In 2014, PATH conducted research and interviews to understand a key question of the time: why was it challenging to scale digital health interventions in low- and middle-income countries?

This research resulted in the publication The Journey to Scale, a reflection on why common information and communication technology (ICT) approaches to support health programs were not working at scale.

Since the publication of The Journey to Scale a decade ago, much has changed. Today, digital technology is even more present in our lives and is an integral part of health care delivery in many geographies. And, while not all stakeholders and partners have taken the same actions and countries have not universally experienced the same level of progress, improved collaboration and implementation practices have helped to advance the quality and accessibility of health care in the digital age. But how far have we come in the journey to move beyond isolated, small-scale pilots to integrated information systems that are driven by local leaders and enabled by committed, long-term funding and robust governance mechanisms?

As we reflect on and celebrate the progress and evolution of digital transformation in the global health sector, we are also looking at how we can further improve health and lives with digital tools and the health data that is now more accessible and usable because of these digital tools. This report is intended to provide a high-level overview of key trends and shifts in global digital health practice over the last ten years and provide reflections on where progress can be accelerated in future years by addressing ongoing challenges such as lack of data interoperability, insufficient cybersecurity policies and practices, and the need for sustainable financing models.