Plattner Institute (DE)
- University of Potsdam (DE)
- Methodist University College Ghana (GH)
- Kenya Methodist University (KE)
- Massachusetts General Hospital (US)
- Cancer Research And Biostatistics (US)
- iNtRON (South Korea) (KR)
- Harvard Global Health Institute (US)
- Ghana Health Service (GH)
- Massachusetts Institute of Technology (US)
- University of Edinburgh (GB)
Publication Details
- Journal
- Journal of Medical Internet Research
- Published
- 2025-10-23
- DOI
- https://doi.org/10.2196/63495
- Primary Topic
- Artificial Intelligence in Healthcare and Education
- Type
- article
- Field-Weighted Citation Impact
- 0.00