Journal of Health Informatics in Developing Countries https://jhidc.org/index.php/jhidc <center> <p>2019 Universal Impact Factor of <span style="color: #ff0000;">0.46</span></p> </center><center><a href="http://ict4dblog.wordpress.com/2010/04/14/ict4d-journal-ranking-table/."> University Manchester Ranking: </a> Ranked 7th out of 16 Journals</center><center>Also, available on <a href="http://www.ncbi.nlm.nih.gov/nlmcatalog/?term=%22J+Health+Inform+Dev+Ctries%22"> National Library of Medicine </a> Catalog</center><center>JHIDC is an affiliated e-Journal of <a href="https://researchguide.jhidc.org/" target="_blank" rel="noopener">Research Guide LLC</a></center><center></center><center></center> en-US Journal of Health Informatics in Developing Countries 1178-4407 Authors retain copyright of the submission while granting the journal the right to publish it in the journal and in print. Enhancing Public Sector Decision-Making through Artificial Intelligence Models: A Comparative Study https://jhidc.org/index.php/jhidc/article/view/455 <p>As governments worldwide embrace digital transformation, the role of artificial intelligence (AI) in public policy formulation and analysis has gained unprecedented relevance. This study explores the capabilities and limitations of two advanced AI models (customized ChatGPT and DeepSeek) as decision-support tools. Briefing notes were generated using three different approaches: one by human policy analyst and two by AI models. The aim was to evaluate whether contemporary natural language processing (NLP) technologies can produce briefing notes that are relevant and useful for public policy decision-making. The AI-generated content was tested through simulated policy scenarios to assess performance in tasks such as information retrieval, stakeholder-specific communication, policy brief generation, and scenario analysis. To ensure a robust evaluation, a panel of subject-matter experts assessed the quality of all briefing notes using a structured heuristic evaluation rubric. Results indicate that AI model can enhance analytical capacity, improve policy document drafting, and foster more responsive decision-making. However, the study also identifies critical challenges, including model bias, explainability deficits, and the need for sustained human oversight. Drawing the importance of hybrid governance frameworks that combine AI tools with institutional safeguards. The findings contribute to ongoing discussions on ethical AI integration and provide actionable recommendations for responsibly incorporating large language models into public sector workflows, especially in digitally transforming nations.</p> Saja Alhosan Othman Alsalloum Copyright (c) 2025 Journal of Health Informatics in Developing Countries https://creativecommons.org/licenses/by-nc-sa/4.0 2025-08-23 2025-08-23 19 02 Factors Affecting the Usage of Sehhaty Telehealth Services Among Young Adults in Riyadh https://jhidc.org/index.php/jhidc/article/view/464 <h2>Introduction:</h2> <p>Telehealth platforms, particularly during the COVID-19 pandemic, have significantly enhanced healthcare access worldwide. In Saudi Arabia, Sehhaty has emerged as a key digital health tool; however, user engagement among young adults remains inconsistent, potentially due to trust issues, usability challenges, and interoperability barriers.</p> <h2><a name="_Toc198593147"></a><a name="_Toc198593886"></a>Objectives:</h2> <p>This study aims to assess the influence of trust, perceived usefulness, ease of use, satisfaction, and system interoperability on young adults’ behavioral intention to use Sehhaty in Riyadh, using the Technology Acceptance Model (TAM) as a theoretical framework.</p> <h2>Method:</h2> <p>A cross-sectional survey was distributed online to Saudi residents aged 18–35 in Riyadh. A total of 314 responses were collected using convenience sampling. The survey included 30 Likert-scale items validated through previous TAM-based studies. Data were analyzed using descriptive statistics, Cronbach’s Alpha, Pearson correlation, and multiple linear regression.</p> <h2>Results:</h2> <p>All constructs showed good internal consistency (α &gt; 0.75), and perceived usefulness (β = 0.75, p &lt; 0.001) was the strongest predictor of behavioral intention, followed by ease of use and trust. Interoperability showed a moderate to low correlation with satisfaction (r = 0.40), and open-ended responses highlighted lack of integration with other public and private hospital systems as a common concern.</p> <h2>Conclusion:</h2> <p>While young users view Sehhaty positively overall, improving system interoperability and maintaining ease of use may significantly boost adoption. Findings highlight the importance of user-centered and integrated digital health strategies.</p> Thamer Al Edreesi Hala Alrabaily Copyright (c) 2025 Journal of Health Informatics in Developing Countries https://creativecommons.org/licenses/by-nc-sa/4.0 2025-09-07 2025-09-07 19 02