Opportunities and Challenges of Implementing Solar-Powered Digital Health in Low-Resource Settings: A Mixed-Methods Study.

Background: Digital health systems can improve healthcare delivery in low-resource settings but are often constrained by unreliable electricity and inadequate infrastructure. Solar-powered energy systems offer a promising solution to improve the resilience and sustainability of digital health servic...

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Publicado en:Inquiry (00469580) Vol. 63; pp. 1 - 18
Autores principales: Nyatuka, Ronald Danny, Macharia, Paul, Rahman Jabin, Md Shafiqur
Formato: Artículo
Publicado: Sage Publications Inc. 9/1/2026
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Opportunities and Challenges of Implementing Solar-Powered Digital Health in Low-Resource Settings: A Mixed-Methods Study.
      aug:
        au:
          Nyatuka, Ronald Danny
          Macharia, Paul
          Rahman Jabin, Md Shafiqur
        affil:
          School of Computing and Engineering Sciences, Strathmore University, Nairobi, Kenya
          Department of Medicine and Optometry, Linnaeus University, Kalmar, Sweden
      su:
        Cross-sectional method
        Health services accessibility
        Internet access
        Human services programs
        Health facility administration
        Research funding
        Cost effectiveness
        Digital health
        Power resources
        Pilot projects
        Evaluation of human services programs
        Information technology
        Judgment sampling
        Descriptive statistics
        Rural health services
        Telemedicine
        Thematic analysis
        Research methodology
        Research
        Electronic health records
        Sustainable development
        Conceptual structures
        Resource-limited settings
        Data analysis software
        Reliability (Personality trait)
        Kenya
        Ethiopia
      sug:
        subj:
          Kenya
          Ethiopia
          Cross-sectional method
          Health services accessibility
          Internet access
          Human services programs
          Health facility administration
          Research funding
          Cost effectiveness
          Digital health
          Power resources
          Pilot projects
          Evaluation of human services programs
          Information technology
          Judgment sampling
          Descriptive statistics
          Rural health services
          Telemedicine
          Thematic analysis
          Research methodology
          Research
          Electronic health records
          Sustainable development
          Conceptual structures
          Resource-limited settings
          Data analysis software
          Reliability (Personality trait)
      keyword:
        digital health
        digital health infrastructure
        electronic medical records
        health information systems
        health system strengthening
        healthcare facilities
        low-resource settings
        mixed-methods research
        renewable energy
        solar energy
      ab: Background: Digital health systems can improve healthcare delivery in low-resource settings but are often constrained by unreliable electricity and inadequate infrastructure. Solar-powered energy systems offer a promising solution to improve the resilience and sustainability of digital health services. This study evaluated the opportunities, challenges, technical feasibility, economic viability, and health system readiness for implementing solar-powered digital health systems in low-resource settings. Methods: A cross-sectional mixed-methods study was conducted across 12 public health facilities in rural and peri-urban areas. Quantitative data were collected through structured facility assessments and surveys, while qualitative data were obtained through key informant interviews and observational assessments. Descriptive statistics were used for quantitative analysis, and thematic analysis was applied to qualitative data. Findings were integrated to generate system-level insights. Results: Although 86% of facilities were connected to the national grid, only 29% reported reliable electricity, and 83% experienced frequent power outages. Limited computing resources (29%) and unstable internet connectivity (60%) further constrained digital health operations. Most facilities (75%) reported high energy-related costs, often due to generator use. Despite these challenges, 92% of respondents supported solar-powered solutions, citing improved service continuity, reduced operational disruptions, and enhanced system performance. Qualitative findings highlighted reliance on paper-based workarounds and emphasized the interdependence of energy, connectivity, and digital infrastructure. Conclusion: Solar-powered digital health systems represent a feasible and context-appropriate approach for strengthening digital health infrastructure in low-resource settings. However, successful implementation requires coordinated investments addressing technical, financial, and organizational barriers to support long-term sustainability and health system resilience.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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