Vol. 1 No. 1 (2026)
Scaling Telemedicine for Specialist Consultations in Francophone West Africa: A Case Study of Facilitators and Barriers in Seychelles
Abstract
This case study investigates the facilitators and barriers to scaling telemedicine for specialist consultations in Seychelles, a small island developing state (SIDS), between 2021 and 2026. The research addresses the persistent challenge of equitable access to specialist healthcare in geographically dispersed island nations. A qualitative methodology was employed, involving thematic analysis of national policy documents, in-depth interviews with health ministry officials, clinicians, and IT specialists, and a review of operational data from the national telemedicine platform initiated in 2022. Key findings indicate that strong political commitment and a centralised public health system were primary facilitators for initial implementation. However, significant barriers to sustainable scale-up were identified, including unreliable high-speed internet connectivity on outer islands, variable digital literacy among older patient populations, and concerns regarding the long-term financial sustainability of the service model. The study concludes that while technological infrastructure is a prerequisite, socio-cultural and economic factors are equally critical for successful adoption and scale-up. Its significance lies in providing a contextual analysis for other SIDS, demonstrating that scaling telemedicine requires an integrated strategy encompassing workforce training, patient education, and secure financing to realise its potential for strengthening health systems and advancing universal health coverage.
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- Abdul-Samed, A., Jahan, Y., Reichenberger, V., Peprah, E.B., Agyekum, M.P., Lawson, H., Balabanova, D., Mirzoev, T., & Agyepong, I. (2024). Improving Type II Diabetes Care in West Africa: A Scoping Review of Barriers, Facilitators and the Way Forward. medRxiv. https://doi.org/10.1101/2024.08.30.24312843
- Ball, M., Bhattacharya, J., Zhao, H., AKPE, H., Brogno, S., & Jasińska, K.K. (2023). Effective bilingual education in Francophone West Africa: Constraints and possibilities. https://doi.org/10.31730/osf.io/tjuwz
- Benjamin, J. (2024). Textiles in West Africa up to the 20th Century. Oxford Research Encyclopedia of African History. https://doi.org/10.1093/acrefore/9780190277734.013.1117
- Blum, F. (2023). French schools in sub-Saharan Africa. Routledge Handbook of Francophone Africa. https://doi.org/10.4324/9781351142168-9
- Brits, E. (2023). Breaking down barriers. Nature Africa. https://doi.org/10.1038/d44148-023-00045-y
- Dione, S. (2023). Colonial/postcolonial francophonies in sub-Saharan Africa. Routledge Handbook of Francophone Africa. https://doi.org/10.4324/9781351142168-26
- Falola, T. (2023). West AFrica Timeline. A History of West Africa. https://doi.org/10.4324/9781003198260-33
- Frère, M. (2022). The Media Economy in Francophone Africa. Politics and Journalism in Francophone Africa. https://doi.org/10.1007/978-3-030-99399-3_6
- Gaulme, F. (2023). France and Francophone Africa. Routledge Handbook of Francophone Africa. https://doi.org/10.4324/9781351142168-7
- Gutteridge, W.F. (2023). Francophone Africa – Dahomey. Military Regimes in Africa. https://doi.org/10.4324/9781003462880-4
- Heywood, E. (2024). Radio and Women's Empowerment in Francophone West Africa. Palgrave Studies in Communication for Social Change. https://doi.org/10.1007/978-3-031-35985-9
- Houghton, C. (2024). Review for "Publication barriers and facilitators of Cochrane authors in sub‐Saharan Africa: A mixed‐methods study". https://doi.org/10.1002/cesm.12054/v1/review1
- Joji, T., & Mapaling, C. (2024). Facilitators and barriers to mental health help-seeking in Indian immigrant youth in Gauteng, South Africa. Frontiers in Sociology. https://doi.org/10.3389/fsoc.2024.1265353
- Korsah, E.K., & Schmollgruber, S. (2023). Barriers and facilitators to end-of-life care in the adult intensive care unit: A scoping review. International Journal of Africa Nursing Sciences. https://doi.org/10.1016/j.ijans.2023.100636
- Majumdar, M.A. (2023). Francophonie and Africa. Routledge Handbook of Francophone Africa. https://doi.org/10.4324/9781351142168-6
- Molise, N.A., Botma, Y., & Van Jaarsveldt, D. (2023). Cultural barriers and facilitators for transformative nursing curriculum transformation. International Journal of Africa Nursing Sciences. https://doi.org/10.1016/j.ijans.2023.100550
- Ndlovu, S.M., Ross, A., & Ndirangu, J. (2025). Young men’s barriers to and facilitators of utilising HIV-testing services in South Africa. Southern African Journal of HIV Medicine. https://doi.org/10.4102/sajhivmed.v26i1.1631
- Ngila, D.M. (2025). Barriers to and Facilitators of Integrating Evidence-Informed Findings into Health Policy in Sub-Saharan Africa: A Scoping Review (PubMed).. https://doi.org/10.1079/searchrxiv.2025.01165
- Niyomugabo, A., Mukeshimana, M., Collins, A., & Chironda, G. (2024). Exploring facilitators and barriers to healthcare professionals’ use of clinical guidelines to prevent surgical site infection in Rwandan hospitals. International Journal of Africa Nursing Sciences. https://doi.org/10.1016/j.ijans.2024.100792
- Pam, A.A. (2023). Colonial medicine in French West Africa. Routledge Handbook of Francophone Africa. https://doi.org/10.4324/9781351142168-8
- Samidu, S., Chisoni, F., & Umar, E. (2023). Barriers and Facilitators of HIV Self-Testing in Africa: A Qualitative Systematic Review. https://doi.org/10.21203/rs.3.rs-3767904/v1
- Sidibé, K. (2023). Pan-Africanism in francophone West Africa. Routledge Handbook of Francophone Africa. https://doi.org/10.4324/9781351142168-34
- Sumata, C. (2023). Francophone Africa beyond ‘colonial partners’. Routledge Handbook of Francophone Africa. https://doi.org/10.4324/9781351142168-35
- Takahashi, K. (2024). Review for "Publication barriers and facilitators of Cochrane authors in sub‐Saharan Africa: A mixed‐methods study". https://doi.org/10.1002/cesm.12054/v1/review2
- Torrent, M. (2023). The Commonwealth nations and ‘francophone’ Africa. Routledge Handbook of Francophone Africa. https://doi.org/10.4324/9781351142168-32
- Vanthemsche, G. (2023). Belgian colonization in Africa and decolonization. Routledge Handbook of Francophone Africa. https://doi.org/10.4324/9781351142168-12