Joses Muthuri Kirigia|Anthony Theophilus Seddoh|Doris Gatwiri|Lenity H K Muthuri|Janet Seddoh
E-health: Determinants, opportunities, challenges and the way forward for countries in the WHO African Region
World Health Organization Regional Office for Africa|World Health Organization Regional Office for Africa|UNSW Sydney|Kenyatta University
abstract background implementation 58 th world health assembly resolution ehealth pose major challenge member states world health organization african region due lack information communications technology ict mass internet connectivity compounded paucity ictrelated knowledge skills key objectives article explore key determinants personal computers pcs telephone mainline cellular internet penetrationconnectivity african region ii propose actions needed create enabling environment ehealth services growth utilization region methods effects school enrolment per capita income governance variables number pcs telephone mainlines cellular phone subscribers internet users estimated using doublelog regression model crosssectional data various member states african region analysis based 45 46 countries comprise region data obtained united nations development programme undp world bank international telecommunications union itu sources results number main findings adult literacy total number internet users statistically significant 5 level tdistribution test positive effect number pcs country ii combined school enrolment rate per capita income statistically significant direct effect number telephone mainlines cellular telephone subscribers iii regulatory quality statistically significant negative effect number telephone mainlines iv similarly combined school enrolment ratio number telephone mainlines statistically significant positive relationship internet usage v major inequalities ict connectivity uppermiddle lowermiddle low income countries region focusing adoption specific technologies attempted interpret correlates terms relationships instead absolute causals conclusion order improve access health care especially majority africans living remote rural areas need boost availability utilization ehealth services thus universal access ehealth ought vision countries african region country ought develop road map strategic ehealth plan time enable citizens realize vision