A WellCheck Initiative

Equity byDesign

A framework for embedding health equity at every stage of digital health infrastructure — from screening to referral completion to outcomes reporting.

Equity cited but not operationalized is not equity at all.

In March 2026, the World Health Organization published a scoping review of 154 studies examining how equity is built into digital health systems globally. The central finding: equity is increasingly referenced in strategy, but rarely measured after deployment. WHO calls this the "cumulative digital health equity gap" and advocates for an equity-by-design approach — equity embedded at every stage of a digital health system's life cycle, not added as an afterthought.

1
Infrastructure
2
Data
3
Tool Performance
4
Access
5
Workforce
6
Engagement
Source
Equity across the regulation, implementation and evaluation of digital health: scoping review
World Health Organization (WHO/Europe) & Public Health Wales
Published March 2026 · 104 pages · 154 studies
WHO/EURO:2026-13153-52927-82472 · CC BY-NC-SA 3.0 IGO
View on who.int