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User-Centered Design of an Electronic Dashboard for Monitoring Facility-Level Basic Emergency Obstetric Care Readiness in Amhara, Ethiopia: Mixed Methods Study

User-Centered Design of an Electronic Dashboard for Monitoring Facility-Level Basic Emergency Obstetric Care Readiness in Amhara, Ethiopia: Mixed Methods Study

Maternal mortality is a critical public health issue, particularly in low-resource settings like sub-Saharan Africa, which accounts for over three-fourths of global maternal deaths [1]. Despite progress in reducing adverse maternal outcomes in countries like Ethiopia, high maternal mortality ratios persist, largely due to gaps and stockouts of essential supplies for managing obstetric emergencies [2,3]. Inadequate supplies for basic emergency obstetric care (BEm OC) can lead to delayed or suboptimal care.

Kylie Dougherty, Yihenew Tesfaye, Heran Biza, Mulusew Belew, Natalie Benda, Abebe Gebremariam Gobezayehu, John Cranmer, Suzanne Bakken

JMIR Hum Factors 2025;12:e64131

Natural Language Processing Technologies for Public Health in Africa: Scoping Review

Natural Language Processing Technologies for Public Health in Africa: Scoping Review

In practice, NLP-driven tools have already shown promise in Africa. For instance, during the COVID-19 pandemic, Whats App chatbots in South Africa, Rwanda, and Senegal were used to disseminate reliable information and facilitate rapid COVID-19 testing, while a Telegram-based chatbot in Ghana was developed to combat misinformation and provide accurate data to the public [18].

Songbo Hu, Abigail Oppong, Ebele Mogo, Charlotte Collins, Giulia Occhini, Anna Barford, Anna Korhonen

J Med Internet Res 2025;27:e68720

Impact of a Mobile Money–Based Conditional Cash Transfer Intervention on Health Care Utilization in Southern Madagascar: Mixed-Methods Study

Impact of a Mobile Money–Based Conditional Cash Transfer Intervention on Health Care Utilization in Southern Madagascar: Mixed-Methods Study

Over the past decade, Sub-Saharan Africa (SSA) has seen a substantial rise in the number of people with access to digital technologies. Digital transformation has made a stark difference for previously disenfranchised communities, especially in the field of financial services [1]. One technology that stands out is mobile money, which allows the creation of bank accounts and enables financial transactions using unstructured supplementary service data codes without requiring an internet connection [1].

Mara Anna Franke, Anne Neumann, Kim Nordmann, Daniela Suleymanova, Onja Gabrielle Ravololohanitra, Julius Valentin Emmrich, Samuel Knauss

JMIR Mhealth Uhealth 2025;13:e60811

Exploring the Use of Digital Educational Tools for Sexual and Reproductive Health in Sub-Saharan Africa: Systematic Review

Exploring the Use of Digital Educational Tools for Sexual and Reproductive Health in Sub-Saharan Africa: Systematic Review

For example, over 80% of all adolescents living with HIV are in Sub-Saharan Africa [4], which also has the highest prevalence of adolescent pregnancy globally [5]. Melesse et al [6] conducted a review of demographic and health survey data from 33 African countries and reported that despite improvements in SRH among adolescents in Sub-Saharan Africa, young people in this part of the world continue to have disproportionately high rates of unwanted pregnancies and STIs (including HIV/AIDS).

Ramatu Hajia Abdul Hamid Alhassan, Catherine L Haggerty, Abimbola Fapohunda, Nabeeha Jabir Affan, Martina Anto-Ocrah

JMIR Public Health Surveill 2025;11:e63309

A Classroom-Based Intervention for Reducing Sedentary Behavior and Improving Spinal Health: Pragmatic Stepped-Wedge Feasibility Randomized Controlled Trial

A Classroom-Based Intervention for Reducing Sedentary Behavior and Improving Spinal Health: Pragmatic Stepped-Wedge Feasibility Randomized Controlled Trial

The dual benefit of interrupting prolonged sitting and encouraging transitioning between sitting and standing during class to mitigate the long-term risks to cardiometabolic and spinal health holds significant public health potential in resource-limited contexts, such as South Africa.

Dominic Fisher, Rentia Maart, Lehana Thabane, Quinette Louw

JMIR Form Res 2025;9:e65169

Using an Interactive Voice Response Survey to Assess Patient Satisfaction in Ethiopia: Development and Feasibility Study

Using an Interactive Voice Response Survey to Assess Patient Satisfaction in Ethiopia: Development and Feasibility Study

Other methods include phone surveys that have been increasingly popular, given the high rates of mobile phone ownership globally despite a relatively lower penetration rate in Sub-Saharan Africa (50%) [3]. Phone surveys with live interviewers can be effective but come with several challenges including the cost of hiring and training interviewers. They are also time-consuming for large samples and are prone to social desirability bias and to interviewer variability and bias [4,5].

Dessalegn Shamebo, Anagaw Derseh Mebratie, Catherine Arsenault

JMIR Form Res 2025;9:e67452

Access to Health Care and Use of Health Care Services Among Males in Africa: Protocol for a Scoping Review

Access to Health Care and Use of Health Care Services Among Males in Africa: Protocol for a Scoping Review

For example, the incidence of prostate cancer is escalating in West Africa, and treatment is usually delayed for so long that the health outcomes for men with the condition are dismal. Further, men with prostate cancer symptoms either remain ignorant of the disease or are too poor to seek treatment [14].

Nkoleleng Johannah Mashilo, Kelechi Elizabeth Oladimeji, Siphamandla Gumede, Samanta Tresha Lalla-Edward

JMIR Res Protoc 2025;14:e52351

Characterizing Telehealth Barriers and Preferences to Promote Acceptable Implementation Strategies in Central Uganda: Multilevel Formative Evaluation

Characterizing Telehealth Barriers and Preferences to Promote Acceptable Implementation Strategies in Central Uganda: Multilevel Formative Evaluation

Health care access barriers are especially stark in many countries in Sub-Saharan Africa, which have 0.23 doctors for every 10,000 people, compared to the highest ratio of 84.2 doctors in the most high-income countries [5]. Increasing access to quality health care and preventive services via telehealth is a promising strategy to reduce health disparities in low- and middle-income countries.

Michael Kizito, Erina Nabunjo Mugabi, Sabrina Ford, Bree Holtz, Kelly Hirko

JMIR Form Res 2025;9:e60843

Effectiveness of a Mobile Health Intervention (DOT Selfie) in Increasing Treatment Adherence Monitoring and Support for Patients With Tuberculosis in Uganda: Randomized Controlled Trial

Effectiveness of a Mobile Health Intervention (DOT Selfie) in Increasing Treatment Adherence Monitoring and Support for Patients With Tuberculosis in Uganda: Randomized Controlled Trial

Several observational studies have evaluated the feasibility and acceptability of VDOT, including 2 conducted in Africa [20-26]. Three randomized clinical trials (RCTs) in the United States, United Kingdom, and Moldova have assessed the efficacy of VDOT, demonstrating that it is feasible, acceptable, cost-saving, and convenient for patients [16,27-29]. A pilot study in Kenya found video-observed therapy to be both technically feasible and acceptable to patients and health care professionals [24].

Juliet Nabbuye Sekandi, Esther Buregyeya, Sarah Zalwango, Damalie Nakkonde, Patrick Kaggwa, Trang Ho Thu Quach, David Asiimwe, Lynn Atuyambe, Kevin Dobbin

JMIR Mhealth Uhealth 2025;13:e57991

Use of ChatGPT to Explore Gender and Geographic Disparities in Scientific Peer Review

Use of ChatGPT to Explore Gender and Geographic Disparities in Scientific Peer Review

Affiliation countries were categorized into 3 regions (North America, Europe, or Pacific; Asia; and Latin America, Middle East, or Africa), following prior research [21]. Comparisons were conducted using Wilcoxon rank-sum tests (for gender) and Kruskal-Wallis rank tests (for affiliation). Negative binomial regressions were performed, adjusting for journal, affiliation, and intracluster correlation within papers [22,23].

Paul Sebo

J Med Internet Res 2024;26:e57667