French and English speaking African countries have long associations with telehealth. Réseau en Afrique Francophone pour la Télémédecine (RAFT) Project involved Geneva University Hospital and Health On the Net Foundation in developing a network for eHealth in Africa. It started in 2000 and is now across four continents.
Telehealth data from WHO Global Survey 2015 provided insights for Chapter 3 of the WHO and Global Observatory for eHealth (GOe) publication eHealth Report of the third global survey on eHealth Global diffusion of eHealth: Making universal health coverage achievable. The report deals with five telehealth types:
- Remote patient monitoring.
A country average was 3.7 telehealth programmes. At about 3.3, Africa had slightly fewer, about 90% of the global average. For the five telehealth types, Africa’s teleradiology in about two-thirds of countries has a score of some 60%, below the global rate of 75%. The other four types are below 45%, with telepsychiatry the lowest, about 20% of teleradiology’s rate.
Telehealth evaluations are increasing in number. Criteria used to evaluate government-sponsored telehealth programmes were:
|Programme acceptance by providers||73%|
|Programme acceptance by target groups||64%|
|Cost-effectiveness for providers||55%|
|Cost-effectiveness target groups||46%|
Comprehensive evaluation using Cost-Benefit Analysis (CBA) could combine all these perspectives. It could also include efficiency and provide a direct link with telehealth financing. Global perspectives of barriers to telehealth investment may not match Africa’s, especially telehealth finance and infrastructure for connectivity:
Since telehealth emerged on the scene, technology’s changed. The Internet and mHealth have created new and wider opportunities. Initiatives like Figure 1, described in an eHNA post, are changing its scope and range, and offer Africa’s health systems greater participation.