This Gavi Digital Health Technical Brief provides an overview of how change management approaches are being used in digital health implementation as reported through key informant interviews with 11 digital health implementers, and a review of four commonly used change management frameworks in digital health: 1) Kotter’s 8-Step Change Model, 2) Lewin’s 3-Step Model, 3) the ADKAR Model for Change Management, and 4) the McKinsey 7Ss Framework.
The goal of this technical brief is to understand:
• The current structure and use of change management frameworks and approaches in digital health implementation.
• The benefits of prioritising change management strategies.
• The factors that influence the implementation of successful change management strategies.
• Gaps in change management implementation.
• Priorities for future implementation of change management.
Governance Coordination & Policy
The resource is included in the following table:
| Title | Author | Year | Type | Language |
|---|
| Change management to improve adoption, uptake, and scale of digital health interventions A review of implementation approaches and frameworks | Gavi, the Vaccine Alliance | 2025 | Guidance | English |
| Demand promotion and community engagement - Tackling inequity by promoting demand for immunisation | Gavi, the Vaccine Alliance | 2023 | User guide | English |
| Digital health for real-time monitoring of a national immunisation campaign in Indonesia: a large-scale effectiveness evaluation | Hafizah Jusril, Rita Damayanti, Iwan Ariawan | 2020 | Report | English |
| Digital Health Information Interventions for Immunisation Demand Generation: A guide for selecting appropriate tools and technologies | Gavi, the Vaccine Alliance, HealthEnabled | 2022 | Guidance | English |
| Digital Health Information Strategy 2022-2025 | Gavi, the Vaccine Alliance, HealthEnabled | 2022 | Guidance | English |
| Digital Transformation of Immunization: National Digital Health Information Costed Country Roadmap Toolkit | HealthEnabled, Gavi, the Vaccine Alliance, UNICEF | 2022 | Tool | English |
| Effective Design, Implementation, Integration, and Evaluation of Digital Health Systems to Enhance the Strategic Use of Data for Immunisation Programming. District Health Information Software 2 (DHIS2) & Immunisation Country Case Study: Ghana | HealthEnabled | 2024 | Case study | English |
| Enhancing Immunisation Programme Planning, Service Delivery, and Monitoring through the Effective use of Sub-national Data and DHI interventions | HealthEnabled, Gavi, the Vaccine Alliance | 2022 | Guidance | English |
| Gavi Digital Health Information to Digital Health Strategy: Artificial Intelligence & Machine Learning for Immunisation | Gavi, the Vaccine Alliance, HealthEnabled | 2024 | Report | English |
| Gender-Intentional Digital Health Intervention & Enablers: A Rapid Guide for Analysis, Planning, and Monitoring | Gavi, the Vaccine Alliance, HealthEnabled | 2022 | Guidance | English |
| Increasing demand for immunisation, preventing and reducing loss to follow-up, and promoting community engagement through the effective use of digital health interventions | Gavi, the Vaccine Alliance, HealthEnabled | 2022 | Report | English |
| Sub-national multi-source data for immunisation programme decision-making | Gavi, the Vaccine Alliance, HealthEnabled | 2022 | Report | English |
| Technical Brief: Digital Health Interventions for Supportive Supervision of Health Workers Providing Immunisation Services | Gavi, the Vaccine Alliance, HealthEnabled | 2024 | Guidance | English |
