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This viewpoint paper critically examines the diverse challenges and opportunities encountered in digital health innovations in low- and middle-income countries (LMICs), drawing on perspectives from the experiences of health systems in South and Southeast Asia, a vibrant and multifarious region.
Just as many have highlighted the advantages of a “human-in-the-loop” approach to AI, we emphasize the potential benefits of a “researcher-in-the-loop” approach to digital health innovations in LMICs.
J Med Internet Res 2024;26:e57612
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Moreover, mental health conditions disproportionately affect adolescents in low- and middle-income countries (LMICs) [1]. LMIC economies are those in which the 2022 gross national income per capita was less than US $13,845 [9]. Approximately 90% of the world’s 1.2 billion adolescents reside in LMICs [8].
J Med Internet Res 2024;26:e51376
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Reviews that examined the impact of heat waves on health services in low- or middle-income countries (LMICs) are still scare [52,54], with the majority concentrating on high-income countries (HICs) [34] or a combination of LMICs and HICs [55,56].
JMIR Res Protoc 2023;12:e44702
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Implementations of m Health have been increasing among LMICs as health systems seek to use expanding telecommunication networks to improve public health system access and processes [3,4]. However, despite large investments, few m Health solutions in LMICs have succeeded in scaling up or attaining sustainability [5]. There is little evidence that m Health interventions have substantively strengthened health systems [6-8].
JMIR Form Res 2023;7:e45250
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Over the past 30 years, there has been growing interest in global health volunteering and service-learning trips in low- and middle-income countries (LMICs) among individuals living in high-income countries (HICs) [1,2]. This is reflected in a large increase in the number of colleges, universities, and medical schools that offer programs of study and experiences in global health to their students.
JMIR Res Protoc 2023;12:e41836
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The health system built upon this approach is also expected to benefit not only skin NTDs but other skin diseases that are prevalent in LMICs [13,14].
Observation of the skin could be very informative. Without undergoing invasive examinations requiring special skills and equipment, many skin diseases could be diagnosed with just a sufficient patient history and examination of the skin. This is well suited to field settings in LMICs.
JMIR Dermatol 2023;6:e46295
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These barriers are amplified in lower- and middle-income countries (LMICs), where health care provision is even sparser; stigma attached to mental health is heightened; and in geographically diverse contexts such as Indonesia, such care is inaccessible to many [10,13]. Relatedly, most effective interventions to reduce body dissatisfaction have been developed and evaluated in high-income English-speaking regions, mainly Australia, the United States, and Western Europe [14].
J Med Internet Res 2023;25:e42499
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From Real-world Individuals’ Data to National Health Indicators: Multiphase Pilot Study in Gabon
lmicsHealth Services in Resource-Poor Settings and LMICs
JMIR Form Res 2022;6(10):e35176
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