Salvato in:
| Autore principale: | |
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| Natura: | Preprint |
| Pubblicazione: |
2025
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| Soggetti: | |
| Accesso online: | https://arxiv.org/abs/2505.20585 |
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Sommario:
- Implementation of digital health systems in low-middle-income countries (LMICs) often fails due to a lack of evaluations that take into account infrastructure limitations, local policies, and community readiness. We introduce HOT-FIT-BR, a contextual evaluation framework that expands the HOT-FIT model with three new dimensions: (1) Infrastructure Index to measure electricity/internet availability, (2) Policy Compliance Layer to ensure regulatory compliance (e.g., Permenkes 24/2022 in Indonesia), and (3) Community Engagement Fit. Simulations at Indonesian Health Centers show that HOT-FIT-BR is 58% more sensitive to detecting problems than HOT-FIT, especially in rural areas with an Infra Index <3. The framework has also proven adaptive to the context of other LMICs such as India and Kenya through local parameter adjustments.