Teleoncology in sub-Saharan Africa: A literature review

Ferrari, Rossella; Amouzou, Komla Séna; Gobitti, Carlo; Bartolo, Michelangelo

doi:10.1016/j.jcpo.2018.07.002

Cited by 11 publications

(24 citation statements)

References 47 publications

(65 reference statements)

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“…Mobile consulting (mConsulting) as an option for accessing healthcare services for communities in remote rural areas and urban slums in low-and middle-income countries: A mixed methods study 19) has enforced changes in health seeking behaviour and in the organisation and delivery of healthcare services. Technology is in the spotlight as the world seeks new ways to support overburdened health systems and protect healthcare workers and populations, with innovations emerging in digital communication, education and patient management solutions.…”

Section: Titlementioning

confidence: 99%

“…This timeframe coincides with the emergence of WHO guidance on digital interventions for health systems 11 and recognises the rapidly changing nature of digital technology. Building on our previous reviews of two-way digital clinical communication [12][13][14][15][16][17][18] , with added parameters for LMIC contexts, we identified seven systematic reviews [19][20][21][22][23][24][25] and five empirical studies [26][27][28][29][30] involving mConsulting in LMICs, as per our definition 7 (see, Appendix 1, for our search strategy).…”

Section: Conceptual Framework: Access In a Complex Adaptive Systemmentioning

confidence: 99%

“…The seven reviews included studies from a range of LMIC countries [19][20][21][22][23][24][25] , while the empirical studies were from Ghana 30 , Kenya 28 , Bangladesh 26,29 and India 27 . mConsulting was used in maternal, newborn and child health care in two reviews 24,25 and four studies [27][28][29][30] .…”

Section: Conceptual Framework: Access In a Complex Adaptive Systemmentioning

confidence: 99%

“…mConsulting was used in maternal, newborn and child health care in two reviews 24,25 and four studies [27][28][29][30] . Other conditions included chronic care (n=3) 22,23,26 for non-communicable disease, diabetes, tuberculosis, HIV and cancer; general health (n=2) 20,21 ; mental health for mothers living with HIV (n=1) 27 ; and adolescent health (n=1) 19 .…”

Section: Conceptual Framework: Access In a Complex Adaptive Systemmentioning

confidence: 99%

“…Additionally, services were found to potentially contribute to inequalities in patient access. For example, a dedicated helpline in Nigeria, providing information about self-examination for oncology patients, was mainly accessed by users with higher levels of formal education 19 .…”

Section: Challenges Using Mconsultingmentioning

confidence: 99%

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Mobile consulting (mConsulting) as an option for accessing healthcare services for communities in remote rural areas and urban slums in low- and middle- income countries: A mixed methods study

Harris

Ajisola

Alam

et al. 2020

Preprint

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ObjectiveRemote or mobile consulting (mConsulting) is being promoted to strengthen health systems, deliver universal health coverage and facilitate safe clinical communication during COVID-19 and beyond. We explored whether mConsulting is a viable option for communities with minimal resources in low- and middle-income countries (LMICs).MethodsWe reviewed evidence published since 2018 about mConsulting in LMICs and undertook a scoping study (pre-COVID) in two rural settings (Pakistan, Tanzania) and five urban slums (Kenya, Nigeria, Bangladesh), using policy/document review, secondary analysis of survey data (from the urban sites), and thematic analysis of interviews/workshops with community members, healthcare workers, digital/telecommunications experts, mConsulting providers, local and national decision-makers. Project advisory groups guided the study in each country.ResultsWe reviewed five empirical studies and seven reviews, analysed data from 5,219 urban slum households and engaged with 419 stakeholders in rural and urban sites. Regulatory frameworks are available in each country. mConsulting services are operating through provider platforms (n=5-17) and, at community-level, some direct experience of mConsulting with healthcare workers using their own phones was reported - for emergencies, advice and care follow-up. Stakeholder willingness was high, provided challenges are addressed in technology, infrastructure, data security, confidentiality, acceptability and health system integration. mConsulting can reduce affordability barriers and facilitate care-seeking practices.ConclusionsThere are indications of readiness for mConsulting in communities with minimal resources. However, wider system strengthening is needed to bolster referrals, specialist services, laboratories and supply-chains to fully realise the continuity of care and responsiveness that mConsulting services offer, particularly during/beyond COVID-19.

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Section: Titlementioning

confidence: 99%

Section: Conceptual Framework: Access In a Complex Adaptive Systemmentioning

confidence: 99%

Section: Conceptual Framework: Access In a Complex Adaptive Systemmentioning

confidence: 99%

Section: Conceptual Framework: Access In a Complex Adaptive Systemmentioning

confidence: 99%

Section: Challenges Using Mconsultingmentioning

confidence: 99%

See 3 more Smart Citations

Mobile consulting (mConsulting) as an option for accessing healthcare services for communities in remote rural areas and urban slums in low- and middle- income countries: A mixed methods study

Harris

Ajisola

Alam

et al. 2020

Preprint

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The development of telemedicine programs in Sub-Saharan Africa: Progress and associated challenges

2021

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Monitoring the progress of telemedicine use in Sub-Saharan Africa (SSA) countries has received a considerable attention from many health organizations and governmental agencies. This study reviewed the current progress and challenges in relation to the development of telemedicine programs in SSA. The results from reviewing 66 empirical studies revealed an unbalanced progress across SSA countries. Further, technological, organisational, legal and regulatory, individual, financial, and cultural aspects were identified as the major barriers to the success of telemedicine development in SSA. This study reported the current trends in telemedicine application, as well as highlighting critical barriers for consideration by healthcare decision makers. The outcomes from this study offer a number of recommendations to support wider implementation and sustainable usage of telemedicine in SSA.

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Interaction measurement of success factors in the telemedicine development: Using a grey heterogeneous influence and strength attenuation technique

Hsu,

Lo,

Lin

et al. 2024

Technology in Society

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Teleoncology in sub-Saharan Africa: A literature review

Cited by 11 publications

References 47 publications

Mobile consulting (mConsulting) as an option for accessing healthcare services for communities in remote rural areas and urban slums in low- and middle- income countries: A mixed methods study

Mobile consulting (mConsulting) as an option for accessing healthcare services for communities in remote rural areas and urban slums in low- and middle- income countries: A mixed methods study

The development of telemedicine programs in Sub-Saharan Africa: Progress and associated challenges

Interaction measurement of success factors in the telemedicine development: Using a grey heterogeneous influence and strength attenuation technique

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