Table 1

Delivery implications for scaling digital solutions

ImplicationsPressureExample benefits of TEL
Environmental

  • United Nations Planetary Health targets.

  • Global Net Zero commitments.

  • Reduction of non-essential flights by global partners.

  • Climate impact, natural disasters.

  • Disease outbreaks.

  • Reduced carbon emissions.

  • Minimise consumables use.

  • Meet global targets.

Social

  • Diversity and inclusion targets.

  • Democratised access to learning.

  • Decolonisation of health initiatives.

  • Gender parity in professional environments.

  • Regional instability.

  • Democratise access to training.

  • Increased flexibility in delivery.

  • Staff retention.

  • Remote workforce support.

  • Coverage of rural areas.

  • Decolonisation of health programmes.

Governance

  • Clinical pressures.

  • Resources for consumables.

  • Governance of programme quality.

  • Migration of staff due to global policies.

  • Limited finances.

  • More efficient and scalable.

  • Optimise physical infrastructure use.

  • Optimise Overseas Development Assistance (ODA) and other funding streams.

  • TEL, technology-enhanced learning.