Ranking 130 out of 139 on the Networked Readiness Index, Liberia faces challenges on all 10 pillars of the readiness index, particularly infrastructure and individual usage.
According to the African Health Observatory, factors hindering eHealth implementation in Liberia are:
- Leadership governance and policy
- Human resources
Following the Ebola epidemic in 2014-2015, Liberia embarked on a strategic planning process to develop a Health Information System Strategic Plan for 2016 to 2021 which, among other things, addresses the challenges listed above.
National Digital Health Systems
Digital Health Case Studies
Digital Health Resources
National Health Information Management System
Liberia has a functional national health management information system (HMIS) which captures data from the health facility on services provided as well as the data on administrative and management outputs.
The policy and strategy were developed in conjunction with USAID/BASICS, leading to the development and operationalisation of the architecture and implementation plan.
- National indicators were agreed
- Facility‐level integrated reporting forms were aligned with the indicator data set
- Computers were purchased and installed in each county
Health Information System
The Health Information System operates through DHIS2. Liberia has updated the national indicators, prepared Standard Operating Procedures, and conducted on-going training.
While the use of data for decision‐making and planning requires some improvement, the MOHSW staff is gaining experience in the collection and generation of information and has started to produce weekly Epidemiological Bulletin and quarterly health service bulletins to disseminate information to stakeholders
Community Based Health Information System
In partnership with USAID/BASICS, MOHSW designed a Community Health Management Information System (C-HMIS). The C-HMIS links information from the services provided in the community to facility level information.
The C-HMIS has been designed based on a standard list of indicators reflecting the main services provided by the Community Health Volunteers.
At county level, C-HMIS data are processed electronically through the same software application as the facility-based HMIS (DHIS2).
mHero is a mobile phone-based system that uses basic text messaging to connect health workers to health officials, to each other, and to critical information that can save lives. It was piloted and scaled in Liberia, starting in 2014 during the Ebola outbreak.
The Liberian MOH owns mHERO as their platform. It is now being used in Liberia for a wide variety of use cases implemented including FP commodity, nutrition, and mental Health.
- Unlocking the potential of information communications technology to improve water and sanitation services: Liberia Case Study, World Bank Group, Water and Sanitation Program (2015)
- Cell phones to collect pregnancy data from remote areas in Liberia (2012)
- Liberia includes mHero in National Investment Plan for Building a Resilient Health System (2015)
- Controlling Ebola through mHealth strategies (2014)
- U-Report: Fighting Diseases Across Borders (mHealth Compendium 5, 2015)
- UNICEF Highlight on U-Report
- Mobile Phone Survey Software for End-Use (mHealth Compendium 2, 2013)
- The Liberian Agriculture Upgrading , Nutrition and Child Health (LAUNCH) Project (mHealth Compendium 4, 2014)
- mHero (ASH mHealth Compendium 5, 2015)
- mHero (ASH mHealth Compendium 6, 2016)
- U-Report: Ending adolescent AIDS through mobile-based counselling and polling (mHealth Compendium 6, 2016)
- Health Management Information System Policy, Ministry of Health and Social Welfare (2009)
- HMIS Strategies and Plan, Ministry of Health and Social Welfare (2009)
- National Telecommunications and ICT Policy: 2010 – 2015, Ministry of Posts & Telecommunications
- Health Information Systems (HIS) Country Profile Indicators from MEASURE.
- African Development Bank: Liberia: Infrastructure and Inclusive Growth, Overview of ICT Sector, (2013)
- Webinar: Development of a Health Information Systems Strategic Plan – The Liberian Experience (Sept 2016)
- West Africa mHealth Landscape Report (2014)
- Systematic review on what works, what does not work and why of implementation of mobile health projects in Africa (2014)
- Mobile-phone based mHealth approaches for public health surveillance in SSA, systematic review (2014)
Digital Health Implementing Organisations
Relevant Government Institutions
- Ministry of Health and Social Welfare
Luke Bawo Coordinator: Evaluation, Research & Health Statistics
- Liberia Institute for Statistics and Geo‐information Services (LISGIS)
- Ministry of Finance & Development Planning
- Ministry of Posts and Telecommunications
- Liberia Telecommunications Authority (LTA)