Digitalization of health care in low- and middle-income countries

Numérisation des soins de santé dans les pays à revenu faible et intermédiaire
Digitalización de la atención sanitaria en países de ingresos bajos y medios
Monlezun D.J. Omutoko L. Oduor P. Kokonya D. Rayel J. Sotomayor C. Girault M.I. De los Ríos Uriarte M.E. Sinyavskiy O. Aksamit T. Dugani S.B. Garcia A. Gallagher C.
2025 World Health Organization

Bulletin of the World Health Organization
2025 #103 Issue 2 148 - 154 pp.

The rising incidence of noncommunicable diseases, combined with the costs of mitigating climate change, sovereign debt and regional conflicts, is undermining global health security and threatening progress towards achieving the sustainable development goals of the United Nations. The negative impact of these polycrises is disproportionately borne by low-and middle-income countries, which have the highest disease burden and lowest health-care spending. Health digitalization is emerging as a promising countermeasure, accelerated by artificial intelligence (AI) software and quantum computing hardware. We provide a multisector critical analysis of the three key enablers – governance, infrastructure and security – of the responsible AI-enabled digitalization for safe, affordable, equitable and sustainable health-care systems in low-and middle-income countries. We consider leading use cases in public–private partnerships, democratized sovereign AI and embedded human security. Our analysis proposes that these use cases demonstrate how digital AI-accelerated global health may be advanced as human-centred managed strategic competition. We conducted our analysis through an inclusive range of theoretical perspectives and practical experience spanning academia, industry and practice across the world. We provide recommendations for the responsible management of the key enablers to accelerate global health for all. We anticipate that this paper will be useful for public health decision-makers, both in low-and middle-income countries leading local health digitalization, and in high-income countries supporting this transaction through their technologies, funding and knowledge exchange.

Text of the article Перейти на текст статьи

Division of Hospital Internal Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, United States
Department of Educational Management, Policy and Curriculum Studies, University of Nairobi, Nairobi, Kenya
Clinical Trials Unit, University of Global Health Equity, Kigali, Rwanda
School of Medicine, Masinde Muliro University, Kakamega, Kenya
College of Science, Bicol University, Legazpi City, Philippines
Pellegrino Center for Clinical Bioethics, Georgetown University, Washington, DC, United States
Faculty of Bioethics, Universidad Anahuac México, Mexico City, Mexico
Department of Public Health, Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan
Division of Pulmonary Medicine and Critical Care Medicine, Mayo Clinic, Rochester, United States
School of Bioethics, Ateneo Pontificio Regina Apostolorum, Rome, Italy

Division of Hospital Internal Medicine
Department of Educational Management
Clinical Trials Unit
School of Medicine
College of Science
Pellegrino Center for Clinical Bioethics
Faculty of Bioethics
Department of Public Health
Division of Pulmonary Medicine and Critical Care Medicine
School of Bioethics

10 лет помогаем публиковать статьи Международный издатель

Книга Публикация научной статьи Волощук 2026 Book Publication of a scientific article 2026