Mobile telemedicine has shown promise in improving access to healthcare services, particularly in underserved rural areas where traditional medical facilities are scarce. A mixed-methods approach was employed, including quantitative surveys to assess patient satisfaction and cost savings, and qualitative interviews to gather insights on provider acceptance of the service. Data were collected from a sample population in Tunisia and analysed using descriptive statistics and thematic analysis. Patient satisfaction rates reached 85% with mobile telemedicine services, indicating high user acceptance. Cost savings for patients were estimated at $10 per visit, reflecting a significant reduction in travel costs. Provider adoption metrics showed an 80% willingness to integrate the service into routine practice. Mobile telemedicine has demonstrated potential as a viable solution to improve access and reduce costs in rural Senegalese primary care settings. Further research should be conducted to explore long-term sustainability and scalability of mobile telemedicine services, with particular focus on cost-effectiveness over time. mobile telemedicine, rural healthcare, patient satisfaction, cost savings, adoption metrics Treatment effect was estimated with $\text{logit}(p_i)=\beta_0+\beta^\top X_i$, and uncertainty reported using confidence-interval based inference.