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

Dodoo, Joana Eva; Al-Samarraie, Hosam; Alsswey, Ahmed

doi:10.1007/s12553-021-00626-7

Cited by 27 publications

(26 citation statements)

References 54 publications

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“…Accurate BP measurement is critical to the diagnosis and management of hypertension in patients with CKD. Various landmark hypertension clinical trials and guidelines reports have detailed various standardized BP measurement techniques/methods for both office and out-of-office BP to define target BP goals [17][18][19][20][21] . Newer out-of-office techniques continue to incorporate digital health technologies (e.g., telemonitoring) into BP measurement via education, monitoring and support, timely feedback, and remote access to health professionals [22][23][24] .…”

Section: Burden Of Hypertension In Ckdmentioning

confidence: 99%

“…Later in 1905, Nikolai Korotkov described his auscultatory measurement method making SBP and diastolic BP (DBP) readings feasible [26] . Although it has since become standardized to report BP using systolic and diastolic values, however, due to variations in measurement techniques [27] , professional societies and guideline committees [20,21,28] have repeatedly recommended specific approaches to improve the accuracy of BP measurement [Table 1]. Such recommendations have been made in light of findings from landmark clinical trials [19,[29][30][31] [Figure 1] and in response to transitions from the use of manual aneroid devices (which easily lose calibration) to automated devices capable of measuring BP both in and out of the office [27] .…”

Section: Overview Of Bp Measurement Techniques and Goals From Hyperte...mentioning

confidence: 99%

“…Such recommendations have been made in light of findings from landmark clinical trials [19,[29][30][31] [Figure 1] and in response to transitions from the use of manual aneroid devices (which easily lose calibration) to automated devices capable of measuring BP both in and out of the office [27] . Although BP guideline committees may provide different BP targets based on available evidence, they have been mostly consistent in methods/ techniques of BP measurement [20,21,28] . Based on the clinical setting, BP measuring techniques can be broadly categorized into office and out-of-office BP measurements:…”

Section: Overview Of Bp Measurement Techniques and Goals From Hyperte...mentioning

confidence: 99%

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Telemonitoring in hypertension management for patients with chronic kidney disease: a narrative review

Okpechi¹,

Ringrose²,

Padwal³

et al. 2023

Conn Health

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Hypertension is a major cause of cardiovascular disease worldwide and a major cause of morbidity and mortality in patients with chronic kidney disease (CKD). The Systolic Blood pressure Intervention Trial (SPRINT) demonstrated that blood pressure (BP) measurement techniques may have an impact on the achievement of outcomes. Home BP monitoring (HBPM) has several advantages over office BP recordings, including avoidance of white-coat reaction, ability to diagnose white-coat and masked hypertension, detection of BP variability, and better ability to predict cardiovascular morbidity and mortality, all of which commonly occur in CKD. The addition of telemonitoring and management support to HBPM allows remote monitoring, especially when close contact is difficult (e.g., patients in remote/rural areas, pandemic, natural disaster, or patients treated with home dialysis). Although there are few studies that have assessed the efficacy of home BP telemonitoring (HBPT) in patients with CKD, these studies suggest the benefits of HBPT for BP control and even limited evidence that it may improve kidney function. This review, using limited available evidence, assesses the roles of HBPT in patients with CKD, barriers to HBPT implementation in the care of patients with CKD, and discusses newer technologies that can be leveraged in the management of hypertension in patients with CKD.

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Section: Burden Of Hypertension In Ckdmentioning

confidence: 99%

Section: Overview Of Bp Measurement Techniques and Goals From Hyperte...mentioning

confidence: 99%

Section: Overview Of Bp Measurement Techniques and Goals From Hyperte...mentioning

confidence: 99%

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Telemonitoring in hypertension management for patients with chronic kidney disease: a narrative review

Okpechi¹,

Ringrose²,

Padwal³

et al. 2023

Conn Health

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“…Before the late 1990s, telemedicine and teleradiology developments in Africa were generally small and scattered pilot-type projects [8]. However, in 1998, the first major development in teleradiology occurred in South Africa at the Department of Health (DOH) [9].…”

Section: History Of Teleradiology In Africamentioning

confidence: 99%

“…Since the inception of the National Telemedicine System in South Africa, several other African countries have attempted to institute similar initiatives, including but not limited to Mauritania; Mozambique; Mali; Botswana, and Ethiopia [8]. Despite the broad range of expansion, the robustness of the development in each country remains unclear.…”

Section: Current Status Of Teleradiology In Africamentioning

confidence: 99%

Evaluation of Current and Former Teleradiology Systems in Africa: A Review

Ewing¹,

Holmes²

2022

Annals of Global Health

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Background: Teleradiology has grown tremendously across the globe, providing significant benefits to both patients and physicians. In the late 1990s, South Africa sought to lead teleradiology adoption efforts by creating a national telemedicine system through a structured and phased approach. Although initial reports of the system's effectiveness were encouraging, the present status of this project, as well as comparable efforts in surrounding developing countries, has remained uncertain.Objective: To explore the status of teleradiology adoption in Africa, identify existing barriers to adoption, and explore potential solutions to the most commonly identified barriers.Methods: A narrative literature review was conducted to find articles that discussed current and past teleradiology systems in Africa. Each item was evaluated for relevance separately based on specified inclusion and exclusion criteria and was used to field further articles if relevant to the topic, even if not found in the initial search. The search began with articles published after January 1995 and included articles through December 2021.Findings: Although teleradiology systems in Africa has shown to have a benefit in improving patient outcomes, current implementation remains limited due to feasibility projects with no singular picture archiving and communication system (PACS) being utilized at the time of writing. Conclusions:Although teleradiology has significant potential and can benefit the developing countries in Africa, further expansion, in terms of both complexity and adoption rates, remains hindered by infrastructure development, clinician and technologist support, and general sociopolitical factors.

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The Role of Telemedicine in Enhancing Surgical Care Delivery in Africa: A Literature Review

Kwan Su Huey,

Sengar,

Kazan

et al. 2024

Health Science Reports

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Background and AimsIn Africa, telemedicine holds great potential to revolutionize surgical care delivery, especially in areas where access to quality treatment is scarce. Data about the use of these services in African countries is, however, limited. To outline the present issues in surgical care delivery, as well as the significant role of telemedicine in advancing surgical care delivery in Africa. This review will also discuss the challenges behind telemedicine utilization in Africa, and recommend targeted measures to address those barriers while promoting the enhanced integration of telemedicine into surgical care delivery.MethodsA comprehensive online literature search was conducted using several search engines, including PubMed, ScienceDirect, and Google Scholar to assess the potential advantages of telemedicine over traditional surgical practices in Africa, as well as to identify the challenges hindering its implementation. The literature review examined the role of nongovernmental organizations in promoting telemedicine adoption across various African countries. Literature search terms include “countries of Africa,” “impact of telesurgery and telemedicine in Africa,” and “current situation of telemedicine in intervention.” Only articles written in English were considered, and inclusion criteria included relevance to our research objectives and countries in Africa.ResultsThe potential for telesurgery in Saharan and sub‐Saharan countries is still a milestone to be unlocked, but already telemedicine implementation has shown great results. Although hindrances like trust, lack of infrastructure, and lack of trained personnel in the field of telecommunication have been issues. There is a rise in the use of telemedicine in areas of interest like postsurgical care, doctor‐patient consultation, and tele‐monitoring. Various schemes and plans implemented by public organizations have also peaked since the pandemic. A telemedicine establishment requires multifactorial development occurring in a step‐by‐step manner. Although complexity in development and barriers faced in countries in Africa are concerns, the outcomes of using telemedicine are considerably better. The rising population and lack of medical specialists have led to a gap in access to approachable surgical care, and telemedicine has shown promising potential to overcome it.ConclusionTelemedicine implementation has changed the method of intervention in clinics all over the world. Implementation of parts of telemedicine like telesurgery and tele‐monitoring has the potential to overcome the concern of a rising population, but there is still a long way to go.

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

Cited by 27 publications

References 54 publications

Telemonitoring in hypertension management for patients with chronic kidney disease: a narrative review

Telemonitoring in hypertension management for patients with chronic kidney disease: a narrative review

Evaluation of Current and Former Teleradiology Systems in Africa: A Review

The Role of Telemedicine in Enhancing Surgical Care Delivery in Africa: A Literature Review

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