Profile: Health

Strengthening Systems and Striving for Scale

Innovation surrounding Internet-enabled businesses in health is not lacking, however, most of them remain as pilots, with limited evidence of impact on health outcomes. However, a few examples that have transcended to a phase of growth suggest the potential for scale. And, while there is limited evidence of the impact of Internet-enabled solutions on health outcomes, governments are forging ahead to create enabling environments recognising the impact on operational efficiencies and cost savings in service delivery. By developing eHealth policies and strategies, and committing to interoperability, the governments of Kenya and Ghana have helped spur the development of applications that can be integrated onto government platforms. Nigeria and Senegal's eHealth sectors have several pilots in place, but they are yet to be scaled. Policymakers should ensure that there is an eHealth strategy in place, coordinate the various ICT developers that seek to build atop those systems and continue to bring health care administration costs down by encouraging health care providers to adopt networked technology.

Impact intensity and potential of internet-enabled services in health

Health Scorecard

Despite an overwhelming number of pilots and limited evidence of impact, governments are forging ahead to create enabling environments recognising the impact on operational efficiencies & cost savings in service delivery


Information management


Communications, awareness, marketing


Supply chain management


Service delivery




workforce development





Low Low
Med Med
High High

Heat mapping based on perceived sector need, perceived
national need and of current activity in the country.

Dalberg report sector intensity

Elearning models such as Amref's in Kenya enable health workers to improve their skills without impacting health care delivery through taking health workers away from the job

Upskill nurses graph
Digitising the claimspayment process in Kenya

Application of systems that reduce administrative tasks, such as digitising the claims payment process in Kenya, free up significant costs to be reallocated to direct health care

Upskill nurses graph

Access to information particularly for pregnant women has the potential to improve pre-natal care and encourage safe deliveries

Dalberg report selected analysis
  • Develop policy and regulatory frameworks that promote national standards. The health sector requires regulatory oversight for many reasons, from clinical protocols to data policies to electronic records management.
  • Coordinate and partner across sectors in order to share information, avoid duplication of applications and investments, and enable the adoption of interoperability standards.
  • Act as a first mover by automating health administration and datasets. The use of enterprise solutions and digitization of processes has led to significant cost savings through increased operational efficiency.
Source: Dalberg analysis and interviews
Dalberg report considerations