Date of Award

8-2025

Degree Type

Dissertation

Degree Name

Master of Medicine (MMed)

First Advisor

Dr. Wahu Gitakah

Second Advisor

Dr. Angela Migowa

Third Advisor

Prof. Violet Naanyu

Department

Paediatrics and Child Health (East Africa)

Abstract

Introduction Telemedicine is an expanding healthcare modality with potential to enhance access to paediatric specialist care, reduce healthcare costs, and minimize school and work disruptions. However, little is known about caregiver perceptions and experiences with telemedicine in low- and middle-income countries, especially in the context of chronic paediatric care.

Objectives This study explored how caregivers of children with chronic health conditions perceive and experience telemedicine, and what factors influence its adoption. The findings aim to inform the design of patient-centered paediatric telemedicine services.

Methodology A cross-sectional qualitative study was conducted at the Paediatric Specialist Clinics of Aga Khan University Hospital. In-depth interviews were conducted with caregivers on their perceptions of telemedicine. Data were analyzed thematically using an inductive approach.

Results Caregivers appreciated telemedicine for its convenience, affordability, and improved access to paediatric specialists, particularly for follow-ups and medication reviews. However, concerns were raised about diagnostic limitations, inability to perform physical exams, and the perceived quality of virtual consultations. Physician communication style significantly influenced caregiver satisfaction. System-level barriers such as poor internet connectivity, data costs, and lack of clarity about when telemedicine is appropriate also affected utilization. Digital literacy played a role in caregivers’ comfort and confidence. Many expressed a desire for more awareness and support to use telemedicine effectively.

Conclusion and Recommendations Telemedicine offers clear benefits for managing paediatric chronic conditions but must be tailored to caregiver needs and supported by adequate infrastructure. We recommend targeted training for both caregivers and providers, condition-specific guidelines, and institutional and policy support. Future research should evaluate the clinical effectiveness of telemedicine and assess strategies to ensure equitable and sustainable implementation in paediatric care.

First Page

1

Last Page

110

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