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    A tale of ‘politics and stars aligning’: Analysing the sustainability of scaled up digital tools for front-line health workers in India

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    Date
    2021
    Author
    Singh, Neha S
    Scott, Kerry
    LeFevre, Amnesty Elizabeth
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    Abstract
    India has become a lighthouse for largescale digital innovation in the health sector, particularly for front-line health workers (FLHWs). However, among scaled digital health solutions, ensuring sustainability remains elusive. This study explores the factors underpinning scale-up of digital health solutions for FLHWs in India, and the potential implications of these factors for sustainability.We assessed five FLHW digital tools scaled at the national and/or state level in India. We conducted in-depth interviews with implementers, technology and technical partners (n=11); senior government stakeholders (n=5); funders (n=1) and evaluators/academics (n=3). Emergent themes were grouped according to a broader framework that considered the (1) digital solution; (2) actors; (3) processes and (4) context.
    URI
    10.1136/bmjgh-2021-005041
    http://hdl.handle.net/10566/6605
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