eHealth for sexual and reproductive health has challenges
As a solution for better health, eHealth may not always be straightforward. A team from Mexico and Colombia reviewed the evidence for eHealth and Sexual and Reproductive Health (SRH) and found clear progress for eHealth for SRH in Latin America and the Caribbean (LAC), many persistent institutional and technological challenges too, and the need for more studies should test eHealth’s beneficial effects on improving access to SRH services. It has an important value for Africa’s health systems and their strategies and plan for eHealth in SRH.
The team describes its study in an article in the Journal of Public Health Policy, Health information technologies for sexual and reproductive health: Mapping the evidence in Latin America and the Caribbean. It includes an evidence map of articles published between 2005 and 2015 about using eHealth to enhance SRH services in LAC countries. Most documents retrieved correspond to information provided by technology developers and primarily for sexually transmitted infection prevention and adolescent health.
Maternal mortality rates in LAC have dropped by 38% over the past 15 years. Despite this success, LAC faces many challenges in guaranteeing good quality and affordable SRH services, including controlling HIV infection in vulnerable groups, reducing adolescent pregnancies, and high caesarean section delivery rates. eHealth’s widely proposed as an element of a complementary strategy to strengthen health systems.
There’s a substantial number and type of eHealth and mHealth services available. The percentage distribution across eHealth from the 31 reports included in the study shows SMS and websites as the most used for SRH.
There were five main health categories in the review, but they’re not mutually exclusive because eHealth covers more than one. HIV is set apart as the main emphasis.
About two-thirds of the studies focused on free eHealth. Their distribution across SHR service access priority group focus was wide. The international priority was greatest, communities second.
The study provides a valuable eHealth status for SRH and a foundation to build from for the next stages of eHealth development. There’s more to do. The report shows that the LAC’s recent efforts to increase the use of eHealth for SRH isn’t derived from a general strategy to expand and evaluate eHealth’s use. Learning from successes in other developing countries should be part of the next steps. This’s good advice for Africa’s health systems too.