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Digital Exclusion and Social Inequity: A Global Narrative Review of Access to Education, Healthcare, and the Digital Economy Saleh, Munandi; Irwani; Bahrianoor
Sinergi International Journal of Communication Sciences Vol. 2 No. 4 (2024): November 2024
Publisher : Yayasan Sinergi Kawula Muda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61194/ijcs.v2i4.680

Abstract

Digital inequality is a growing concern that contributes significantly to socioeconomic disparities in education, healthcare, and economic participation. This narrative review aims to explore the structural and systemic dimensions of digital inequality and its implications for marginalized communities. Literature was sourced from databases including Scopus, PubMed, and Google Scholar using a combination of targeted keywords and Boolean search techniques. Articles were selected based on relevance, methodological diversity, and contextual alignment. The review identifies critical themes, including the impact of unequal digital access on educational attainment, disparities in telehealth usage, and limited economic opportunities in digitally excluded populations. Findings reveal that regions with weak digital infrastructure and low digital literacy consistently report lower educational performance, reduced health engagement, and limited employment prospects. Public policy, infrastructure investment, and digital training emerge as decisive factors that either mitigate or exacerbate these challenges. The discussion emphasizes the necessity of equitable digital policy design, community-based interventions, and collaborative global strategies to ensure inclusive digital development. Despite growing research on digital inequality, gaps remain in longitudinal analysis and intersectional perspectives. This review recommends future studies to adopt multidimensional frameworks to better inform policy and practice. In conclusion, addressing digital inequality is not only a technological necessity but also a social imperative. Bridging the divide is essential for creating a more just, inclusive, and resilient society in the digital era.
Telehealth Inequity and Youth Engagement: A Mixed Methods Study of Access, Literacy, and Culture Bahrianoor; Febriana, Ajeng Iva Dwi
Communica : Journal of Communication Vol. 2 No. 2 (2024): April 2024
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/communica.v2i2.766

Abstract

Telemedicine is increasingly promoted to reduce healthcare disparities in rural regions, yet rural youth remain underserved by digital health innovations. This mixed methods study combined national survey data from Hungary and Sub-Saharan Africa (n = 3,240 adolescents) with 46 in-depth interviews and 12 focus groups in Southeast Asia to examine infrastructural, educational, economic, and cultural barriers to telemedicine adoption. Results showed that fewer than 50% of rural households in Sub-Saharan Africa had stable electricity and only 24% reported internet access, compared to 88% and 62% respectively in rural Hungary. Device ownership was also limited, with just 18% of rural Sub-Saharan youth owning smartphones. Digital health literacy scores were significantly lower among rural adolescents, while cultural preferences for traditional medicine and skepticism toward digital platforms further reduced uptake. Economic constraints, particularly the cost of mobile data, posed additional barriers. Ethical issues around privacy and consent were critical, especially for minors. These findings highlight the need for affordable infrastructure expansion, school-based digital literacy programs, and culturally sensitive outreach. The study concludes that telemedicine can transform rural healthcare access if implemented through equitable infrastructure investment, inclusive education, and participatory, youth-centered policy design.