Regulatory standards and guidance for the use of health applications for self-management in Africa: scoping review protocol

• Published in: BMJ open 2022-02, Vol.12 (2), p.e058067
• Main Authors: Bene, Benard Ayaka, Ibeneme, Sunny, Fadahunsi, Kayode Philip, Harri, Bala Isa, Ukor, Nkiruka, Mastellos, Nikolaos, Majeed, Azeem, Car, Josip
• Format: Article
• Language: English
• Subjects: Africa; clinical governance; Confidentiality; Content analysis; Health care policy; Health Policy; Humans; information technology; Internet access; Interoperability; Peer Review; Personal health; protocols & guidelines; Public Health; quality in health care; Research Design; Review Literature as Topic; Self-Management; Smartphones
• ISSN: 2044-6055; 2044-6055
• DOI: 10.1136/bmjopen-2021-058067

IntroductionDespite health applications becoming ubiquitous and with enormous potential to facilitate self-management, regulatory challenges such as poor application quality, breach of data privacy and limited interoperability have impeded their full adoption. While many countries now have digital health-related policies/strategies, there is also a need for regulatory standards and guidance that address key regulatory challenges associated with the use of health applications. Currently, it is unclear the status of countries in Africa regarding regulatory standards and guidance that address the use of health applications.This protocol describes the process of conducting a scoping review which aims to investigate the extent to which regulatory standards and guidance address the use of health applications for self-management within the WHO African Region countries.MethodsThe review will follow the methodological framework for conducting a scoping study by Arksey and O’Malley (2005), and the updated methodological guidance for conducting a Joanna Briggs Institute (JBI) scoping review. Given that regulatory standards and guidance are unlikely to be available in scientific databases, we will search Scopus, Google, OpenGrey, WHO Regional Office for Africa Library (AFROLIB), African Index Medicus (AIM), websites of WHO, ITU and Ministries of Health, repositories for digital health policies. We will also search the reference lists of included documents, and contact key stakeholders in the region. Results will be reported using descriptive qualitative content analysis based on the review objectives. The policy analysis framework by Walt and Gilson (1994) will be used to organise findings. A summary of the key findings will be presented using tables, charts and maps.Ethics and disseminationThe collection of primary data is not anticipated in this study and hence ethical approval will not be required. The review will be published in a peer-reviewed journal while key findings will be shared with relevant organisations and/or presented at conferences.