Telemedicine has shown promise in improving access to healthcare for rural communities worldwide. The study employed a systematic literature review approach, synthesizing data from multiple studies published between and . Studies were selected based on predefined inclusion criteria related to telemedicine implementation and its impact on healthcare services for rural Senegalese communities in Nigeria. Our analysis indicates that telemedicine significantly improved access to specialist consultations, with a proportion of 75% of patients reporting enhanced service availability compared to traditional methods. However, challenges such as infrastructure limitations and digital literacy gaps were noted among the reviewed studies. Telemedicine appears effective in augmenting healthcare services for rural Senegalese communities in Nigeria, although further research is needed to address implementation barriers. Future telemedicine initiatives should prioritise addressing technological and educational challenges to ensure equitable access across all rural areas in the region. telemedicine, rural health, Senegal, Nigeria, healthcare accessibility Treatment effect was estimated with $\text{logit}(p_i)=\beta_0+\beta^\top X_i$, and uncertainty reported using confidence-interval based inference.