Sustainability of a digital health intervention within Pakistan’s remote health system: learning from implementation research

Pakistan faces significant challenges in attaining the Sustainable Development Goals for maternal and child health by the 2030 target. Separate vertical programmes, governance challenges due to paper-based systems, and limited availability of data contribute to the health system’s suboptimal functi...

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Main Authors: Saleem Sayani, Momina Muzammil, Malika Saba, Fayaz Roomi, Mirajuddin Miraj, Zeenat Sulaiman
Format: Article
Language:English
Published: Pakistan Medical Association 2025-01-01
Series:Journal of the Pakistan Medical Association
Subjects:
Online Access:https://jpma.org.pk/index.php/public_html/article/view/10624
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author Saleem Sayani
Momina Muzammil
Malika Saba
Fayaz Roomi
Mirajuddin Miraj
Zeenat Sulaiman
author_facet Saleem Sayani
Momina Muzammil
Malika Saba
Fayaz Roomi
Mirajuddin Miraj
Zeenat Sulaiman
author_sort Saleem Sayani
collection DOAJ
description Pakistan faces significant challenges in attaining the Sustainable Development Goals for maternal and child health by the 2030 target. Separate vertical programmes, governance challenges due to paper-based systems, and limited availability of data contribute to the health system’s suboptimal functioning. An innovative mHealth tool, Hayat, was introduced in remote areas of Pakistan to digitalise record-keeping by frontline workers, provide evidence-based awareness content for dissemination, and track performance through transparency enhanced by geographical information system tracking. There has been a limited translation of mHealth evidence into policy change globally. Hayat is one of the few donor-funded programmes, and strengthens the health system in Pakistan. It secured matching funding from the government to sustain operations and for scale-up. The current paper was planned to describe the intrinsic and extrinsic factors that led to the intervention’s adoption by the government, including the technological and programmatic approaches, challenges and mitigation strategies, ---Continue
format Article
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institution Kabale University
issn 0030-9982
language English
publishDate 2025-01-01
publisher Pakistan Medical Association
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series Journal of the Pakistan Medical Association
spelling doaj-art-325a4b43510d498f917bc7957862b4df2025-08-20T03:40:06ZengPakistan Medical AssociationJournal of the Pakistan Medical Association0030-99822025-01-01750210.47391/JPMA.10624Sustainability of a digital health intervention within Pakistan’s remote health system: learning from implementation researchSaleem Sayani0Momina Muzammil1Malika Saba2Fayaz Roomi3Mirajuddin Miraj4Zeenat Sulaiman5Aga Khan Development Network Digital Health Resource Centre, Karachi, Pakistan.Aga Khan Development Network Digital Health Resource Centre, Karachi, Pakistan.Department of Health, Gilgit Baltistan, Pakistan.Department of Health, Khyber-Pakhtunkhwa, Pakistan.Aga Khan Health Services, Chitral, Pakistan.Aga Khan Health Service, East Africa. Pakistan faces significant challenges in attaining the Sustainable Development Goals for maternal and child health by the 2030 target. Separate vertical programmes, governance challenges due to paper-based systems, and limited availability of data contribute to the health system’s suboptimal functioning. An innovative mHealth tool, Hayat, was introduced in remote areas of Pakistan to digitalise record-keeping by frontline workers, provide evidence-based awareness content for dissemination, and track performance through transparency enhanced by geographical information system tracking. There has been a limited translation of mHealth evidence into policy change globally. Hayat is one of the few donor-funded programmes, and strengthens the health system in Pakistan. It secured matching funding from the government to sustain operations and for scale-up. The current paper was planned to describe the intrinsic and extrinsic factors that led to the intervention’s adoption by the government, including the technological and programmatic approaches, challenges and mitigation strategies, ---Continue https://jpma.org.pk/index.php/public_html/article/view/10624Child HealthInformation SystemsSustainable DevelopmentTelemedicineHealth policyHealth system
spellingShingle Saleem Sayani
Momina Muzammil
Malika Saba
Fayaz Roomi
Mirajuddin Miraj
Zeenat Sulaiman
Sustainability of a digital health intervention within Pakistan’s remote health system: learning from implementation research
Journal of the Pakistan Medical Association
Child Health
Information Systems
Sustainable Development
Telemedicine
Health policy
Health system
title Sustainability of a digital health intervention within Pakistan’s remote health system: learning from implementation research
title_full Sustainability of a digital health intervention within Pakistan’s remote health system: learning from implementation research
title_fullStr Sustainability of a digital health intervention within Pakistan’s remote health system: learning from implementation research
title_full_unstemmed Sustainability of a digital health intervention within Pakistan’s remote health system: learning from implementation research
title_short Sustainability of a digital health intervention within Pakistan’s remote health system: learning from implementation research
title_sort sustainability of a digital health intervention within pakistan s remote health system learning from implementation research
topic Child Health
Information Systems
Sustainable Development
Telemedicine
Health policy
Health system
url https://jpma.org.pk/index.php/public_html/article/view/10624
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AT malikasaba sustainabilityofadigitalhealthinterventionwithinpakistansremotehealthsystemlearningfromimplementationresearch
AT fayazroomi sustainabilityofadigitalhealthinterventionwithinpakistansremotehealthsystemlearningfromimplementationresearch
AT mirajuddinmiraj sustainabilityofadigitalhealthinterventionwithinpakistansremotehealthsystemlearningfromimplementationresearch
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