Best Practices and Lessons Learned in eHealth in Four Low and Lower Middle-Income Countries in Africa

Studying best practices and lessons learned is important to improve performance and avoid previous mistakes of projects and interventions. In this paper, the analysis of ehealth interventions in four African Low and Lower Middle-Income Countries, Ethiopia, Ghana, Malawi and Tunisia is performed to extract best practices and lessons learned. A two-level evaluation methodology is proposed, where the first level is based on data available on the Global Digital Health Index platform, and the second level is a qualitative analysis based on a set of criteria. The findings obtained reveal 7 best practices and associated lessons learned in the studied countries. Although the extracted best practices represent successful interventions, the analysis indicates that certain aspects represent challenges to their success, namely, sustainability, transferability, innovation and impact.