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January 25, 2026The Electronic Journal of Information Systems in Developing Countries4 citations

A Framework for People‐Centred Digital Health and Social Protection Information Systems for Maternal and Child Health in Underserved Kenya

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DNDanny Ronald NyatukaFSFaith SivaDMDorothy K. Murugu

Key Points

  • The study aims to create a framework that integrates digital health and social protection systems to improve maternal and child health outcomes in Kenya.
  • Developed a conceptual framework for Digitally Integrated People-Centred Health and Social Protection Information Systems.
  • Utilized a convergent mixed-methods design combining quantitative surveys and qualitative interviews.
  • Conducted interviews with diverse stakeholders including women, health workers, and policymakers in Kibera and Kitui.
  • Analyzed quantitative data descriptively and applied thematic analysis to qualitative findings.
  • Identified critical determinants affecting health service delivery such as weak interoperability and limited coordination.
  • Highlighted socio-economic vulnerabilities as significant barriers to effective maternal and child health services.
  • Synthesized findings with WHO's Integrated People-Centred Health Services (IPCHS) principles to propose a comprehensive framework.

Abstract

ABSTRACT Persistent maternal and child health (MCH) inequities in Kenya, especially in underserved rural and informal urban settings, are driven by fragmented health and social protection (SP) systems that operate in silos, limiting coordinated, people‐centred service delivery. Despite global reductions in mortality, Sub‐Saharan Africa continues to bear a disproportionate burden, with Kenya reporting high maternal and neonatal death rates. Digital technologies present opportunities to strengthen linkages between health and SP services; however, existing frameworks lack contextual adaptability for integrated implementation in low‐resource environments. This study develops a conceptual framework for Digitally Integrated People‐Centred Health and Social Protection Information Systems (DIPCH‐SPIS) to enhance MCH outcomes in Kenya. Guided by systems thinking, design thinking, and socio‐technical perspectives, a convergent mixed‐methods design was employed, including surveys and 47 interviews with women, community health workers, health professionals, SP officers, and policymakers in Kibera and Kitui. Quantitative data were analyzed descriptively, while qualitative findings underwent thematic analysis (TA) to derive stakeholder‐informed design requirements. The study identifies critical contextual, organizational, and technological determinants, including weak interoperability, limited coordination, and socio‐economic vulnerabilities, and synthesizes them with WHO's Integrated People‐Centred Health Services (IPCHS) principles. The resulting framework emphasizes stakeholder collaboration, coherent information architecture, and effective use of information and communication technologies (ICTs), contributing to UHC, Africa's Agenda 2063, and SDG 3.

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Cite This Study

Nyatuka et al. (2026) studied this question.

synapsesocial.com/papers/6975b24dfeba4585c2d6dd42https://doi.org/10.1002/isd2.70052
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