Ranking 114 out of 143 on the 2015 Networked Readiness Index, Zambia is challenged with infrastructure and a lack of IT skills. It also has a high disease burden, a shortage of health care professionals, and inadequacies in drugs and medical supplies, funding, equipment and infrastructure. These challenges are reflected in the issues facing the country's eHealth programme, which has struggled with fragmentation, lack of interoperability, poor sustainability of ICT projects , limited human resource capacity and insufficiently developed or underutilized infrastructure. However there is high mobile penetration and an enabling policy environment government, and strong co-operation between partners.

National Digital Health Systems

  • Programme Mwana
    This system uses mobile technology to improve early infant diagnosis of HIV to address early Infant Diagnosis of HIV and post-natal follow-up and care by way of sending infant HIV test results from the three PCR laboratories to the health centres. As of June 2015, the project was running in 10 provinces in Zambia, covering a total of 797 health facilities.
  • SmartCare Electronic Health Record system
    SmartCare is a fully integrated electronic health record system to provide continuity of care and a clinical management information system at the facility and district level. In 2013, it was deployed in 600 facilities.
  • HMIS
    Now using DHIS2, the Zambian Health Managament Information System was introduced in 1996 and currently captures data on disease morbidity and mortality, maternal and child health services, service delivery (staff workload, health facilities utilization, availability of essential drugs etc.), surveillance and financial services.
  • Mobile Community Reporting: Malaria
    The project uses the DHIS Mobile Java clients for aggregate reporting, connected to a national DHIS2 instance. Community Health Workers receive low cost mobile phones and prepaid SIM cards to send information to the DHIS2 server. The program operates in areas with relatively low Malaria prevalence, and the aim is to eradicate Malaria from these areas completely. 
  • Telemedicine system
    This is hosted at the University Teaching Hospital in Lusaka

Digital Health Resources

Digital Health Projects Repositories

Listings of mHealth Projects:

Listings of eHealth Project