Problem Direct application of digital health technologies from high-income settings to low- and middle-income countries may be
inappropriate due to challenges around data availability, implementation and regulation. Hence different approaches are needed.
Approach Within the Viet Nam ICU Translational Applications Laboratory project, since 2018 we have been developing a wearable device
for individual patient monitoring and a clinical assessment tool to improve dengue disease management. Working closely with local staff at
the Hospital for Tropical Diseases, Ho Chi Minh City, we developed and tested a prototype of the wearable device. We obtained perspectives
on design and use of the sensor from patients. To develop the assessment tool, we used existing research data sets, mapped workflows and
clinical priorities, interviewed stakeholders and held workshops with hospital staff.
Local setting In Viet Nam, a lower middle-income country, the health-care system is in the nascent stage of implementing digital health
technologies.
Relevant changes Based on patient feedback, we are altering the design of the wearable sensor to increase comfort. We built the user
interface of the assessment tool based on the core functionalities selected by workshop attendees. The interface was subsequently tested
for usability in an iterative manner by the clinical staff members.
Lessons learnt The development and implementation of digital health technologies need an interoperable and appropriate plan for data
management including collection, sharing and integration. Engagements and implementation studies should be conceptualized and
conducted alongside the digital health technology development. The priorities of end-users, and understanding context and regulatory
landscape are crucial for success.