Digital health promises a revolution in healthcare delivery, yet in low and middle-income countries (LMICs), a stark digital divide threatens to exacerbate health inequities. While innovations like telemedicine and mobile health apps have surged globally post-COVID-19, millions in LMICs remain excluded due to poor internet access, unaffordable devices, and low digital literacy, especially in rural areas. This perspective piece examines the current landscape, highlighting successes like Uganda's mTrac for disease tracking alongside systemic barriers such as weak data privacy. Drawing on local experiences from Sierra Leone, the paper underscores the urgency of tailored solutions. We propose a vision for equity through public-private partnerships, community-based digital literacy programs, robust ethical safeguards, and a novel regional digital health equity taskforce to drive coordinated action. Urgent intervention from governments, global health bodies, and the private sector is needed to reframe digital health as a public good, ensuring access for all and transforming care for the most marginalized.
Osborne et al. (Sun,) studied this question.
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