ReviewDigital health
Mapping inequities in digital health transformation within Ethiopia's primary health care system using PROGRESS-plus: Scoping review.
Review in Digital health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- Bias and Fairness Across the Healthcare AI Lifecycle: A Clinician-Oriented Review.Balkan medical journal · 2026Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objectives: Digital health technologies (DHTs) are recognized by the World Health Organization (WHO) as essential to achieving Universal Health Coverage, yet major equity gaps persist in low-resource settings such as Ethiopia. This scoping review applies the PROGRESS-Plus framework to examine how overlapping social identities (e.g., gender, residence, and income) shape inequities in access to, use of, and engagement with DHTs in Ethiopia's primary healthcare (PHC) system. Methods: Following Arksey and O'Malley's framework enhanced by Levac et al. and reported using PRISMA-ScR 2020 guidelines. Searches were conducted in PubMed, Scopus, Web of Science, EMBASE, Google Scholar, and grey-literature sources for studies published between 2015 and 2025. Eligibility criteria were guided by the PCC framework, focusing on digital health interventions (DHIs) within Ethiopia's PHC system with explicit equity relevance. Data were extracted, charted, and synthesized using the PROGRESS-Plus framework, supported by thematic analysis, descriptive statistics, and integration with the WHO digital health intervention taxonomy and the NASSS implementation framework. Results: Twenty-one studies met inclusion criteria. Digital health inequities consistently clustered around residence, education, socioeconomic status, gender, occupation, and marginalized-group status. Structural barriers, poor connectivity, limited devices, and inadequate digital health skills, disproportionately affected rural and pastoralist communities. Advanced digital health tools (AI, telemedicine, EMRs) were largely restricted to urban and better-resourced settings. Engagement was shaped by cultural and linguistic relevance, trust, peer support, and institutional readiness. Conclusion: Digital transformation in Ethiopia's PHC system remains constrained by intersecting social determinants. Applying PROGRESS-Plus demonstrates that technological expansion alone cannot ensure equitable uptake. Equity-centered digital strategies, emphasizing infrastructure, contextualized design, capacity building, and inclusive governance, are essential for meaningful and sustainable digital health transformation adoption across all populations.
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What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.