Pharmageek
The COVID-19 pandemic has demanded a huge effort to identify the risks associated
with poor outcomes. The focus has been particularly relevant in patients with immune-mediated
inflammatory diseases and those on therapies that suppress the immune system. Small
early observational studies looked worrisome, but as data from larger studies became
available a consistent picture became evident. Demographic risk factors such as age
and comorbidity are really the salient factors, with some risk from underlying disease
and a few specific therapeutic agents, such as rituximab.
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The coronavirus disease (COVID-19) pandemic has created an urgent need for coordinated mechanisms to respond to the outbreak across health sectors, and digital health solutions have been identified as promising approaches to address this challenge. Thi
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In 2020, Exemplars in Global Health launched a series of short- and long-term research projects to help us understand the impact of the COVID-19 pandemic in countries and communities around the world.
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As COVID-19 strained health systems around the world, many countries developed or adapted digital health tools to detect and respond to the novel coronavirus. We identified transferable lessons from an assessment of implementation factors that led to the rapid launch and scale-up of eight digital tools in low- and middle-income countries during the COVID-19 pandemic. These lessons should inform the development of digital health tools to support public health objectives such as the Sustainable Development Goals. Using the mHealth Assessment and Planning for Scale Toolkit, we assessed the implementation of eight digital tools through desk research and stakeholder interviews. Three core lessons emerged from our findings: (1) user-centered design is key to the widespread adoption of digital tools; (2) strong, country-led partnerships are essential for scaling up and sustaining digital tools; and (3) using adaptable digital tools enables implementers to focus on the content of the solution rather than the technology. Lessons learned from implementing and adapting digital tools quickly during the COVID-19 pandemic can inform the use of digital tools for additional health applications, such as bolstering primary health care, reaching vulnerable and marginalized populations, and empowering health workers with the real-time information necessary to optimize their work and improve the health of their target populations. Future efforts should focus on robust monitoring an
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