Abstract
This journal article delves into the complexities of telemedicine, focusing on the telecommunication challenges that hinder its effective implementation in Nigeria. Through an in-depth study, this article examines the state of telecommunication in Nigeria and its implications for telemedicine. Employing a mixed-methods research design, this study integrates qualitative and quantitative approaches to offer a comprehensive analysis of these challenges and their consequences. The research emphasizes both urban centers and rural areas with limited telecommunication infrastructure, targeting three key groups: healthcare providers, patients, and telecommunication experts. A purposive sampling technique was used to select 200 participants with relevant expertise and experience. Data collected through surveys, interviews, and secondary sources reveal significant barriers, including poor network coverage, limited broadband access, high internet costs, and erratic power supply. Over 70% of rural respondents reported inconsistent network availability, while broadband penetration in Nigeria remains at approximately 47%, disproportionately affecting rural areas. High internet costs were identified as a deterrent by 60% of healthcare providers and patients, and inadequate power supply further disrupts telecommunication systems, especially in rural regions. Quantitative and qualitative data highlight the impacts of these barriers, such as delayed medical consultations (experienced by 65% of respondents), reduced telemedicine utilization in rural areas (50% lower than urban areas), and a 40% failure rate in completing telemedicine sessions due to connectivity issues. The findings underscore the critical need for tailored interventions to address these barriers. Policymakers, telecommunications stakeholders, and healthcare providers must collaborate on strategic initiatives prioritizing infrastructure development, regulatory frameworks, and community engagement. A holistic approach integrating technological solutions with capacity building, public awareness campaigns, and policy reforms is essential for the successful integration of telemedicine in Nigeria. This research contributes to the broader discourse on telemedicine implementation in developing countries, offering actionable insights to navigate telecommunication barriers. By addressing these challenges, Nigeria can enhance healthcare delivery, position itself at the forefront of telemedicine innovation, and foster a resilient, inclusive, and responsive healthcare system that meets the diverse needs of its population.
Published Version
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