West Papua is the second biggest province in eastern part of Indonesia. Availability and accessibility of health care services are among the priority problems in this province. Telemedicine Indonesia (TEMENIN), a telemedicine pilot project from the Ministry of Health, has been implemented in 4 health care facilities in West Papua since 2018. This paper aims to evaluate the implementation and challenges of TEMENIN in respected health facilities in West Papua province. We applied a descriptive study using qualitative and quantitative approaches. Focus group discussion and interviews with participants emphasized the high demands of well running telemedicine. However, several difficulties and challenges have contributed to the low utilization of the TEMENIN during the pilot project. Those include unstable Internet connection, limited ease of use and lack of suitable features that meet local health problems. Several recommendations are suggested to increase the utilization and improve the pilot project in the coming years.
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