CC BY-NC-ND 4.0 · Yearb Med Inform 2022; 31(01): 354-364
DOI: 10.1055/s-0042-1742495
Information on IMIA Regional Groups

Middle East and North African Health Informatics Association (MENAHIA)

Inclusive Digital Health in MENA Region
Hassan Ghazal
1   Mohammed VI University of Health Sciences, Casablanca, Morocco
2   National Center for Scientific and Technical Research (CNRST), Rabat, Morocco
3   Moroccan Association for Telemedicine and eHealth, Rabat, Morocco
,
Abdulwahhab Alshammari
4   Health Informatics Department, College of Public Health and Health Informatics, King Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
5   King Abdullah International Medical Research Center (KAIMRC), Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia
,
Adel Taweel
6   Birzeit University, Birzeit, Palestine
,
Ahmed ElBokl
7   Ain Shams University Virtual Hospital, Cairo, Egypt
,
Chakib Nejjari
1   Mohammed VI University of Health Sciences, Casablanca, Morocco
8   Department of Epidemiology and Public Health, Faculty of Medicine, University Sidi Mohammed Ben Abdellah, Fez, Morocco
,
Dari Alhuwail
9   Information Science Department, College of Life Sciences, Kuwait University, Kuwait
10   Health Informatics Unit, Dasman Diabetes Institute, Kuwait
11   Farwaniya Hospital, Ministry of Health, Kuwait
,
Dena Al-Thani
12   College of Science and Engineering, Hamad Bin Khalifa University, Doha, Qatar
,
Eiman Al-Jafar
13   Kuwait Health Informatics Association, Kuwait
,
Hoda Wahba
7   Ain Shams University Virtual Hospital, Cairo, Egypt
,
Mohammed Alrishidi
13   Kuwait Health Informatics Association, Kuwait
,
Mounir Hamdi
12   College of Science and Engineering, Hamad Bin Khalifa University, Doha, Qatar
,
Mowafa Househ
12   College of Science and Engineering, Hamad Bin Khalifa University, Doha, Qatar
,
Osama El-Hassan
14   Health Informatics Specialist, Department of Health Informatics & Smart Health, Dubai Health Authority, Dubai, UAE
,
Sana Alnafrani
4   Health Informatics Department, College of Public Health and Health Informatics, King Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
5   King Abdullah International Medical Research Center (KAIMRC), Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia
,
Sharareh Rostam Niakan Kalhori
15   Department of Health Information Management, School of Allied Medical Sciences, Tehran University of Medical Sciences, Tehran, Iran
16   Peter L. Reichertz Institute for Medical Informatics (PLRI), Technical University of Braunschweig and Hannover Medical School, Braunschweig, Germany
,
Tamer Emara
7   Ain Shams University Virtual Hospital, Cairo, Egypt
,
Tanvir Alam
12   College of Science and Engineering, Hamad Bin Khalifa University, Doha, Qatar
,
Zineb El Otmani Dehbi
1   Mohammed VI University of Health Sciences, Casablanca, Morocco
,
Najeeb Al-Shorbaji
17   eHealth Development Association, Jordan, Amman, Jordan
› Author Affiliations

Summary

The region of the Middle East and North Africa (MENA) is diverse and retains a superior growth potential. It benefits from a privileged geographical location with big markets, a young and growing educated population, and competitive advantages in several industries. Regardless of their differences, countries face shared concerns, most notably in health. In response to the COVID-19 pandemic, MENA countries enact reforms to create a more robust and inclusive digital health systems to increase growth, development, and integrity. Throughout the coordinated containment and mitigation efforts, most of the countries have integrated digital technologies into the health systems. These procedures include digital government initiatives, the introduction of digital health training courses, live video surgeries and virtual patient monitoring, rural and remote telemedicine programs, and the development of a national electronic health records (EHR) system. Each country took necessary actions to address equity, literacy, and development of resilient health systems. The nine featured countries in this report illustrate the diversity among the MENA region and account for major opportunities and achievements as well as promises and challenges that “digital health” presents for its populations.



Publication History

Article published online:
02 June 2022

© 2022. IMIA and Thieme. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 United Nations. THE 17 GOALS: Sustainable Development. [cited 2021 November 16]. Available from: https://sdgs.un.org/goals
  • 2 Physiopedia. Assistive Technology and Sustainable Development Goals. [cited 2021 December]. Available from: https://www.physio-pedia.com/Assistive_Technology_and_Sustainable_Development_Goals
  • 3 World Health Organization. Sustainable Development Goals. [cited 2021 November 9]. Available from. https://www.who.int/health-topics/sustainable-development-goals#tab=tab_1
  • 4 Alami H, Rivard L, Lehoux P, Hoffman SJ, Mafalda Cadeddu SB, Savoldelli M, et al. Artificial Intelligence in Health Care: Laying the Foundation for Responsible, Sustainable, and Inclusive Innovation in Low- and Middle-Income Countries [cited 2021 November 20]. Available from: https://link.springer.com/article/10.1186/s12992-020-00584-1
  • 5 World Health Organization. Thirteenth General Programme of Work 2019-2023. [cited 2021 November 20]. Available from: https://www.who.int/about/what-we-do/thirteenth-general-programme-of-work-2019---2023
  • 6 World Health Organization. WHO Global Strategy on Digital Health 2020-2025: The Compass for SBC. [cited 2021 November 20]. Available from: https://www.thecompassforsbc.org/sbcc-tools/who-global-strategy-digital-health-2020-2025
  • 7 National Digital Inclusion Alliance. Definitions. [cited 2021 December 2]. Available from: https://www.digitalinclusion.org/definitions/
  • 8 Artiga S, Hinton E. Beyond Health Care: The Role of Social Determinants in Promoting Health and Health Equity. KFF (blog) 2018 May 10. Available from: https://www.kff.org/racial-equity-and-health-policy/issue-brief/beyond-health-care-the-role-of-social-determinants-in-promoting-health-and-health-equity/
  • 9 Raz D. The Arab World's Digital Divide, Arab Barometer 2020 Sep 25. [cited 2021 November 16]. Available from: https://www.arabbarometer.org/2020/09/the-mena-digital-divide/
  • 10 European Center for Digital Competitiveness. Digital Riser 2021. [cited 2021 November 20]. Available from: https://digital-competitiveness.eu/digitalriser/
  • 11 Ministry of Communications and Information Technology. [cited 2021 November 20]. Available from: https://mcit.gov.eg/en/Digital_Egypt
  • 12 Shouman S, Emara T, Saber HG, Allam MF. Awareness and attitude of healthcare workers towards Telehealth in Cairo, Egypt. Int J Clin Pract 2021 Jun;75(6):e14128.
  • 13 Sarwat H, Sarwat H, Maged SA, Emara TH, Elbokl AM, Awad MI. Design of a Data Glove for Assessment of Hand Performance Using Supervised Machine Learning. Sensors 2021;21(21):6948.
  • 14 Nasiripour AA, Rahmani H, Radfar R, Najafbeigi R. Effective elements on e-health deployment in Iran. African Journal of Business Management 2012;6(16):5543-50.
  • 15 Asadi F, Moghaddasi H, Rabiei R, Rahimi F, Mirshekarlou SJ. The evaluation of SEPAS national project based on electronic health record system (EHRS) coordinates in Iran. Acta Informa Med 2015;23(6):369.
  • 16 Shortliffe EH, Cimino JJ. Biomedical Informatics: Computer Applications in Health Care and Biomedicine. Springer; 2021.
  • 17 Mehdipour Y, Ebrahimi S, Khammarnia M, Alipour J, Karimi A. The Acceptance of Mobile Health Services by Physicians: The Case of Iran. Shiraz E Med J 2018;19(Suppl).
  • 18 Saeedi MG, Kalhori SRN, Nouria R, Yasini M, Nouri R, Yasini M. Persian mHealth apps: A cross sectional study based on use case classification. Stud Health Technol Inform 2016;228:230-4.
  • 19 Ghazisaeidi M, Ahmadi M, Sadoughi F, Safdari R. An assessment of readiness for pre-implementation of the electronic health record in Iran: a practical approach to implementation in general and teaching hospitals. Acta Med Iran 2014:532-44.
  • 20 Gholamhosseini L, Ayatollahi H. The design and application of an e-health readiness assessment tool. Health Inf Manag 2017;46(1):32-41.
  • 21 Mirani N, Ayatollahi H, Haghani H. A survey on barriers to the development and adoption of electronic health records in Iran. Journal of Health Administration (JHA) 2013;15(50).
  • 22 Ahmadi M, Foozonkhah S, Shahmoradi L, Mahmodabadi A. Messaging standard requirements for electronic health records in the Islamic Republic of Iran: a Delphi study. East Mediterr Health J 2016;22(11):794-801.
  • 23 Khajouei R, Abbasi R, Mirzaee M. Errors and causes of communication failures from hospital information systems to electronic health record: a record-review study. Int J Med Inform 2018;119:47-53.
  • 24 The National Strategy for Health Sector in Jordan 2015- 2019. Amman: Higher Health Council; 2019.
  • 25 Electronic Health Solutions (EHS). [cited 2021 November 20]. Available from: https://ehs.com.jo/hakeem-program
  • 26 Raheja K, Dubey A, Chawda R. Data analysis and its importance in health care. Int J Comput Trends Technol 2017;48(4):176-80.
  • 27 Tara M, Adel T, Dari A, Al Thani DA, Al-Jafar E, Abu Hamra E, et al. Middle East and North African Health Informatics Association (MENAHIA). Yearb Med Inform 2021:328”34.
  • 28 Sihaty - يتحص Securely Connects You and Your Family to Carefully Selected Healthcare Providers to Get Advice or a Diagnosis via Video or Phone Consultations, Fill Medication Prescriptions and Have Them Delivered to Your Home. [cited 2021 November 16]. Available from: https://www.sihaty.com/
  • 29 Khadadah F, Al-Shammari AA, Alhashemi A, Alhuwail D, Al-Saif B, Alzaid SN, et al. The Effects of Non-Pharmaceutical Interventions on SARS-CoV-2 Transmission in Different Socioeconomic Populations in Kuwait: A Modeling Study. [cited 2021 November 16]. Available from: https://link.springer.com/article/10.1186/s12889-021-10984-6
  • 30 The World Bank. Individuals Using the Internet (% of Population) - Morocco: Data. [cited 2021 November 9]. Available from: https://data.worldbank.org/indicator/IT.NET.USER.ZS?locations=MA
  • 31 African Development Bank Group. Morocco Making Giant Strides in Electrification. African Development Bank - Building today, a better Africa tomorrow. African Development Bank Group; Jan 25 2019. Available from: https://www.afdb.org/en/news-and-events/morocco-making-giant-strides-in-electrification-18376
  • 32 Moroccan Ministry of Health. Note d'Orientations Générales pour le développement du Digital au Maroc à horizon 2025; 2020 Apr. Available from.:https://add.gov.ma/storage/pdf/Avril_NOG_ADD_fr_SITE_VF.pdf
  • 33 Moroccan Ministry of Health. Note d'Orientations Générales pour le développement du Digital au Maroc à horizon 2025; 2020 Mar.
  • 34 El Otmani Dehbi Z, Sedrati H, Chaqsare S, Idrissi Azami A, Merzouki M, Raji M., et al. Moroccan Digital Health Response to the COVID-19 Crisis. Front Public Health 2021;9:1105.
  • 35 Tbib24: Médecin En Vidéo et Rendez-Vous, Pédiatre, Cardiologue. [cited 2021 December 9]. Available from: https://www.tbib24.com/
  • 36 Taleb,Y. Le Maroc à La Pointe de La Télémédecine En Afrique. [cited 2021 November 20]. Available from: http://www.menara.ma/fr/article/le-maroc-a-la-pointe-de-la-telemedecine-en-afrique
  • 37 Nuber D, Asa Nordgren Trice Imaging Inc. Qualcomm Mobile Ultrasound Patrol Project. Morocco. [cited 2021 November 9]. Available from: https://www.qualcomm.com/media/documents/files/morocco-mobile-ultrasound-patrol-project.pdf
  • 38 Lancement d'un site de télémédecine au centre de santé de Zaouïat Ahensal dans la province d'Azilal. Le Matin. [cited 2021 August 15]. Available from: https://lematin.ma/journal/2018/lancement-site-telemedecine-centre-sante-zaouiat-ahensal-province-azilal/303329.html
  • 39 Mackay C. Morocco: A Telehealth Success Story. The Parliament Magazine. [cited 2021 December 16]. Available from: https://www.theparliamentmagazine.eu/news/article/morocco-a-telehealth-success-story
  • 40 Jabareen H, Khader Y, Taweel A. Health information systems in Jordan and Palestine: the need for health informatics training. East Mediterr Health J. 2020 Nov 11;26(11):1323-30.
  • 41 Breil B, Kremer L, Taweel A, Lux T. A comparative literature analysis of the Health Informatics curricula. In: Proceedings of the 2018 IEEE/ACS 15th International Conference on Computer Systems and Applications (AICCSA). IEEE; 2018. p. 1-4.
  • 42 Arab American University. [cited 2020 September 15]. Available from: https://www.aaup.edu/Academics/Graduate-Studies/Faculty-Graduate-Studies/Health-Sciences-Department/Master-Health-Informatics
  • 43 World Health Organisation Regional Office for the Eastern Mediterranean. The Palestinian National Institute of Public Health. [cited 2021 November 15]. Available from: http://www.emro.who.int/pse/programmes/opt-national-institute-public-health.html
  • 44 The Palestinian National Institute of Public Health. [cited 2021 November 15]. Available from: https://www.pniph.org/en
  • 45 District Health Information Software 2. [cited 2021 November 15]. Available from: https://dhis2org
  • 46 DHIS2 tracker e-Registry in Palestine. [cited 2021 November 15]. Available from: https://dhis2.org/palestine-tracker-user-story/
  • 47 Palestinian Health Information Center. Health Annual Report: Palestine 2018. [cited 2021 November 15]. Available from: http://healthclusteropt.org/admin/file_manager/uploads/files/1/Health%20Annual%20Report%20Palestine%202018.pdf
  • 48 Palestinian Health Information system (HIS). [cited 2021 November 15]. Available from: https://pdf.usaid.gov/pdf_docs/PA00WCWP.pdf.
  • 49 Istishari Arab Hospital. [cited 2021 November 15]. Available from: http://www.iah.ps/index.php/en/.
  • 50 Ministry of Public Health. National Health Strategy 2011-2016. State of Qatar; 2010. Available from: https://extranet.who.int/nutrition/gina/sites/default/filesstore/QAT%202011%20National%20Health%20Strategy.pdf
  • 51 General Secretariat for Development Planning. Qatar national vision 2030; 2008. Available from: https://www.mdps.gov.qa/en/qnv1/pages/default.aspx
  • 52 Ministry of Public Health. Qatar National Dementia Plan 2018-2022; 2017. Available From: https://www.moph.gov.qa/english/strategies/Supporting-Strategies-and-Frameworks/QatarNationalDementiaPlan/Pages/default.aspx
  • 53 Ministry of Public Health. Qatar National Autism Plan 2017-2021; 2016. Available from: https://www.moph.gov.qa/english/strategies/Supporting-Strategies-and-Frameworks/Pages/Qatar-National-Autism-Plan.aspx
  • 54 Ministry of Public Health. National Mental Health & Wellbeing Strategic Framework 2019-2022; 2016. Available from: https://www.moph.gov.qa/english/strategies/Supporting-Strategies-and-Frameworks/SummaryNationalMentalHealthFramework2019-2022/Pages/default.aspx
  • 55 Ministry of Administrative Development, Labour and Social Affairs and the Ministry of Public Health. Occupational safety and health policy in the state of Qatar; 2020. Available from: https://www.adlsa.gov.qa/en/Labour/Attachments/Occupational%20Safety%20and%20Health%20Policy%20in%20the%20State%20of%20Qatar.pdf
  • 56 Supreme Council of Information and Communication Technology (ictQATAR). Qatar's e-Accessibility Policy; 2011. Available from: https://www.motc.gov.qa/en/documents/document/qatar%E2%80%99s-e-accessibility-policy
  • 57 Qatar National Research Fund. National Priorities Research Program;2020. Available from: https://www.qnrf.org/en-us/Funding/Research-Programs/National-Priorities-Research-Program-NPRP
  • 58 Ministry of Public Health Special Needs eLearning (Autism eLearning) Platform; 2020. Available from: https://autismelearning.moph.gov.qa/
  • 59 Al-Thani D, Hassan A, Chalghoumi H, Othman A, Hammad S. Addressing the Digital Gap for the Older Persons and their caregivers in the State of Qatar: A Stakeholders' Perspective. In: Proceedings of the 8th International Conference of ICT and Accessibility 2020, Tunisia (Accepted).
  • 60 Saudi Arabia General Authority for Statistics ICT Access and Usage of Households | General Authority for Statistics. [cited 2021 December 27]. Available from: https://www.stats.gov.sa/en/952
  • 61 General Authority for Statistics. ICT Access and Usage of Establishments; 2018. [cited 2021 December 27]. Available from: https://www.stats.gov.sa/en/963.
  • 62 ESCP Business School Digital Riser Report-2020; 2020.
  • 63 ESCUP Busniess School. Digital Riser Report-2021; 2021.
  • 64 Ministry of Health – Kingdom of Saudi Arabia National E- Health Strategy - MOH Vision for E-Health. [cited 2021 December 27]. Available from: https://www.moh.gov.sa/en/Ministry/nehs/Pages/default.aspx
  • 65 MoHCDGEC. Digital health strategy; 2020.
  • 66 Saudi Arabia Ministry of Health. Apps for your health – Protect against COVID-19. [cited 2021 December 27]. Available from: https://covid19awareness.sa/en/apps-for-your-health-2
  • 67 Saudi Arabia Ministry of Health. Ministry Statistics. Saudi Arabia Ministry of Health Portal. [cited 2021 December 28]. Available from: https://www.moh.gov.sa/en/Pages/default.aspx
  • 68 Saudi Data & AI Authority (SDAIA) Tawakkalna. [cited 2021 December 28]. Available from: https://ta.sdaia.gov.sa/en/index
  • 69 Alsuwaidi AR, Al Hosani FI, ElGhazali G, Al-Ramadi BK. The COVID-19 response in the United Arab Emirates: challenges and opportunities. Nat Immunol 2021;22(9):1066”7.
  • 70 NABIDH | ضبان. [cited 2021 November 20]. Available from: https://nabidh.ae/#/comm/landing
  • 71 United Araba Emirates Ministry of Health and Prevention. Transforming the UAE Healthcare Landscape. [cited 2021 November 20]. Available from: https://riayati.mohap.gov.ae/
  • 72 GeoPoll. Mobile Penetration and Mobile Internet in Egypt. May 4, 2021. Available from: https://www.geopoll.com/blog/egypt-mobile-penetration/
  • 73 Statista. Smartphone Market in MENA. Statistics and facts. Accessed November 22, 2021. Available from: https://www.statista.com/topics/5338/smartphone-market-in-mena/