Evaluation of Telemedicine Systems User Satisfaction in Developing Countries

2021 ◽  
pp. 180-198
Author(s):  
Thierry Edoh ◽  
Pravin Amrut Pawar ◽  
Ahmed Dooguy Kora
Keyword(s):  
Developing Countries ◽  
User Satisfaction ◽  
Network Performance ◽  
Sub Saharan Africa ◽  
End User ◽  
System User ◽  
Sub Saharan ◽  
Qos Performance ◽  
Qualitative And Quantitative Study

This article describes how in developing countries, the work on regulatory aspects of telemedicine systems and applications is still in infancy. During our literature review and on-site research in Sub-Saharan Africa, we could not point out any work on measuring the quality of service (QoS) and quality of experience (QoE or QoX) provided by the telemedicine systems, thus making it impossible to measure the overall level of system user satisfaction in Sub-Saharan Africa. Therefore, we conducted a qualitative and quantitative study to measure network QoS performance and end-user QoE perception of telemedicine systems using publicly accessible conversation tool Skype in Mali and Senegal. The results show that about 75% of the users were satisfied with the quality of teleconsultation service provided and 60% of the users have good impression on the network performance. Based on obtained results, we propose KPIs such as global QoS for measuring QoS and propose a mathematical formula to predict the corresponding QoE, since there exists a relationship between QoS and QoE.

Evaluation of Telemedicine Systems User Satisfaction in Developing Countries

2018 ◽  
Vol 9 (3) ◽  
pp. 62-78
Author(s):  
Thierry Edoh ◽  
Pravin Amrut Pawar ◽  
Ahmed Dooguy Kora
Keyword(s):  
Developing Countries ◽  
User Satisfaction ◽  
Network Performance ◽  
Sub Saharan Africa ◽  
End User ◽  
System User ◽  
Sub Saharan ◽  
Qos Performance ◽  
Qualitative And Quantitative Study

This article describes how in developing countries, the work on regulatory aspects of telemedicine systems and applications is still in infancy. During our literature review and on-site research in Sub-Saharan Africa, we could not point out any work on measuring the quality of service (QoS) and quality of experience (QoE or QoX) provided by the telemedicine systems, thus making it impossible to measure the overall level of system user satisfaction in Sub-Saharan Africa. Therefore, we conducted a qualitative and quantitative study to measure network QoS performance and end-user QoE perception of telemedicine systems using publicly accessible conversation tool Skype in Mali and Senegal. The results show that about 75% of the users were satisfied with the quality of teleconsultation service provided and 60% of the users have good impression on the network performance. Based on obtained results, we propose KPIs such as global QoS for measuring QoS and propose a mathematical formula to predict the corresponding QoE, since there exists a relationship between QoS and QoE.

scholarly journals Predicting telemedicine system user satisfaction in sub-Saharan Africa

ICT Express ◽  
2016 ◽  
Vol 2 (4) ◽  
pp. 163-167 ◽  
Author(s):  
Thierry O.C. Edoh ◽  
Ahmed Dooguy Kora ◽  
Pravin Pawar ◽  
G. Christine Coulibaly ◽  
Bidossessi R.U. Alahassa
Keyword(s):  
User Satisfaction ◽  
Sub Saharan Africa ◽  
Telemedicine System ◽  
System User ◽  
Sub Saharan

scholarly journals Quality of care in the free maternal healthcare era in sub-Saharan Africa: a scoping review of providers’ and managers’ perceptions

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Monica Ansu-Mensah ◽  
Frederick Inkum Danquah ◽  
Vitalis Bawontuo ◽  
Peter Ansu-Mensah ◽  
Tahiru Mohammed ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Research Question ◽  
Healthcare Providers ◽  
Poor Quality ◽  
Sub Saharan Africa ◽  
Healthcare Financing ◽  
Maternal Healthcare ◽  
Sub Saharan ◽  
The Impact

Abstract Background Free maternal healthcare financing schemes play an essential role in the quality of services rendered to clients during antenatal care in sub-Saharan Africa (SSA). However, healthcare managers’ and providers’ perceptions of the healthcare financing scheme may influence the quality of care. This scoping review mapped evidence on managers’ and providers’ perspectives of free maternal healthcare and the quality of care in SSA. Methods We used Askey and O’Malley’s framework as a guide to conduct this review. To address the research question, we searched PubMed, CINAHL through EBSCOhost, ScienceDirect, Web of Science, and Google Scholar with no date limitation to May 2019 using keywords, Boolean terms, and Medical Subject Heading terms to retrieve relevant articles. Both abstract and full articles screening were conducted independently by two reviewers using the inclusion and exclusion criteria as a guide. All significant data were extracted, organized into themes, and a summary of the findings reported narratively. Results In all, 15 out of 390 articles met the inclusion criteria. These 15 studies were conducted in nine countries. That is, Ghana (4), Kenya (3), and Nigeria (2), Burkina Faso (1), Burundi (1), Niger (1), Sierra Leone (1), Tanzania (1), and Uganda (1). Of the 15 included studies, 14 reported poor quality of maternal healthcare from managers’ and providers’ perspectives. Factors contributing to the perception of poor maternal healthcare included: late reimbursement of funds, heavy workload of providers, lack of essential drugs and stock-out of medical supplies, lack of policy definition, out-of-pocket payment, and inequitable distribution of staff. Conclusion This study established evidence of existing literature on the quality of care based on healthcare providers’ and managers’ perspectives though very limited. This study indicates healthcare providers and managers perceive the quality of maternal healthcare under the free financing policy as poor. Nonetheless, the free maternal care policy is very much needed towards achieving universal health, and all efforts to sustain and improve the quality of care under it must be encouraged. Therefore, more research is needed to better understand the impact of their perceived poor quality of care on maternal health outcomes.

scholarly journals Aging, Health, and Quality of Life for Older People Living With HIV in Sub-Saharan Africa: A Review and Proposed Conceptual Framework

2017 ◽  
Vol 31 (1) ◽  
pp. 109-138 ◽  
Author(s):  
Mark J. Siedner
Keyword(s):  
Quality Of Life ◽  
Conceptual Framework ◽  
Care Delivery ◽  
Sub Saharan Africa ◽  
People Living With Hiv ◽  
Sub Saharan ◽  
Living With Hiv ◽  
The Impact

Objective: The number of people living with HIV (PLWH) over 50 years old in sub-Saharan Africa is predicted to triple in the coming decades, to 6-10 million. Yet, there is a paucity of data on the determinants of health and quality of life for older PLWH in the region. Methods: A review was undertaken to describe the impact of HIV infection on aging for PLWH in sub-Saharan Africa. Results: We (a) summarize the pathophysiology and epidemiology of aging with HIV in resource-rich settings, and (b) describe how these relationships might differ in sub-Saharan Africa, (c) propose a conceptual framework to describe determinants of quality of life for older PLWH, and (d) suggest priority research areas needed to ensure long-term gains in quality of life for PLWH in the region. Conclusions: Differences in traditional, lifestyle, and envirnomental risk factors, as well as unique features of HIV epidemiology and care delivery appear to substantially alter the contribution of HIV to aging in sub-Saharan Africa. Meanwhile, unique preferences and conceptualizations of quality of life will require novel measurement and intervention tools. An expanded research and public health infrastructure is needed to ensure that gains made in HIV prevention and treamtent are translated into long-term benefits in this region.

Democratic demands and social policies: the politics of health reform in Ghana

2011 ◽  
Vol 49 (3) ◽  
pp. 381-408 ◽  
Author(s):  
Giovanni Carbone
Keyword(s):  
Developing Countries ◽  
Health Reform ◽  
Policy Diffusion ◽  
Sub Saharan Africa ◽  
Social Policies ◽  
Third Wave ◽  
Policy Feedback ◽  
International Policy ◽  
Sub Saharan ◽  
The Impact

ABSTRACTIt is commonly assumed that the advent of democracy tends to bring about social welfare improvements. Few studies, however, have examined empirically the impact of third-wave democratisation processes on social policies in developing countries, particularly in sub-Saharan Africa. Through a diachronic comparison, this paper examines the effects of Ghana's democratisation process on the evolution of its health policy. It shows that the emergence of democratic competition played an important role in the recent adoption of a crucial health reform. A policy feedback effect on politics and a process of international policy diffusion were additional but secondary factors.

Poultry Production in Sub-Saharan Africa

1986 ◽  
Vol 15 (3) ◽  
pp. 121-127 ◽  
Author(s):  
R. T. Wilson
Keyword(s):  
Developing Countries ◽  
Sub Saharan Africa ◽  
Poultry Production ◽  
Traditional Methods ◽  
Production And Consumption ◽  
Sub Saharan ◽  
Effective Use ◽  
Small Producers ◽  
Meat And Eggs

The importance of poultry as a source of meat and eggs in developing countries is generally recognised, but present levels of production and consumption in Africa are disappointing. This article reviews the factors involved and concludes that there is a need for research designed to improve the traditional methods of small producers rather than seeking to impose modern Western methods on communities too backward to make effective use of them.

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