EFFECTIVENESS OF TELEMEDICINE HEALTHCARE SERVICES IN RURAL AREAS OF BANGLADESH: A STUDY ON SELECTED VILLAGES
Background: Bangladesh's healthcare system faces challenges in providing equitable access and quality healthcare to rural and remote communities compared to urban areas. To address these issues, the country has incorporated telemedicine into its healthcare system.
Aims: This study aimed to assess the effectiveness of telemedicine services in rural Bangladesh.
Methods: The study employed a mixed-method approach, including survey questionnaires and in-depth interviews. 100 participants were selected for the questionnaire survey for quantitative data, and 20 in-depth interviews were conducted to collect qualitative data.
Results: The findings indicate that telemedicine has garnered a positive reception among rural residents. An overwhelming 86% regarded telemedicine as a cost-effective healthcare option. 44% reported accessing telemedicine services within 10 minutes, demonstrating their accessibility. Furthermore, a majority (54%) expressed satisfaction with telemedicine services. However, dissatisfaction was noted concerning the physical environment of the telemedicine centers.
Conclusion: Overall, telemedicine in Bangladesh has proven effective in cost savings and time efficiency and has gained significant acceptance among rural residents. To further improve healthcare accessibility, expanding telemedicine centers to reach every remote union in Bangladesh is imperative. Additionally, raising awareness, providing ICT and telemedicine education, and ensuring affordable and reliable internet connectivity will maximize the potential of telemedicine services, ultimately benefiting underprivileged rural populations.
Keywords: healthcare, rural Bangladesh, telehealth, telemedicine
Akhtar, R., Alam, S. and Siddiquee, N.K.A. (2019) ‘Telemedicine: an ICT based healthcare approach to ensure health service for all', International Journal of Community Medicine And Public Health, 6(9), p. 3732. https://doi.org/10.18203/2394-6040.ijcmph20193961
Akter, S., D'Ambra, J. and Ray, P. (2011) ‘Trustworthiness in mHealth information services: An assessment of a hierarchical model with mediating and moderating effects using partial least squares (PLS)', Journal of the American Society for Information Science and Technology, 62(1), pp. 100–116. https://doi.org/10.1002/asi.21442
American Telemedicine Association (2017) What is Telemedicine. Available at: http://www.americantelemed.org/about-telemedicine/what-is-telemedicine#.U-b7gIBdWt0.
Aminuzzaman, S.M. (1991) Introduction to Social Research. Dhaka, Bangladesh: Bangladesh Publishers.
Atmojo, J.T., Sudaryanto, W.T. and Widiyanto, A. (2020) ‘Telemedicine, Cost Effectiveness, and Patients Satisfaction: A Systematic Review', Journal of Health Policy and Management, 5(2), pp. 103–107.
Brear, M. (2006) ‘Evaluating telemedicine: lessons and challenges', Health Information Management: Journal of the Health Information Management Association of Australia, 35(2), pp. 23–31. https://doi.org/10.1177/183335830603500206
Chavula, H.K. (2013) ‘Telecommunications development and economic growth in Africa', Information Technology for Development, 19(1), pp. 5–23. https://doi.org/10.1080/02681102.2012.694794
Chowdhury, S.R., Sunna, T.C. and Ahmed, S. (2021) ‘Telemedicine is an important aspect of healthcare services amid COVID-19 outbreak: Its barriers in Bangladesh and strategies to overcome', The International Journal of Health Planning and Management, 36(1), pp. 4–12. https://doi.org/10.1002/hpm.3064
Dhaka Tribune (2022) ‘Census 2022: Bangladesh population now 165 million', Dhaka Tribune, 27 July. Available at: https://www.dhakatribune.com/bangladesh/2022/07/27/bangladeshs-population-size-now-1651-million (Accessed: 1 August 2022).
Froehlich, W., Seitaboth, S., Chanpheaktra, N. and Pugatch, D. (2009) ‘Case report: an example of international telemedicine success', Journal of Telemedicine and Telecare, 15(4), pp. 208–210. https://doi.org/10.1258/jtt.2008.081001
Hakim, A.I. (2016) ‘Expected Challenges to implementing Telemedicine service in public hospitals of Bangladesh,' Journal of Social and Administrative Sciences, 3(3), pp. 231–244. https://doi.org/10.1453/jsas.v3i3.939
Hoque, M.R. and Bao, Y. (2015) ‘Cultural Influence on Adoption and Use of e-Health: Evidence in Bangladesh', Telemedicine Journal and E-Health: The Official Journal of the American Telemedicine Association, 21(10), pp. 845–851. https://doi.org/10.1089/tmj.2014.0128
Hudson, H.E. (2006) From Rural Village to Global Village: Telecommunications for Development in the Information Age. Mahwah, N.J: Routledge.
Khan, M.M., Rahman, S.M.T. and AnjumIslam, S.T. (2021) ‘The Use of Telemedicine in Bangladesh during COVID-19 Pandemic', E-Health Telecommunication Systems and Networks, 10(01), pp. 1–19. https://doi.org/10.4236/etsn.2021.101001
Khatun, F. and Sima, Mst.R.K. (2015) ‘Impact of ICT on Health Services in Bangladesh: A Study on Hobiganj Adhunik Zila Sadar Hospital', SSRN Electronic Journal [Preprint]. https://doi.org/10.2139/ssrn.2591201
Kruse, C.S. Krowski, N., Rodriguez, B., Tran, L., Vela, J. and Brooks, M. (2017) ‘Telehealth and patient satisfaction: a systematic review and narrative analysis', BMJ Open, 7(8), p. e016242. https://doi.org/10.1136/bmjopen-2017-016242
Kruse, C.S., Atkins, J. M., Baker, T. D., Gonzales, E. N., Paul, J. L. and Brooks, M. (2018) ‘Factors influencing the adoption of telemedicine for treatment of military veterans with post-traumatic stress disorder', Journal of Rehabilitation Medicine, 50(5), pp. 385–392. https://doi.org/10.2340/16501977-2302
LeRouge, C. and Garfield, M.J. (2013) ‘Crossing the Telemedicine Chasm: Have the U.S. Barriers to Widespread Adoption of Telemedicine Been Significantly Reduced?', International Journal of Environmental Research and Public Health, 10(12), pp. 6472–6484. https://doi.org/10.3390/ijerph10126472
Ministry of Health and Family Welfare (2019) HRH Data Sheet-2019. Available at: https://hsd.portal.gov.bd/sites/default/files/files/hsd.portal.gov.bd/page/e620d076_40f0_4f38_a87a_7897e006a91d/MOHFW_HRH_Data%20Sheet%202019.pdf
Nessa, A., Ameen, M. A., Ullah, S. and Kwak, K.S. (2008) ‘Applicability of Telemedicine in Bangladesh: Current Status and Future Prospects', in 2008 Third International Conference on Convergence and Hybrid Information Technology, pp. 948–953. https://doi.org/10.1109/ICCIT.2008.236
Nusrat, S.A., Ferdous, J., Ajmat, S. B., Ali, A. and Sorwar, G. (2019) ‘Telemedicine System Design using Blockchain in Bangladesh', in 2019 IEEE Asia-Pacific Conference on Computer Science and Data Engineering (CSDE). 2019 IEEE Asia-Pacific Conference on Computer Science and Data Engineering (CSDE), Melbourne, Australia: IEEE, pp. 1–5. https://doi.org/10.1109/CSDE48274.2019.9162401
Prodhan, U.K., Rahman, M.Z. and Jahan, I. (2016a) ‘A survey on the telemedicine in Bangladesh', in 2016 International Conference on Computing, Communication and Automation (ICCCA). 2016 International Conference on Computing, Communication and Automation (ICCCA), Greater Noida, India: IEEE, pp. 857–861. https://doi.org/10.1109/CCAA.2016.7813835
Prodhan, U.K., Rahman, M.Z. and Jahan, I. (2016b) ‘A Systematic analysis on the Telemedicine Services in Bangladesh.'
Rahman, H., Al Ameen, M., Ullah, S. and Kwak, K. (2022) ‘Use of Telemedicine in Bangladesh: Current Status and Future Prospects', 7(2), pp. 1–13. https://doi.org/10.5281/zenodo.6407570
Rahman, M.S. and Hoque, R. (2018) ‘Factors Affecting the Adoption of Telemedicine in Rural Areas of Bangladesh'. Available at: https://web.archive.org/web/20200323173228id_/https://aisel.aisnet.org/cgi/viewcontent.cgi?article=1606&context=amcis2018
Rahman, T. and Hossain, M.A. (2016) ‘Peoples' Perception towards Telemedicine: A Case Study on Rural Area of Bangladesh', Information and Knowledge Management,6(4).
Salsabilla, A., Azzahra, A.B., Syafitri, R.I.P., Supadmi, M. and Suwantika, A.A. (2021) ‘Cost-Effectiveness of Telemedicine in Asia: A Scoping Review', Journal of Multidisciplinary Healthcare, 14, pp. 3587–3596. https://doi.org/10.2147/JMDH.S332579
Sorwar, G., Rahman, M. M., Uddin, R. and Hoque, M. R. (2016) ‘Cost and Time Effectiveness Analysis of a Telemedicine Service in Bangladesh,' Studies in Health Technology and Informatics, 231, pp. 127–134. https://doi.org/10.3233/978-1-61499-712-2-127
World Health Organization (2010) Telemedicine: Opportunities and developments in Member State. Available at: https://www.afro.who.int/publications/telemedicine-opportunities-and-developments-member-state (Accessed: 1 August 2022).
Zobair, K.M., Sanzogni, L. and Sandhu, K. (2019) ‘Expectations of telemedicine health service adoption in rural Bangladesh', Social Science & Medicine, 238, p. 112485. https://doi.org/10.1016/j.socscimed.2019.112485
Zobair, K.M., Sanzogni, L. and Sandhu, K. (2020) ‘Telemedicine Healthcare Service Adoption Barriers in Rural Bangladesh', Australasian Journal of Information Systems, 24. https://doi.org/10.3127/ajis.v24i0.2165
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