title: Evaluation of Health IT in Low-Income Countries.
abstract: Low and middle income countries (LMICs) bear a disproportionate burden of major global health challenges. Health IT could be a promising solution in these settings but LMICs have the weakest evidence of application of health IT to enhance quality of care. Various systematic reviews show significant challenges in the implementation and evaluation of health IT. Key barriers to implementation include lack of adequate infrastructure, inadequate and poorly trained health workers, lack of appropriate legislation and policies and inadequate financial 333indicating the early state of generation of evidence to demonstrate the effectiveness of health IT in improving health outcomes and processes. The implementation challenges need to be addressed. The introduction of new guidelines such as GEP-HI and STARE-HI, as well as models for evaluation such as SEIPS, and the prioritization of evaluations in eHealth strategies of LMICs provide an opportunity to focus on strategic concepts that transform the demands of a modern integrated health care system into solutions that are secure, efficient and sustainable.
authors.affiliation: U.S. Centers for Disease Control and Prevention - Division of Global HIV & TB, Nairobi, Kenya.
authors.forename: Tom
authors.initials: T
authors.lastname: Oluoch
authors.affiliation: Department of Medical Informatics, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
authors.forename: Nicolet F
authors.initials: NF
authors.lastname: de Keizer
mesh_terms: D003906:Developing Countries; D005069:Evaluation Studies as Topic; D017408:Guidelines as Topic; D006282:Health Personnel / Q000592:standards; D006801:Humans; D008490:Medical Informatics / Q000191:economics / Q000331:legislation & jurisprudence / Q000379:methods / Q000458:organization & administration*; D012196:Review Literature as Topic; D017216:Telemedicine / Q000379:methods