Abstract Background In their toolkit on national eHealth strategies, the WHO lists core areas for a holistic approach to digital public health (DiPH) systems: governance, investment, services, infrastructure, interoperability, workforce, legislation, policy, and compliance. However, addressing all of them is challenging, time-consuming, and expensive. Therefore, countries must first assess their DiPH system's maturity to identify gaps or improvement areas and prioritise investments. This ensures that policies align with the system's current state and guide future policy and regulation development. Assessing the system also has international advantages, as global benchmarking and policy learning are possible when multiple countries use the same tool for evaluating their DiPH system's maturity. However, until now, no index asses DiPH systems as comprehensively as the WHO proposes. This is where our research seeks to support public health policymakers by proposing the Digital Public Health Maturity Index (DiPHMI) to holistically assess the maturity of national DiPH systems following the WHO toolkit.
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