Are we there yet? Unbundling the potential adoption and integration of telemedicine to improve virtual healthcare services in African health systems
Open accessAbstract
Since the outbreak of COVID-19, the attention has now shifted towards universal vaccination to gracefully lift strict COVID-19 restrictions previously imposed to contain the spread of the disease. Sub-Saharan Africa is experiencing an exponential increase of infections and deaths coupled with vaccines shortages, personal protective equipment, weak health systems and COVID-19 emerging variants. Some developed countries integrated telemedicine to reduce the impacts of the shortage of healthcare professionals and potentially reduce the risk of exposure, ensuring easy delivery of quality health services while limiting regular physical contact and direct hospitalization. However, the adoption of telemedicine and telehealth is still nascent in many sub-Saharan Africa countries. Therefore, this study reflects on progress made towards the use of telemedicine, virtual health care services, challenges encountered, and proffers ways to address them. We conducted a systematic literature review to synthesise literature on telemedicine in sub-Saharan Africa. The study revealed that telemedicine provides unprecedented benefits such as improving efficiency, effective utilization of healthcare resources, forward triaging, prevention of medical personnel infection, aiding medical students' clinical observation and participation, and assurance of social support for patients. However, the absence of policy on virtual care and political will, cost of sustenance of virtual health care services, inadequate funding, technological and infrastructural barriers, patient and healthcare personnel bias on virtual care and cultural barriers are identified as limiting factors to the adoption of virtual health care in many African health systems. To alleviate some of these barriers, we recommend the development of robust policies and frameworks for virtual health care, the inclusion of virtual care in the medical school curriculum, supporting virtual care research and development, increasing health funding, removing monopolisation of telecommunication services, developing of virtual health solutions that address eccentricities of African health systems.
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Cites
Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & The PRISMA Group (2009) · PLoS Medicine · doi:10.1371/journal.pmed.1000097 · Cited by 64,042 · see citing works
Preferred reporting items for systematic reviews and meta-analyses: the PRISMA Statement.
(2009) · PubMed Central · Cited by 44,859 · see citing works
Mental health and the COVID-19 pandemic
Pfefferbaum, B., & North, C. S. (2020) · New England Journal of Medicine · doi:10.1056/nejmp2008017 · Cited by 4,378 · see citing works
Telehealth transformation: COVID-19 and the rise of virtual care
Wosik, J., Fudim, M., Cameron, B., Gellad, Z. F., Cho, A., Phinney, D., Curtis, S., Roman, M., Poon, E. G., Ferranti, J., et al. (2020) · Journal of the American Medical Informatics Association · doi:10.1093/jamia/ocaa067 · Cited by 1,581 · see citing works
Digital technology and COVID-19
Ting, D. S. W., Carin, L., Dzau, V., & Wong, T. Y. (2020) · Nature Medicine · doi:10.1038/s41591-020-0824-5 · Cited by 1,413 · see citing works
O’Dea, R. E., Lagisz, M., Jennions, M. D., Koricheva, J., Noble, D. W. A., Parker, T. H., Gurevitch, J., Page, M. J., Stewart, G. B., Moher, D., et al. (2021) · Biological reviews/Biological reviews of the Cambridge Philosophical Society · doi:10.1111/brv.12721 · Cited by 771 · see citing works
Kichloo, A., Albosta, M. S., Dettloff, K., Wani, F., El‐amir, Z., Singh, J., Aljadah, M. M., Chakinala, R. C., Kanugula, A. K., Solanki, S., et al. (2020) · Family Medicine and Community Health · doi:10.1136/fmch-2020-000530 · Cited by 713 · see citing works
Telemedicine and the COVID-19 Pandemic, Lessons for the Future
Bashshur, R., Doarn, C. R., Frenk, J. M., Kvedar, J. C., & Woolliscroft, J. O. (2020) · Telemedicine and e-Health · doi:10.1089/tmj.2020.29040.rb · Cited by 642 · see citing works
Malik, Y. S., Sircar, S., Bhat, S., Sharun, K., Dhama, K., Dadar, M., Tiwari, R., & Chaicumpa, W. (2020) · Veterinary Quarterly · doi:10.1080/01652176.2020.1727993 · Cited by 499 · see citing works
Telemedicine practice: Review of the current ethical and legal challenges
Nittari, G., Khuman, R., Baldoni, S., Pallotta, G., Battineni, G., Sirignano, A., Amenta, F., & Ricci, G. (2020) · Telemedicine and e-Health · doi:10.1089/tmj.2019.0158 · Cited by 471 · see citing works
Mbunge, E., Muchemwa, B., Jiyane, S., & Batani, J. (2021) · Global Health Journal · doi:10.1016/j.glohj.2021.11.008 · Cited by 352 · see citing works
Self-citationKaplan, B. (2020) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2020.104239 · Cited by 303 · see citing works
COVID-19 vaccine hesitancy in South Africa: how can we maximize uptake of COVID-19 vaccines?
Cooper, S., van Rooyen, H., & Wiysonge, C. S. (2021) · Expert Review of Vaccines · doi:10.1080/14760584.2021.1949291 · Cited by 241 · see citing works
Effects of COVID-19 in South African health system and society: An explanatory study
Mbunge, E. (2020) · Diabetes & Metabolic Syndrome Clinical Research & Reviews · doi:10.1016/j.dsx.2020.09.016 · Cited by 226 · see citing works
Self-citationTelemedicine and Advances in Urban and Rural Healthcare Delivery in Africa
Mars, M. (2013) · Progress in Cardiovascular Diseases · doi:10.1016/j.pcad.2013.10.006 · Cited by 223 · see citing works
Legal and ethical aspects of telemedicine
Stanberry, B. (2006) · Journal of Telemedicine and Telecare · doi:10.1258/135763306777488825 · Cited by 210 · see citing works
Dzinamarira, T., Nachipo, B., Phiri, B., & Musuka, G. (2021) · Vaccines · doi:10.3390/vaccines9030250 · Cited by 169 · see citing works
Tele-monitoring of ventilator-dependent patients: a European Respiratory Society Statement
Ambrosino, N., Vitacca, M., Dreher, M., Isetta, V., Montserrat, J. M., Tonia, T., Turchetti, G., Winck, J. C., Burgos, F., Kampelmacher, M., et al. (2016) · European Respiratory Journal · doi:10.1183/13993003.01721-2015 · Cited by 155 · see citing works
Limiting the spread of COVID-19 in Africa: one size mitigation strategies do not fit all countries
Mehtar, S., Preiser, W., Lakhe, N. A., Bousso, A., Tamfum, J. M., Kallay, O., Seydi, M., Zumla, A. I., & Nachega, J. B. (2020) · The Lancet Global Health · doi:10.1016/s2214-109x(20)30212-6 · Cited by 142 · see citing works
Face masks are new normal after COVID-19 pandemic
Rab, S., Javaid, M., Haleem, A., & Vaishya, R. (2020) · Diabetes & Metabolic Syndrome Clinical Research & Reviews · doi:10.1016/j.dsx.2020.08.021 · Cited by 127 · see citing works
Addressing challenges to rolling out COVID-19 vaccines in African countries
Nachega, J. B., Sam-Agudu, N. A., Masekela, R., et al. (2021) · The Lancet Global Health · doi:10.1016/s2214-109x(21)00097-8 · Cited by 126 · see citing works
Biruk, K., & Abetu, E. (2018) · Journal of Healthcare Engineering · doi:10.1155/2018/2389268 · Cited by 125 · see citing works
Telemedicine use in Sub-Saharan Africa: Barriers and policy recommendations for Covid-19 and beyond
Dodoo, J. E., Al-Samarraie, H., & Alzahrani, A. I. (2021) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2021.104467 · Cited by 125 · cited 3× · see citing works
“This resistance to change can thwart the implementation of virtual care in Africa [55].”
Towards reinforcing telemedicine adoption amongst clinicians in Nigeria
Adenuga, K. I., Iahad, N. A., & Miskon, S. (2017) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2017.05.008 · Cited by 120 · see citing works
COVID-19 vaccines: how to ensure Africa has access
Nkengasong, J. N., Ndembi, N., Tshangela, A., et al. (2020) · Nature · doi:10.1038/d41586-020-02774-8 · Cited by 116 · see citing works
Chitungo, I., Mhango, M., Mbunge, E., Dzobo, M., Musuka, G., & Dzinamarira, T. (2021) · Human Behavior and Emerging Technologies · doi:10.1002/hbe2.297 · Cited by 98 · see citing works
Self-citationKronenfeld, J. P., & Penedo, F. J. (2021) · Translational Behavioral Medicine · doi:10.1093/tbm/ibaa105 · Cited by 93 · see citing works
Application of deep learning and machine learning models to detect COVID-19 face masks - A review
Mbunge, E., Simelane, S., Fashoto, S. G., Akinnuwesi, B. A., & Metfula, A. S. (2021) · Sustainable Operations and Computers · doi:10.1016/j.susoc.2021.08.001 · Cited by 93 · see citing works
Self-citationContinuing increased access to buprenorphine in the United States via telemedicine after COVID-19
Davis, C. S., & Samuels, E. A. (2020) · International Journal of Drug Policy · doi:10.1016/j.drugpo.2020.102905 · Cited by 87 · see citing works
Factors influencing e-health implementation by medical doctors in public hospitals in Zimbabwe
Furusa, S. S., & Coleman, A. (2018) · South African journal of information management · doi:10.4102/sajim.v20i1.928 · Cited by 83 · see citing works
The future of telemedicine visits after COVID-19: perceptions of primary care pediatricians
Grossman, Z., Chodick, G., Reingold, S. M., Chapnick, G., & Ashkenazi, S. (2020) · Israel Journal of Health Policy Research · doi:10.1186/s13584-020-00414-0 · Cited by 83 · see citing works
Barriers to Sustainable Telemedicine Implementation in Ethiopia: A Systematic Review
Sagaro, G. G., Battineni, G., & Amenta, F. (2020) · Telemedicine Reports · doi:10.1089/tmr.2020.0002 · Cited by 83 · see citing works
Akintunde, T. Y., Akintunde, O. D., Musa, T. H., Muhideen, S., Tassang, A. E., Reed, L. M., & Chen, S. (2021) · Global Health Journal · doi:10.1016/j.glohj.2021.07.006 · Cited by 83 · see citing works
Africa turns to telemedicine to close mental health gap
Adepoju, P. (2020) · The Lancet Digital Health · doi:10.1016/s2589-7500(20)30252-1 · Cited by 80 · see citing works
Aiken, A. R. A., Starling, J. E., Gomperts, R., et al. (2020) · Obstetrics and Gynecology · doi:10.1097/aog.0000000000004081 · Cited by 75 · see citing works
The “virtual wards” supporting patients with covid-19 in the community
Thornton, J. (2020) · BMJ · doi:10.1136/bmj.m2119 · Cited by 73 · see citing works
Mbunge, E., Jiyane, S., & Muchemwa, B. (2021) · Sensors International · doi:10.1016/j.sintl.2021.100134 · Cited by 68 · see citing works
Self-citationScaling up a mobile telemedicine solution in Botswana: keys to sustainability
Ndlovu, K., Littman-Quinn, R., Park, E., Dikai, Z., & Kovarik, C. L. (2014) · Frontiers in Public Health · doi:10.3389/fpubh.2014.00275 · Cited by 58 · see citing works
Editorial: Telemedicine During and Beyond COVID-19
Bhaskar, S. M. M., Nurtazina, A., Mittoo, S., et al. (2021) · Frontiers in Public Health · doi:10.3389/fpubh.2021.662617 · Cited by 54 · see citing works
More room for telemedicine after COVID-19: lessons for primary care?
Garattini, L., Martini, M. B., & Zanetti, M. (2020) · The European Journal of Health Economics · doi:10.1007/s10198-020-01248-y · Cited by 53 · see citing works
Emerging technologies and COVID-19 digital vaccination certificates and passports
Mbunge, E., Dzinamarira, T., Fashoto, S. G., et al. (2021) · Public Health in Practice · doi:10.1016/j.puhip.2021.100136 · Cited by 53 · see citing works
Self-citationUse of telemedicine in obstetrics and gynaecology in Zimbabwe during a lockdown period
Moyo, J., & Madziyire, G. (2020) · Pan African Medical Journal · doi:10.11604/pamj.supp.2020.35.2.23675 · Cited by 46 · see citing works
COVID-19 and telehealth: a window of opportunity and its challenges
Nittas, V., & von Wyl, V. (2020) · Swiss Medical Weekly · doi:10.4414/smw.2020.20284 · Cited by 45 · see citing works
Ethics for integrating emerging technologies to contain COVID ‐19 in Zimbabwe
Mbunge, E., Fashoto, S. G., Akinnuwesi, B. A., Metfula, A. S., Simelane, S., & Ndumiso, N. (2021) · Human Behavior and Emerging Technologies · doi:10.1002/hbe2.277 · Cited by 44 · see citing works
Self-citationTelemedicine in the pediatric surgery in Germany during the COVID-19 pandemic
Lakshin, G., Banek, S., Keese, D., et al. (2021) · Pediatric Surgery International · doi:10.1007/s00383-020-04822-w · Cited by 42 · see citing works
Acceptability and willingness to pay for telemedicine services in Enugu state, southeast Nigeria
Arize, I. N., & Onwujekwe, O. E. (2017) · Digital Health · doi:10.1177/2055207617715524 · Cited by 38 · see citing works
Telemonitoring for Home-assisted Ventilation: A Narrative Review
Ackrivo, J., Elman, L. B., & Hansen-Flaschen, J. H. (2021) · Annals of the American Thoracic Society · doi:10.1513/annalsats.202101-033cme · Cited by 38 · see citing works
Reliability of a Telemedicine System Designed for Rural Kenya
Qin, R., Dzombak, R., Amin, R., & Mehta, K. (2013) · Journal of Primary Care & Community Health · doi:10.1177/2150131912461797 · Cited by 35 · see citing works
Mbunge, E., Millham, R. C., Sibiya, M. N., Fashoto, S. G., Akinnuwesi, B. A., Simelane, S., & Ndumiso, N. (2021) · Sustainable Operations and Computers · doi:10.1016/j.susoc.2021.07.003 · Cited by 33 · see citing works
Self-citationMbunge, E., Chitungo, I. J. B., & Dzinamarira, T. (2021) · Cognitive Robotics · doi:10.1016/j.cogr.2021.11.001 · Cited by 31 · see citing works
Self-citationThe need for a telemedicine strategy for Botswana? A scoping review and situational assessment
Ncube, B., Mars, M., & Scott, R. E. (2020) · BMC Health Services Research · doi:10.1186/s12913-020-05653-0 · Cited by 30 · see citing works
Who Will Pay for the COVID-19 Vaccines for Africa?
Lucero‐Prisno, D. E., Ogunkola, I. O., Imo, U. F., et al. (2021) · American Journal of Tropical Medicine and Hygiene · doi:10.4269/ajtmh.20-1506 · Cited by 30 · see citing works
Mbunge, E., Fashoto, S. G., Akinnuwesi, B. A., et al. (2020) · SSRN Electronic Journal · doi:10.2139/ssrn.3740202 · Cited by 29 · see citing works
Self-citationAssessment of health provider readiness for telemedicine services in Uganda
Kiberu, V. M., Scott, R. E., & Mars, M. (2018) · Health Information Management Journal · doi:10.1177/1833358317749369 · Cited by 28 · see citing works
COVID-19 and Teleneurology in Sub-Saharan Africa: Leveraging the Current Exigency
Adebayo, P. B., Oluwole, O. J., & Taiwo, F. T. (2021) · Frontiers in Public Health · doi:10.3389/fpubh.2020.574505 · Cited by 28 · see citing works
Oyediran, K. A., Makinde, O. A., & Adelakin, O. (2020) · African Journal of Reproductive Health · doi:10.29063/ajrh2020/v24i2s.8 · Cited by 25 · see citing works
Telehealth during COVID-19: why Sub-Saharan Africa is yet to log-in to virtual healthcare?
Babalola, D., Anayo, M., & Itoya, D. A. (2021) · AIMS Medical Science · doi:10.3934/medsci.2021006 · Cited by 25 · see citing works
Chitungo, I. J. B., Mhango, M., Dzobo, M., Denhere, K., Chimene, M., Musuka, G., & Dzinamarira, T. (2021) · Smart Health · doi:10.1016/j.smhl.2021.100207 · Cited by 24 · see citing works
Digital technologies and COVID-19: reconsidering lockdown exit strategies for Africa
Chitungo, I. J. B., Mhango, M., Mbunge, E., Dzobo, M., & Dzinamarira, T. (2021) · Pan African Medical Journal · doi:10.11604/pamj.2021.39.93.29773 · Cited by 23 · see citing works
Self-citationReingold, S. M., Hadjipanayis, A., van Esso, D., del Torso, S., Dornbusch, H. J., de Guchtenaere, A., Pancheva, R., Mujkic, A., Syridou, G., Valiulis, A., et al. (2021) · Frontiers in Pediatrics · doi:10.3389/fped.2021.713930 · Cited by 23 · see citing works
Sosnowski, R., Kamecki, H., Joniau, S., et al. (2020) · European Urology · doi:10.1016/j.eururo.2020.07.007 · Cited by 22 · see citing works
Tyson, L., Hardeman, W., Stratton, G., et al. (2021) · Journal of Health Psychology · doi:10.1177/13591053211012766 · Cited by 22 · see citing works
Telemedicine: an imperative concept during COVID-19 pandemic in Africa.
David, K. B., Solomon, J. K., Yunusa, I. U., Lawal, B. K., Marshal, C. S., Okereke, M., & Ozuluoha, C. C. (2020) · PubMed Central · doi:10.11604/pamj.supp.2020.35.25281 · Cited by 20 · see citing works
The Ethical and Social Dimensions of Home-Based Telemedicine
Bauer, K. (2000) · Critical Reviews in Biomedical Engineering · doi:10.1615/critrevbiomedeng.v28.i34.330 · Cited by 18 · see citing works
Telemedicine in otorhinolaryngological practice during COVID-19 pandemic
Ibekwe, T., & Fasunla, A. J. (2020) · Nigerian Medical Journal · doi:10.4103/nmj.nmj_201_20 · Cited by 17 · see citing works
Latifi, R., Azevedo, V., Boci, A., et al. (2020) · Telemedicine Journal and e-Health · doi:10.1089/tmj.2019.0290 · Cited by 17 · see citing works
Telemedicine: an imperative concept during COVID-19 pandemic in Africa
David, K. B., Solomon, J. K., Yunusa, I. U., Lawal, B. K., Marshal, C. S., Okereke, M., & Ozuluoha, C. C. (2020) · Pan African Medical Journal · doi:10.11604/pamj.supp.2020.35.2.25281 · Cited by 17 · see citing works
Applications of telemedicine in the supply and distribution of COVID-19 vaccines in Africa
Okereke, M., Babatunde, A. O., Samuel, S. T., Ogunkola, I. O., Mogessie, Y. G., & Lucero‐Prisno, D. E. (2021) · Journal of Global Health · doi:10.7189/jogh.11.03039 · Cited by 16 · see citing works
The Development of Telemedicine and eHealth in Surgery during the SARS-CoV-2 Pandemic
Taha, A., Saad, B., Enodien, B., Bachmann, M., Frey, D. M., & Taha‐Mehlitz, S. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph182211969 · Cited by 13 · see citing works
Wariri, O., Okomo, U. A., Cerami, A., et al. (2021) · BMJ Global Health · doi:10.1136/bmjgh-2021-005883 · Cited by 11 · see citing works
Mbunge, E., Millham, R. C., Sibiya, M. N., & Takavarasha, S. (2021) · Lecture notes in networks and systems · doi:10.1007/978-3-030-90318-3_54 · Cited by 11 · see citing works
Self-citationTelemedicine Diffusion in a Developing Country: A Case of Nigeria
Ekanoye, F., Ayeni, F., Olokunde, T., Nina, V., Donalds, C., & Mbarika, V. (2017) · Science Journal of Public Health · doi:10.11648/j.sjph.20170504.20 · Cited by 10 · see citing works
Deployment of telemedicine as another mitigation tool during the COVID-19 pandemic in India
Das, P., & Sharma, A. K. (2021) · Public Health in Practice · doi:10.1016/j.puhip.2021.100167 · Cited by 8 · see citing works
Die Digitalisierung aus Ärztesicht (Teil II)
Röthlisberger, F., Sojer, R., Zingg, T., & Rayki, O. (2018) · Bulletin des Médecins Suisses · doi:10.4414/saez.2018.17377 · Cited by 6 · see citing works
Telemedicine and COVID-19: Experience of Medical Doctors in Cameroon
Armand, K. E., Ananfack, E. G., Marcien, N. N. F., Wilson, N. N. A., Reine, M. M. C., & Claude, N. N. E. (2021) · American Journal of Health Medicine and Nursing Practice · doi:10.47672/ajhmn.666 · Cited by 6 · see citing works
Africa prepares for COVID-19 vaccines
Adepoju, P. (2021) · The Lancet Microbe · doi:10.1016/s2666-5247(21)00013-6 · Cited by 6 · see citing works
A Mobile Telehealth Application for Rural Namibia
Dansharif, A. R., Dlodlo, N., & Angula, N. (2018) · IST-Africa Week Conference · Cited by 5 · see citing works
Caso, F., PUENTE, A. D., Girolimetto, N., et al. (2020) · Annals of the Rheumatic Diseases · doi:10.1136/annrheumdis-2020-218472 · Cited by 4 · see citing works
Telecommunication Network Architecture for Telemedicine in Ethiopia and its Applicability
Tamiru, H. K., Bogale, S. D., & Ayele, N. A. (2020) · Zenodo (CERN European Organization for Nuclear Research) · doi:10.5281/zenodo.18659278 · Cited by 1 · see citing works
Flagged first, then by citations
Research works printed but not linked: 5
- [29]Scott R.E. Mars M. Smart Homecare Technology and TeleHealth Dovepress Telehealth in the developing world: current status and future prospects Smart Homecare Technol. TeleHealth 3–25 2015 10.2147/SHTT.S75184 · DOI · Paper page
- [53]Babalola D. Anayo M. Itoya D.A. Babalola D. Anayo M. Itoya D.A. Telehealth during COVID-19: why Sub-Saharan Africa is yet to log-in to virtual healthcare? AIMS Med. Sci. 2021 10.3934/MEDSCI.2021006 146 2021;8:46–55 · DOI
- [55]Dodoo J.E. Al-Samarraie H. Alzahrani A.I. Telemedicine use in sub-Saharan Africa: barriers and policy recommendations for covid-19 and beyond Int. J. Med. Inf. 151 2021 104467 10.1016/j.ijmedinf.2021.104467 PMC9761083 33915421 · DOI · Paper page
- [56]Okereke M. Babatunde A.O. Samuel S.T. Ogunkola I.O. Mogessie Y.G. Lucero-Prisno D.E. Applications of telemedicine in the supply and distribution of COVID-19 vaccines in Africa J. Glob. Health 11 2021 1 4 10.7189/JOGH.11.03039 PMC8005274 33828830 · DOI
- [58]Adepoju P. Africa turns to telemedicine to close mental health gap Lancet Digit Health 2 2020 e571 e572 10.1016/S2589-7500(20)30252-1 33103096 PMC7571965 · DOI · Paper page
Cited by
Sorted by citations
Agbeyangi, A. O., & Lukose, J. M. (2025) · Healthcare · doi:10.3390/healthcare13070762 · Cited by 82 · see citing works
Eslami Jahromi, M., & Ayatollahi, H. (2023) · Journal of the American Medical Informatics Association · doi:10.1093/jamia/ocac250 · Cited by 30 · see citing works
- Authors
- Mbunge, E., Muchemwa, B., & Batani, J.
- Affiliations
- University of Eswatini (SZ)
- Botho University (BW)
- Corresponding author
- Mbunge, Elliot
- Venue
- Sensors International
- Publisher
- Elsevier BV
- Published
- 2022
- Volume
- 3
- Pages
- 100152
- ISSN
- 2666-3511 (ISSN-L)
- PMC
- PMC8648577
- OpenAlex
- W4200348669
- Cited by
- 90
- References
- 79
- Citations by year
- 2026: 10 · 2025: 27 · 2024: 16 · 2023: 22 · 2022: 14 · 2021: 1
- FWCI
- 11.48
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Sensors International (publishedVersion, cc-by)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Health Professions › General Health Professions › Healthcare Systems and Practices
- Health Sciences › Dentistry › General Dentistry › Dental Research and COVID-19
- Keywords
- telemedicine, sub-Saharan Africa, health system integration, technology adoption barriers, health policy, medical curriculum, health funding, telecommunications infrastructure, COVID-19 pandemic, health workforce shortage, cultural barriers
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