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Digital transitions & primary care

AI deployment in African health systems, data sovereignty, regulatory innovation — 9 articles from 23 global contributors.

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AI health

AI for primary care in Africa

How machine learning supports community health workers — evidence from Rwanda & Kenya. L. Mutesi et al.

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winter 2026

vol.14 no.1 · winter 2026

Digital transitions & primary care

edited by Elena Okonkwo & Marcus Chen

23 authors from 14 countries examine how AI, data governance, and community health intersect. With original field research from Rwanda, Kenya, and Senegal.


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contributors

L. Mutesi (Rwanda), S. Ramaphosa (South Africa), K. Tanaka (Japan), A. Diallo (Senegal), and 18 others.

winter 2026 · open access

AI for primary care in Africa

Laura Mutesi, James Kariuki, Amina Sow
12 January 2026
Abstract · this study evaluates three AI‑assisted triage tools deployed in 34 community clinics across Rwanda and Kenya. We find a 23% reduction in referral time while maintaining clinical safety.

Primary care systems in sub‑Saharan Africa face severe workforce shortages. Digital tools promise to extend reach, but evidence on real‑world impact remains limited. Our mixed‑methods study …

We collaborated with the ministries of health and two technology providers. The intervention included tablet‑based symptom checkers and nurse decision support …

Ethical approval was obtained from national review boards. No patient‑level data left the clinic servers …


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