Tendências e contextos de implementação de tecnologias de informação e comunicação para o reforço dos Sistemas de saúde em países de baixo e médio rendimento da CPLP: os casos de Cabo Verde, Moçambique e Guiné-Bissau

Abstract

Introduction: Information and Communication Technologies (ICT) can contribute to the development and consolidation of health systems. From the analysis of three cases, this article seeks to contribute to the knowledge about the opportunities that ICT represents in the lusophone space, describing and identifying good practices, difficulties and opportunities to reinforce a common agenda.  Material and methods: From expert presentations at a round table on the ICT Contribution to Health Services in low-income countries and a narrative literature review, interventions in Cape Verde, Mozambique and Guinea-Bissau are analyzed and discussed.  Results and discussion: The examples analyzed, despite differences in maturity, show common factors of success (professional qualification, political support) and difficulties (high investment, resistance of professionals), as well as benefits introduced in health systems (savings, higher access), challenges and opportunities for the future (sustainability and partnerships).  Conclusion: The ICT use in these health systems shows different maturities, as higher the greater the bet in the training of professionals, in access to resources and financing, in the prioritization policies to promote national telehealth centers. The reinforcement of partnerships in the CPLP to share solutions and knowledge are guarantees of higher growth and sustainability.