Publication:
Transforming Health Care in Lesotho: Using Digital Health to Overcome Health System Challenges

Loading...
Thumbnail Image
Files in English
English PDF (5.04 MB)
123 downloads
English Text (407.95 KB)
11 downloads
Date
2025-01-21
ISSN
Published
2025-01-21
Author(s)
Editor(s)
Abstract
Healthcare access and service delivery quality have been a persistent challenge in Lesotho. The COVID-19 pandemic has added new challenges and opportunities for change. Among those changes is the need to include digital health solutions and think about how new digital health interventions can enhance efficiency and transform the way primary healthcare is being provided or delivered in the country. This report, prepared by the World Bank for Lesotho’s Ministry of Health, documents the outcome of an assessment of Lesotho’s digital health system using a unique digital health assessment toolkit produced by the World Bank. The agreed objectives of the assessment were to 1) clarify the current digital health landscape in Lesotho, 2) develop a maturity score for Lesotho’s digital health system, 3) define the strengths, weaknesses, opportunities, and threats (SWOT) facing digital health in Lesotho and 4) Using the results of the assessment, provide recommendations and a phased roadmap of action to define the key strategic actions to move Lesotho’s digital health ecosystem to the next phase of its evolution. Based on the assessment results, 16 strategic recommendations have been made on foundational, functional, and frontier investments to advance the digital health agenda and improve service delivery. The prioritization of the actions has been based on this set of criteria: the most urgent to support PHC transformation, the incomplete actions from the current draft of the e-Health Strategy (2019-2023), and those with the most important long-term impact. This report is a call to action to upgrade the current eHealth strategy to a comprehensive digital health strategy with priority interventions, a costed implementation plan, and provisions for future impact assessment geared toward delivering better health in a digital world.
Link to Data Set
Citation
World Bank. 2025. Transforming Health Care in Lesotho: Using Digital Health to Overcome Health System Challenges. © World Bank. http://hdl.handle.net/10986/42702 License: CC BY 4.0 IGO.
Associated URLs
Associated content
Report Series
Other publications in this report series
Journal
Journal Volume
Journal Issue

Related items

Showing items related by metadata.

  • Publication
    Consolidation and Transparency : Transforming Tunisia’s Health Care for the Poor
    (World Bank, Washington DC, 2013-01) Arfa, Chokri; Elgazzar, Heba
    Since the 2011 popular revolution in Tunisia, calls for a new social contract have been made to improve social inclusion, including addressing gaps in health care coverage for the vulnerable households. This paper evaluates Tunisia's Free Medical Assistance for the Poor (FMAP) and seeks to identify opportunities to improve universal coverage in Tunisia. The study focuses on the structural and institutional framework of health care coverage for the poor in Tunisia in terms of strengths, weaknesses, and recommendations for achieving universal coverage. The paper reviews Tunisia's health financing and delivery system with a special emphasis on FMAP, and analyzes the main structural and targeting challenges the program faces. The distinctive characteristic of this paper is the focus on institutional design and organizational practice of FMAP. The legal and regulatory framework is assessed in terms of management, beneficiary targeting methods, benefits package, and the information environment. Section 2 provides an overview of health financing and service delivery in Tunisia, including the relationship between the FMAP and the main financing schemes. Section 3 describes key supply-side issues in terms of primary health care provision for the poor. Section 4 assesses the institutional framework of the FMAP in greater detail and its linkages to the health care delivery system. Section 5 focuses on beneficiary selection and targeting methods under the FMAP. Section 6 examines public financial management under the FMAP, which is followed by a discussion in Section 7 of the benefits package. Sections 8 and 9 describe the information environment of the FMAP and how this links to the special focus of future financing reforms. The concluding section discusses the pending agenda and priorities for the FMAP moving forward.
  • Publication
    Older People’s Health and Long-Term Care During COVID-19
    (World Bank, Washington, DC, 2023-12-06) Kim, Hongsoo
    This policy note examines the major impacts of COVID-19 on various aspects of older peoples’ lives and health and long-term care (LTC) systems. It also provides a close review and analysis of public health measures and their impact in seven countries: Japan, Germany, Republic of Korea (Korea), Thailand, Vietnam, the United Kingdom (UK, specifically England), and the United States (US). Globally, older people have been one of the most affected groups during the pandemic. An adequate response to the impact was neglected or delayed in many countries, hence there is a critical need for systems to be more prepared. To better protect the increasing population of older people with complex health and care needs under the current prolonged pandemic, as well as during future ones, countries with limited resources should continue to strengthen their extant community-based care systems and foster the engagement of families and civil society in elder care. These countries also need to establish formal LTC systems and increase financial and workforce capacities of their systems. Care innovations through digitalization can provide useful tools to improve system efficiency and coverage, but better evidence and further policy efforts are necessary for effective use of these tools in the development of inclusive and integrated health and care systems resilient to future pandemics. Quality, timely, comparable data is crucial to support policy making and evaluation of aged-care systems promoting the health and well-being of later life for all.
  • Publication
    Ayushman Bharat Digital Mission’s Integrated Digital Health Ecosystem is the Foundation of Universal Citizen-Centered Health Care in India
    (Washington, DC: World Bank, 2025-01-21) World Bank
    The COVID-19 pandemic ushered in the need for accelerated digitization of health care across the globe. The Government of India amply demonstrated their digital prowess in their response to the pandemic by building Digital Public Goods (DPGs) that leverage several standalone initiatives to develop an integrated national digital health ecosystem. The aim of this ecosystem is to support Universal Health Coverage through the provision of real-time data, information and infrastructure using open-source, interoperable, standards-based digital systems. In the last decade, digital public infrastructure within India has expanded exponentially. Several initiatives like the digital identity system known as Aadhaar (for unique identification), and the Unified Payments Interface have become central to India’s public service delivery architecture. The Unified Payments Interface has transformed heterogeneous payment modalities by aggregating them under one easy to use, highly secure mobile-based system for money transfer. Mobile and internet connections have expanded at a fast pace and penetrated ever deeper into rural areas. Currently over 572,000 villages out of 597,000 have mobile or network connectivity. There are nearly 1.2 billion mobile subscribers, 800 million internet users, and 510 million smartphone users. This expansion can be attributed to the cost of mobile and internet connections dropping substantially, allowing for increased digital access across the country. Within the public digital infrastructure, there are 1.24 billion unique Aadhar digital IDs in place, and it is estimated that nearly 10 billion plus eKYC (Know Your Client) transactions and 2.64 billion Unified Payments Interface transactions take place monthly. This infrastructure forms the basis of the Ayushman Bharat Digital Mission (ABDM).
  • Publication
    The Role of Faith-inspired Health Care Providers in Sub-Saharan Africa and Public-Private Partnerships : Strengthening the Evidence for Faith-inspired Health Engagement in Africa, Volume 1
    (World Bank, Washington, DC, 2012-11) Olivier, Jill; Wodon, Quentin; Olivier, Jill; Wodon, Quentin
    This role of faith-inspired health care providers in sub-saharan Africa and public-private partnerships is comprised of a three volume series on strengthening the evidence for faith inspired engagement in health in sub-Saharan Africa. An increasing level of interest in the role of faith in development has generated much debate and dialogue at the international and national levels over the last decade. Despite difficulties in communication and differences in cultures within such debates, there has been a continued reaffirmation of the potential benefits that faith-inspired communities can bring towards efforts to achieve the millennium development goals (MDGs), especially in the areas of health. This series focuses on assessing the role and market share of faith-inspired providers and on assessing the extent to which they are involved in and benefit from public-private partnerships. The purpose of this series of three HNP discussion papers is to round up various analytical perspectives and emerging research on faith engagement in health in Africa from a range of researchers and practitioners from the north as well as the south. The series is structured into three volumes: a first volume on the role and market share of faith-inspired providers and public-private partnerships, a second on satisfaction and the comparative nature of faith-inspired health provision, and the third on mapping of faith inspired provision and the extent to which faith-inspired providers reach to the poor.
  • Publication
    Don’t Let a Crisis Go to Waste
    (World Bank, Washington, DC, 2020-06) World Bank
    Vietnam has the unique opportunity to take advantage of the COVID-19 crisis. While the future is hard to predict, most would agree that the world will look very different in the post coronavirus era. There will be a notable reshaping of global value chains. Similarly, the development of contact-free services, telemedicine, and e-commerce will accelerate requiring fast adaptation of existing digital systems. Lastly, the importance and value of human life will increase as more governments prioritize the inclusion of the wellbeing of future generation in policy making. The ongoing transformation of the global economy provides the opportunity for Vietnam to take important policy actions and move faster toward its goal of becoming a high-income economy. We recommend five concrete pathways on which Vietnam can build on: tapping into the new global trading system, promoting digital payments for a new business model, promoting telemedicine, enhanced information sharing for increased resilience, and aiming for a low-carbon economy.

Users also downloaded

Showing related downloaded files

  • Publication
    World Development Report 2019
    (Washington, DC: World Bank, 2019) World Bank
    Work is constantly reshaped by technological progress. New ways of production are adopted, markets expand, and societies evolve. But some changes provoke more attention than others, in part due to the vast uncertainty involved in making predictions about the future. The 2019 World Development Report will study how the nature of work is changing as a result of advances in technology today. Technological progress disrupts existing systems. A new social contract is needed to smooth the transition and guard against rising inequality. Significant investments in human capital throughout a person’s lifecycle are vital to this effort. If workers are to stay competitive against machines they need to train or retool existing skills. A social protection system that includes a minimum basic level of protection for workers and citizens can complement new forms of employment. Improved private sector policies to encourage startup activity and competition can help countries compete in the digital age. Governments also need to ensure that firms pay their fair share of taxes, in part to fund this new social contract. The 2019 World Development Report presents an analysis of these issues based upon the available evidence.
  • Publication
    Zimbabwe
    (World Bank, Washington, DC, 2019-03-01) World Bank
    This report presents an assessment of Zimbabwe’s agriculture sector disaster risk and management capacity. The findings indicate that Zimbabwe is highly exposed to agricultural risks and has limited capacity to manage risk at various levels. The report shows that disaster-related shocks along Zimbabwe’s agricultural supply chains directly translate to volatility in agricultural GDP. Such shocks have a substantial impact on economic growth, food security, and fiscal balance. When catastrophic disasters occur, the economy absorbs the shocks, without benefiting from any instruments that transfer the risk to markets and coping ability. The increasing prevalence of ‘shock recovery-shock’ cycles impairs Zimbabwe’s ability to plan and pursue a sustainable development path. The findings presented here confirm that it is highly pertinent for Zimbabwe to strengthen the capacity to manage risk at various levels, from the smallholder farmer, to other participants along the supply chain, to consumers (who require a reliable, safe food supply), and ultimately to the government to manage natural disasters. The assessment provides the following evidence on sources of risks and plausible risk management solutions. It is our hope that the report contributes to action by the Government of Zimbabwe to adopt a proactive and integrated risk management strategy appropriate to the current structure of the agricultural sector.
  • Publication
    Ten Steps to a Results-Based Monitoring and Evaluation System : A Handbook for Development Practitioners
    (Washington, DC: World Bank, 2004) Zall Kusek, Jody; Rist, Ray C.
    An effective state is essential to achieving socio-economic and sustainable development. With the advent of globalization, there are growing pressures on governments and organizations around the world to be more responsive to the demands of internal and external stakeholders for good governance, accountability and transparency, greater development effectiveness, and delivery of tangible results. Governments, parliaments, citizens, the private sector, Non-governmental Organizations (NGOs), civil society, international organizations, and donors are among the stakeholders interested in better performance. As demands for greater accountability and real results have increased, there is an attendant need for enhanced results-based monitoring and evaluation of policies, programs, and projects. This handbook provides a comprehensive ten-step model that will help guide development practitioners through the process of designing and building a results-based monitoring and evaluation system. These steps begin with a 'readiness assessment' and take the practitioner through the design, management, and importantly, the sustainability of such systems. The handbook describes each step in detail, the tasks needed to complete each one, and the tools available to help along the way.
  • Publication
    Supporting Youth at Risk
    (World Bank, Washington, DC, 2008) Cohan, Lorena M.; Cunningham, Wendy; Naudeau, Sophie; McGinnis, Linda
    The World Bank has produced this policy Toolkit in response to a growing demand from our government clients and partners for advice on how to create and implement effective policies for at-risk youth. The author has highlighted 22 policies (six core policies, nine promising policies, and seven general policies) that have been effective in addressing the following five key risk areas for young people around the world: (i) youth unemployment, underemployment, and lack of formal sector employment; (ii) early school leaving; (iii) risky sexual behavior leading to early childbearing and HIV/AIDS; (iv) crime and violence; and (v) substance abuse. The objective of this Toolkit is to serve as a practical guide for policy makers in middle-income countries as well as professionals working within the area of youth development on how to develop and implement an effective policy portfolio to foster healthy and positive youth development.
  • Publication
    The Power of Survey Design : A User's Guide for Managing Surveys, Interpreting Results, and Influencing Respondents
    (Washington, DC: World Bank, 2006) Iarossi, Giuseppe
    The vast majority of data used for economic research, analysis, and policy design comes from surveys-surveys of households, firms, schools, hospitals, and market participants, and, the accuracy of the estimate will depend on how well the survey is done. This innovative book is both a 'how-to' go about carrying out high-quality surveys, especially in the challenging environment of developing countries, and a 'user's guide' for anyone who uses statistical data. Reading this book will provide data users with a wealth of insight into what kinds of problems, or biases to look for in different data sources, based on the underlying survey approaches that were used to generate the data. In that sense the book is an invaluable 'skeptics guide to data'. Yet, the broad storyline of the book is something that should be absorbed by statistical data users. The book will teach and show how difficult it often is to obtain reliable estimates of important social and economic facts, and, therefore encourages you to approach all estimates with sensible caution.