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Perspectives on Digital Health and Financial Inclusion in Africa

Received: 24 November 2025     Accepted: 4 December 2025     Published: 29 December 2025
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Abstract

Achieving Universal Health Coverage (UHC) by 2030 in Africa remains constrained by fragmented health systems, limited fiscal space, and persistent inequities in access to essential health services. This paper examines how the integration of digital health innovations and financial inclusion mechanisms can address these constraints across low- and middle-income countries (LMICs). It synthesizes evidence on the deployment of mobile money platforms, electronic health information systems, drone-supported supply systems, blockchain-enabled financing, and artificial intelligence to improve healthcare access, efficiency, accountability, and financial protection. Using a comparative qualitative analysis of selected country experiences-Nigeria, Rwanda, Ethiopia, South Africa, and South Sudan, the paper identifies barriers to adoption including inadequate digital infrastructure, low digital literacy, governance fragmentation, and regulatory gaps. The analysis highlights cross-cutting enablers for successful implementation, notably strong political commitment, primary health care strengthening, interoperable digital architectures, and inclusive financing models that integrate mobile payments, microinsurance, and community-based schemes. Findings demonstrate that digital innovation alone is insufficient to achieve UHC without alignment to institutional readiness, sustainable domestic financing, ethical and regulatory safeguards, and community-driven implementation. The paper concludes with policy and implementation priorities centered on domestic ownership, adaptive regulation, public-private partnerships, and long-term investment in health system capacity. Overall, the study provides an evidence-informed assessment of how digital health and financial inclusion, when jointly embedded within broader health system reforms, can accelerate equitable progress toward UHC in Africa.

Published in International Journal of Business and Economics Research (Volume 14, Issue 6)
DOI 10.11648/j.ijber.20251406.15
Page(s) 272-285
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2025. Published by Science Publishing Group

Keywords

Digital Health, Financial Inclusion, Universal Health Coverage, Mobile Money, Artificial Intelligence, Health Financing, Primary Health Care, Africa

References
[1] Adepoju, P. (2018). Africa turns to digital solutions to tackle healthcare challenges. The Lancet, 392(10152), 1136-1137.
[2] Aregbeshola, B. S., & Khan, S. M. (2020). Out-of-pocket healthcare spending and financial risk protection in Nigeria. International Journal of Health Policy and Management, 10(1), 28-35.
[3] Assefa, Y., Van Damme, W., Williams, O. D., & Hill, P. S. (2019). Successes and challenges of the Ethiopian health extension program. Globalization and Health, 15(1), 24.
[4] Atun, R., Davies, J. I., Gale, E. A. M., Bärnighausen, T., Beran, D., Kengne, A. P., … Vollmer, S. (2017). Diabetes in sub-Saharan Africa: From clinical care to health policy. The Lancet Diabetes & Endocrinology, 5(8), 622-667.
[5] Barroy, H., Dale, E., Sparkes, S., & Kutzin, J. (2021). Public financial management and health service delivery: A literature review. World Health Organization.
[6] Bloom, D. E., Kuhn, M., & Prettner, K. (2018). Africa's prospects for sustainable health financing. Health Affairs, 37(5), 740-747.
[7] Bloom, G., Berdou, E., Standing, H., Guo, Z., & Labrique, A. (2022). Transforming healthcare through digital technology in Africa. Health Policy and Planning, 37(4), 452-461.
[8] Chemouni, B. (2018). The political path to universal health coverage: Power, ideas, and community-based health insurance in Rwanda. World Development, 106, 87-98.
[9] Dandonoli, P. (2022). Regulatory challenges in digital health financing. Global Health Action, 15(1), 2058453.
[10] Dieleman, J. L., Haakenstad, A., Micah, A., Moses, M., Abbafati, C., Acharya, P., … Murray, C. J. L. (2018). Health financing in Africa. The Lancet Global Health, 6(9), e1007-e1029.
[11] Gouda, H. N., Charlson, F., Sorsdahl, K., Ahmadzada, S., Ferrari, A. J., Erskine, H., & Whiteford, H. (2019). Burden of non-communicable diseases in sub-Saharan Africa, 1990-2017. The Lancet Global Health, 7(10), e1375-e1387.
[12] GSMA. (2021). State of the industry report on mobile money 2021. GSMA.
[13] He, D., Guizani, M., & Zhang, X. (2020). Blockchain and health informatics. International Journal of Information Management, 52, 102045.
[14] Hogan, D. R., Stevens, G. A., Hosseinpoor, A. R., & Boerma, T. (2018). National spending on health by source for 184 countries between 2013 and 2040. The Lancet, 391(10132), 2017-2031.
[15] Hughes, N., & Lonie, S. (2007). M-PESA: Mobile money for the “unbanked.” Innovations, 2(1-2), 63-81.
[16] IHME. (2021). Global Burden of Disease Study 2020 results. Institute for Health Metrics and Evaluation.
[17] International Labour Organization. (2020). World employment and social outlook: Trends 2020. ILO.
[18] Jack, W., & Suri, T. (2014). Risk sharing and transactions costs: Evidence from Kenya's mobile money revolution. American Economic Review, 104(1), 183-223.
[19] Lee, J., & Kim, J. (2021). Blockchain for health financing: Opportunities and challenges. Journal of Medical Internet Research, 23(5), e23517.
[20] Meessen, B., Akhnif, E., Kiendrébéogo, J. A., & Zeng, W. (2019). Health financing reforms in Africa. Health Systems & Reform, 5(3), 176-188.
[21] Mphahlele, M., & Mash, R. (2019). Barriers and facilitators of mobile health in Africa. PLOS ONE, 14(4), e0214870.
[22] Oni, T., Smit, W., Matzopoulos, R., & Adams, J. (2019). Leveraging technology for health system strengthening in Africa. Globalization and Health, 15(1), 82.
[23] Onwujekwe, O., Hanson, K., & Uzochukwu, B. (2019). Examining inequalities in catastrophic health expenditures in Nigeria. PLOS ONE, 7(7), e40811.
[24] Suri, T., & Jack, W. (2016). The long-run poverty and gender impacts of mobile money. Science, 354(6317), 1288-1292.
[25] UNICEF. (2020). Health technology and innovations in Africa. UNICEF.
[26] Wagstaff, A., Flores, G., Hsu, J., Smitz, M.-F., Chepynoga, K., Eozenou, P., & Buisman, L. R. (2018). Progress on catastrophic health spending in 133 countries. The Lancet Global Health, 6(2), e169-e179.
[27] Wang, H., Yuan, B., & Li, C. (2021). Digital health in Africa: Opportunities and challenges. BMJ Global Health, 6, e005278.
[28] Whyle, E. B., & Olivier, J. (2020). Models of financing universal health coverage in Africa. BMJ Global Health, 5(5), e002076.
[29] World Bank. (2022). Africa health overview.
[30] World Economic Forum. (2021). Innovating in health financing in Africa. WEF.
[31] World Health Organization. (2019). Primary health care on the road to universal health coverage: 2019 global monitoring report. WHO.
[32] World Health Organization. (2021). WHO digital health strategy 2020-2025. WHO.
[33] World Health Organization. (2023). Health financing in Africa. WHO.
[34] Xu, K., Soucat, A., & Kutzin, J. (2019). Public spending on health: A closer look at global trends. WHO.
[35] Zhao, F. (Ed.). (2006). Maximize business profits through e-partnerships. IRM Press.
Cite This Article
  • APA Style

    Agbo, S. O. (2025). Perspectives on Digital Health and Financial Inclusion in Africa. International Journal of Business and Economics Research, 14(6), 272-285. https://doi.org/10.11648/j.ijber.20251406.15

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    ACS Style

    Agbo, S. O. Perspectives on Digital Health and Financial Inclusion in Africa. Int. J. Bus. Econ. Res. 2025, 14(6), 272-285. doi: 10.11648/j.ijber.20251406.15

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    AMA Style

    Agbo SO. Perspectives on Digital Health and Financial Inclusion in Africa. Int J Bus Econ Res. 2025;14(6):272-285. doi: 10.11648/j.ijber.20251406.15

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  • @article{10.11648/j.ijber.20251406.15,
      author = {Samson Oboche Agbo},
      title = {Perspectives on Digital Health and Financial Inclusion in Africa},
      journal = {International Journal of Business and Economics Research},
      volume = {14},
      number = {6},
      pages = {272-285},
      doi = {10.11648/j.ijber.20251406.15},
      url = {https://doi.org/10.11648/j.ijber.20251406.15},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijber.20251406.15},
      abstract = {Achieving Universal Health Coverage (UHC) by 2030 in Africa remains constrained by fragmented health systems, limited fiscal space, and persistent inequities in access to essential health services. This paper examines how the integration of digital health innovations and financial inclusion mechanisms can address these constraints across low- and middle-income countries (LMICs). It synthesizes evidence on the deployment of mobile money platforms, electronic health information systems, drone-supported supply systems, blockchain-enabled financing, and artificial intelligence to improve healthcare access, efficiency, accountability, and financial protection. Using a comparative qualitative analysis of selected country experiences-Nigeria, Rwanda, Ethiopia, South Africa, and South Sudan, the paper identifies barriers to adoption including inadequate digital infrastructure, low digital literacy, governance fragmentation, and regulatory gaps. The analysis highlights cross-cutting enablers for successful implementation, notably strong political commitment, primary health care strengthening, interoperable digital architectures, and inclusive financing models that integrate mobile payments, microinsurance, and community-based schemes. Findings demonstrate that digital innovation alone is insufficient to achieve UHC without alignment to institutional readiness, sustainable domestic financing, ethical and regulatory safeguards, and community-driven implementation. The paper concludes with policy and implementation priorities centered on domestic ownership, adaptive regulation, public-private partnerships, and long-term investment in health system capacity. Overall, the study provides an evidence-informed assessment of how digital health and financial inclusion, when jointly embedded within broader health system reforms, can accelerate equitable progress toward UHC in Africa.},
     year = {2025}
    }
    

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    AB  - Achieving Universal Health Coverage (UHC) by 2030 in Africa remains constrained by fragmented health systems, limited fiscal space, and persistent inequities in access to essential health services. This paper examines how the integration of digital health innovations and financial inclusion mechanisms can address these constraints across low- and middle-income countries (LMICs). It synthesizes evidence on the deployment of mobile money platforms, electronic health information systems, drone-supported supply systems, blockchain-enabled financing, and artificial intelligence to improve healthcare access, efficiency, accountability, and financial protection. Using a comparative qualitative analysis of selected country experiences-Nigeria, Rwanda, Ethiopia, South Africa, and South Sudan, the paper identifies barriers to adoption including inadequate digital infrastructure, low digital literacy, governance fragmentation, and regulatory gaps. The analysis highlights cross-cutting enablers for successful implementation, notably strong political commitment, primary health care strengthening, interoperable digital architectures, and inclusive financing models that integrate mobile payments, microinsurance, and community-based schemes. Findings demonstrate that digital innovation alone is insufficient to achieve UHC without alignment to institutional readiness, sustainable domestic financing, ethical and regulatory safeguards, and community-driven implementation. The paper concludes with policy and implementation priorities centered on domestic ownership, adaptive regulation, public-private partnerships, and long-term investment in health system capacity. Overall, the study provides an evidence-informed assessment of how digital health and financial inclusion, when jointly embedded within broader health system reforms, can accelerate equitable progress toward UHC in Africa.
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