Vol. 2 No. 1 (2026)

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Bridging the Distance: A Survey of the African Diaspora's Role in Health System Strengthening in Comoros via Digital Platforms (2021–2026)

Mariama Abdallah, University of the Comoros Fatima Mohamed, Department of Surgery, University of the Comoros Anli Said, University of the Comoros
DOI: 10.5281/zenodo.18363964
Published: January 25, 2026

Abstract

This survey research investigates the role of African diaspora health professionals in strengthening health systems in the Comoros via digital platforms from 2021 to 2026. It addresses critical human resource shortages and limited specialist expertise within the Comorian healthcare sector. Using a structured online survey, data were collected from 150 diaspora health professionals of Comorian origin and 85 in-country healthcare workers to evaluate the prevalence, nature, and perceived efficacy of digital contributions. Quantitative and qualitative analyses reveal a significant increase in virtual mentorship and telemedicine consultations since 2021, particularly in paediatrics, cardiology, and public health. Respondents reported that these interventions enhanced clinical knowledge, influenced patient management protocols, and strengthened professional networks. However, the study identifies persistent barriers, including inconsistent internet connectivity, variable digital literacy, and a lack of formalised integration within national health systems. The research concludes that the diaspora represents a vital, underutilised asset for health system strengthening. It advocates for structured, institutionally led digital health partnerships to harness this expertise sustainably. This work underscores the potential of south-south digital collaboration in advancing health equity and building resilient health systems across Africa.

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How to Cite

Mariama Abdallah, Fatima Mohamed, Anli Said (2026). Bridging the Distance: A Survey of the African Diaspora's Role in Health System Strengthening in Comoros via Digital Platforms (2021–2026). African Journal of Public Health and Health Systems, Vol. 2 No. 1 (2026), 10-25. https://doi.org/10.5281/zenodo.18363964
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Keywords

Health system strengtheningAfrican diasporaDigital healthTelemedicineVirtual mentorshipComorosSurvey research

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Vol. 2 No. 1 (2026)
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References

  • Abeid, S.N. (2026). The growing burden of hypertension, diabetes, and obesity in the Comoros: a call for national action. The Lancet Regional Health - Africa. https://doi.org/10.1016/j.lanafr.2025.100012
  • Adamu, A.A., Ndwandwe, D., Jalo, R.I., Ibrahim, K.A., & Wiysonge, C.S. (2025). Strengthening immunisation programmes in Africa through implementation science. The Lancet Regional Health - Africa. https://doi.org/10.1016/j.lanafr.2025.100004
  • Atta, K., Atta, A., & Atta, M. (2025). Bridging the Gap: Strengthening Mental Health Support for Female Health Professionals in Pakistan and Türkiye. Journal of University College of Medicine and Dentistry. https://doi.org/10.51846/jucmd.v4is.3703
  • Bawah, A.A. (2026). Advancing Evidence-Based Innovations for Strengthening Health Systems in Africa: Insights from the 2025 Health Systems Innovation Conference in Ghana. Journal of Global Health Science. https://doi.org/10.35500/jghs.2026.8.e6
  • Blose, S.B., Doeraj, S., Padia, S., Pillay, K., Reddy, K., & Chetty, V. (2021). Healthcare professionals’ perceptions of community-based rehabilitation in KwaZulu-Natal, South Africa. African Journal of Primary Health Care & Family Medicine. https://doi.org/10.4102/phcfm.v13i1.2461
  • Dafallah, A., & Witter, S. (2025). Diaspora as partners: strengthening resilience of health systems and communities amidst aid volatility. BMJ Global Health. https://doi.org/10.1136/bmjgh-2025-019622
  • David, N.J., Brey, Z., & Ismail, M. (2021). Telemedicine in the Western Cape Department of Health during the first peak of the COVID-19 pandemic: Leveraging data to save lives by activating a telemedicine response. African Journal of Primary Health Care & Family Medicine. https://doi.org/10.4102/phcfm.v13i1.2954
  • Doucette, M.L., Kasabuski, M., Hemraj, D., Fisher, E., & Chin, J. (2025). Virtual Care and Medical Cannabis Access: A Geospatial Study of Telehealth’s Role in Reducing Socioeconomic Disparities. Telemedicine and e-Health. https://doi.org/10.1089/tmj.2024.0550
  • Foláyan, M.O., Ishola, A.G., Bhayat, A., El Tantawi, M., & Ndembi, N. (2025). Strengthening health systems to tackle oral diseases in Africa: Africa centers for disease control and prevention’s role. Frontiers in Public Health. https://doi.org/10.3389/fpubh.2025.1539805
  • Gremyr, A., Seid, M., Margolis, P.A., & Ramaswamy, R. (2025). Learning about learning health systems: Strengthening theory through continuous evaluation and improvement. Learning Health Systems. https://doi.org/10.1002/lrh2.70038
  • Hu, Z. (2025). Strengthening Chinese Medicine Health Management Education through Artificial Intelligence: A South African Case Study. Educational Process International Journal. https://doi.org/10.22521/edupij.2025.17.344
  • Hushie, M., Suhuyini Salifu, R., & Seidu, I. (2021). Strengthening International Health Security by Embedding the Role of Civil Society Organizations in National Health Systems: Lessons from the 2014–2016 West Africa Ebola Response. Contemporary Developments and Perspectives in International Health Security - Volume 1. https://doi.org/10.5772/intechopen.93333
  • Jenkins, L.S., von Pressentin, K.B., North, Z., & van Tonder, G. (2021). Strengthening African health systems through outreach and support and values-driven leadership. African Journal of Primary Health Care & Family Medicine. https://doi.org/10.4102/phcfm.v13i1.3043
  • Jensen, H., South, H., & Garimella, S. (2025). 10.B. Round table: Strengthening health sector governance in plural health systems through community participation. European Journal of Public Health. https://doi.org/10.1093/eurpub/ckaf161.582
  • Jonsson, F., Carson, D.B., Goicolea, I., & Hurtig, A. (2021). Strengthening Community Health Systems Through Novel eHealth Initiatives? Commencing a Realist Study of the Virtual Health Rooms in Rural Northern Sweden. International Journal of Health Policy and Management. https://doi.org/10.34172/ijhpm.2021.08
  • Makandwa, T. (2024). Spaces, Places, and Migration: Understanding and Strengthening Public Health-Care Provision in South Africa. AFRICAN HUMAN MOBILITY REVIEW. https://doi.org/10.14426/ahmr.v10i1.1737
  • Makhubele, K. (2025). Strengthening Oral Health in South Africa: The Role of Public-Private Partnerships. South African Dental Journal. https://doi.org/10.17159/sadj.v80i07.24324
  • Masimula, S.S., Senekane, M.F., & Naicker, N. (2025). Strengthening environmental health services delivery through improving data management in South Africa: insights from environmental health managers. Frontiers in Health Services. https://doi.org/10.3389/frhs.2025.1665259
  • Mhazo, A.T., Lal, A., & Mossialos, E. (2024). The COVID-19 pandemic: A focusing event to promote domestic investment for health systems strengthening in the WHO African Region. SSM - Health Systems. https://doi.org/10.1016/j.ssmhs.2024.100034
  • Minani, P., & Ross, A. (2024). Strengthening caesarean birth: Sub-Saharan Africa health system evaluation: Scoping review. African Journal of Primary Health Care & Family Medicine. https://doi.org/10.4102/phcfm.v16i1.4128
  • Moleka, P. (2025). Equitable Health Intelligence: Reclaiming Diagnostic Sovereignty Through Innovationology and Noesology in African Health Systems. https://doi.org/10.20944/preprints202508.0052.v1
  • Morton, D.G., & Ghaffar, A. (2024). Strengthening health systems through surgery. BMJ Global Health. https://doi.org/10.1136/bmjgh-2024-017782
  • Stek, K., Lefers, L., & Belotti Pedroso, C. (2025). Strengthening innovation capacity in health and care workforce: A role-based framework for the procurement professionals. Health Policy. https://doi.org/10.1016/j.healthpol.2025.105423
  • Triano, S.E., & Meeks, L.M. (2025). Strengthening Disability Inclusion in Medical Education: The Role of Disability Resource Professionals Through Bronfenbrenner’s Ecological Systems Framework. Academic Medicine. https://doi.org/10.1097/acm.0000000000006149