Exploring the role of telemedicine in improving access to healthcare services by women and girls in rural Nepal

Parajuli, Rajan; Doneys, Philippe

doi:10.1016/j.tele.2017.05.006

Cited by 40 publications

(46 citation statements)

References 28 publications

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“…Review identified many reasons behind the lack of accessibility, such as poor communication system, land slide or flash flood during rainy season, etc. In total 20 papers reported the telemedicine features of addressing challenges of geographic remoteness [27][28][29][30][31][32][33][34][35][36][37][38][39][40][41][42][43][44][45][46] and 11 papers reported time saving [29][30][31][32][33]40,41,[47][48][49][50] character. 4 papers reported communication and transportation 30,32,46,49 related issues.…”

Section: Theme 1: Geographic Difficulties and Emergency Contextmentioning

confidence: 99%

“…52 Telemedicine services in Nepal also encountered such issues. Review found 9 papers discussing about cost-effectiveness 30,33,40,45,[48][49][50]53,54 and 3 papers about increased access. 30,44,48 Rural-urban disparity and lack of services in rural areas block the way to increased accessibility.…”

Section: Theme 2: Accessibility Issue In Terms Of Rural-urban Disparimentioning

confidence: 99%

“…Review found 9 papers discussing about cost-effectiveness 30,33,40,45,[48][49][50]53,54 and 3 papers about increased access. 30,44,48 Rural-urban disparity and lack of services in rural areas block the way to increased accessibility. 2 papers reported the issue of addressing challenges of disparity in terms of rural-urban difference in Rajbhandari et al 2019 47 Most people with epilepsy live LMI countries like Nepal; especially in rural areas where there are relatively few doctors coupled with lack of quality services, treatment gaps, etc.…”

Section: Theme 2: Accessibility Issue In Terms Of Rural-urban Disparimentioning

confidence: 99%

“…Parajuli et al 2017 48 A telemedicine project was launched to reduce gender-based disparity in accessing required healthcare services in rural areas.…”

Section: Teleconsultation Image Sharing and Video Conferencingmentioning

confidence: 99%

“…In addition, 2 papers reported the role of telemedicine in overcoming challenges in terms of gender, age, ethnicity, etc. 39,48 Theme 3: Address Shortage of Healthcare Facilities and Skilled Health Service Providers Quality healthcare service depends largely on the presence of adequate number of healthcare facilities and healthcare service providers respective to the total amount of population. Availability of equipment and logistic facilities are also some of the most important contributing factors.…”

Section: Satellite Phone Patient Data Sharing Portable Computer Andmentioning

confidence: 99%

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<p>Telemedicine in Resource-Limited Setting: Narrative Synthesis of Evidence in Nepalese Context</p>

Siddiquee¹,

Poudyal²,

Pandey³

et al. 2020

SHTT

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The traditional model of health services imposes limitations, especially in resourcelimited countries like Nepal. Introduction to information technology can mitigate various challenges like geographic complexity, urban-rural disparity, poor accessibility, shortage of healthcare professionals, inadequate health facilities, higher cost, and time. Nepal is a resourcelimited country with diverse geographic features making it hard to have proper access to healthcare facilities. Telemedicine service has the potential to improve service quality and accessibility of the disadvantaged and underserved population by overcoming the existing challenges. The objective of this review was to explore the roles of telemedicine in vanquishing existing challenges. Seven data sources (namely CINAHL, PubMed, POPLINE, Web of Science, Scopus, DOAJ and Summon) were consulted using five keywords (telemedicine, telehealth, eHealth, mHealth and Nepal to find the literature using the Boolean operator AND) to obtain the relevant materials. The narrative synthesis method was used to review papers and to analyze the findings. This review selected 27 papers for further analysis by scrutinizing 1161 initial search results. The most common features of telemedicine services so far, implemented or piloted in Nepal, were addressing geographic remoteness (21%), a shortage of in healthcare service providers (11%), saving time (11%), addressing challenges of extreme conditions (10%), cost saving (9%), service quality (9%) and real-time services (8%). Some other features of telemedicine were communication, transportation, referral, collaboration, addressing challenges in proper diagnosis and the shortage of health professionals. In a nutshell, the review findings suggested improved service quality, increased collaboration and accessibility and decreased the disparity in comparison with traditional health service models. Although it cannot be said that telemedicine in Nepal has been mainstreamed, yet the appeal is increasing due to its positive impact, especially in rural and hard-to-reach areas where with a lack of healthcare set-up and professionals.

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Section: Theme 1: Geographic Difficulties and Emergency Contextmentioning

confidence: 99%

Section: Theme 2: Accessibility Issue In Terms Of Rural-urban Disparimentioning

confidence: 99%

Section: Theme 2: Accessibility Issue In Terms Of Rural-urban Disparimentioning

confidence: 99%

“…Parajuli et al 2017 48 A telemedicine project was launched to reduce gender-based disparity in accessing required healthcare services in rural areas.…”

Section: Teleconsultation Image Sharing and Video Conferencingmentioning

confidence: 99%

Section: Satellite Phone Patient Data Sharing Portable Computer Andmentioning

confidence: 99%

See 3 more Smart Citations

<p>Telemedicine in Resource-Limited Setting: Narrative Synthesis of Evidence in Nepalese Context</p>

Siddiquee¹,

Poudyal²,

Pandey³

et al. 2020

SHTT

View full text Add to dashboard Cite

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Citizens lack access to healthcare facilities: How COVID‐19 lockdown and social distancing policies boost roadside chemist businesses in South‐Eastern Nigeria

Iwuoha

Aniche

Obiora

et al. 2021

Health Planning & Management

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This study examines how COVID-19 lockdown and social distancing policies impacted on citizens' access to healthcare facilities and the level of patronage of chemist/pharmacies for self-treatment. A cross-sectional questionnaire survey method was used to collect data by asking individuals quantitative and qualitative questions in person whichincluded 6 structured open-ended questions. Participants include operators of purposively selected three classes of small businesses/self-employed services in South-Eastern Nigeria. This involves 120 fashion/event related businesses, 80 food related businesses and 100 general merchandise-a total of 300 small businesses. Quantitative data were analysed by frequencies and descriptive statistics while qualitative data were analysed using thematic/content analysis.It concludes that although COVID-19 lockdown policies are generally perceived to have negative effects on small businesses, these policies have particularly had positive effects on the chemist/pharmacies businesses compared with other small businesses. About 85% increase in patronage of chemist businesses compared with 63.7% decline in patronage of other small businesses is essentially linked to increasing rate of self-medication as a result of government's poor implementation of COVID-19 public health policies amidst lockdown measures-which limited people's access to hos-

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Sex and Gender Issues in Health Systems in South Asia: An Overview

Ravindran,

Hebbar,

Bhushan

et al. 2024

Handbook on Sex, Gender and Health

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Exploring the role of telemedicine in improving access to healthcare services by women and girls in rural Nepal

Cited by 40 publications

References 28 publications

<p>Telemedicine in Resource-Limited Setting: Narrative Synthesis of Evidence in Nepalese Context</p>

<p>Telemedicine in Resource-Limited Setting: Narrative Synthesis of Evidence in Nepalese Context</p>

Citizens lack access to healthcare facilities: How COVID‐19 lockdown and social distancing policies boost roadside chemist businesses in South‐Eastern Nigeria

Sex and Gender Issues in Health Systems in South Asia: An Overview

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