Off-grid communities in Uganda face unique healthcare challenges due to limited access to electricity and infrastructure. A mixed-methods approach combining quantitative data from randomized controlled trials with qualitative insights from interviews and focus groups was employed to assess patient satisfaction and health service utilization. Telemedicine usage increased by 20% in randomly selected communities over a six-month period, demonstrating positive engagement despite initial skepticism among users. The quasi-experimental design successfully identified improvements in telemedicine adoption without significant negative side effects on existing healthcare systems. Further research should explore long-term impacts and scalability of telemedicine models within Ugandan off-grid communities to inform policy decisions. quasi-experimental design, off-grid communities, telemedicine, clinical outcomes, Uganda Model estimation used $\hat{\theta}=argmin_{\theta}\sum_i\ell(y_i,f_\theta(x_i))+\lambda\lVert\theta\rVert_2^2$, with performance evaluated using out-of-sample error.