The Role of Telemedicine in Addressing Access to Sexual and Reproductive Health Services in sub-Saharan Africa during the COVID-19 Pandemic

Kolawole A. Oyediran, Olusesan A. Makinde, Olugbemiga Adelakin


The outbreak of COVID-19 threatens continued access to non-urgent healthcare including sexual and reproductive health (SRH) services. With the epicentre of the outbreak projected to shift to sub-Saharan Africa (SSA) after making significant impact in China, Europe, USA, and South America, it is necessary for countries in this region to begin to plan for how to tackle a rapid surge in cases. Health facilities are already being primed for increased presentation of COVID-19 cases. As countries prepare, they also need to consider how non-urgent services will not be interrupted. Estimates of a potential disruption in access to long and short acting contraceptives for up to 12 months will result in an additional 15 million unintended pregnancies and additional 28,000 maternal deaths. Thus, effort must be made to ensure that the gains made in SRH outcomes over several years are not lost. The potential of utilizing telemedicine to continue to offer healthcare services to the population for non-urgent care needs to be considered. It will not only provide for continued access to important services that can be delivered remotely but will reduce the risks of COVID-19 infection for both the client and the health workers. (Afr J Reprod Health 2020 (Special Edition); 24[2]: 49-55).

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World Health Organization. WHO Director-General’s

opening remarks at the media briefing on COVID-19-11 March 2020. Geneva Switz. 2020.

Gilbert M, Pullano G, Pinotti F, Valdano E, Poletto C,

Boëlle P-Y, D'Ortenzio E, Yazdanpanah Y, Eholie SP, Altmann M, Gutierrez B, Kraemer MUG and Colizza V. Preparedness and vulnerability of African countries against importations of COVID-19: a modelling study. Lancet Lond Engl [Internet]. 2020 Feb 20 [cited 2020 May 12]; Available from:

BBC News. Africa could be next coronavirus epicentre –

WHO. BBC News [Internet]. 2020 Apr 17 [cited 2020 May 12]; Available from:

World Health Organization Regional Office for Africa.

Coronavirus (COVID-19) [Internet]. WHO | Regional Office for Africa. [cited 2020 Jun 1]. Available from:

Vanguard News. Kano mysterious deaths: Ekhomu rejects Presidential Task Force verdict [Internet]. Vanguard News. 2020 [cited 2020 May 12]. Available from:

Houreld K, Lewis D, McNeill R and Granados S. Virus exposes gaping holes in Africa’s health systems [Internet]. Reuters. [cited 2020 May 12]. Available from:

Wild S. African countries are struggling to access Covid-19 test reagents on the open market [Internet]. Quartz Africa. [cited 2020 May 12]. Available from:

Musinguzi G and Asamoah BO. The Science of Social

Distancing and Total Lock Down: Does it Work? Whom does it Benefit? Electron J Gen Med. 2020;17(6).

Ma Q-X, Shan H, Zhang H-L, Li G-M, Yang R-M and

Chen J-M. Potential utilities of mask-wearing and instant hand hygiene for fighting SARS-CoV-2. J Med Virol. 2020.

Nkengasong JN and Mankoula W. Looming threat of

COVID-19 infection in Africa: act collectively, and fast. Lancet Lond Engl [Internet]. 2020 Feb 27 [cited 2020 May 12]; Available from:

Makinde OA and Odimegwu CO. Compliance with disease surveillance and notification by private health providers in South-West Nigeria. Pan Afr Med J [Internet]. 2020 Apr 13 [cited 2020 Apr 13];35(114). Available from:

UNFPA, Avenir Health, Johns Hopkins University

(USA) and Victoria University (Australia). Impact of the COVID-19 Pandemic on Family Planning and Ending Gender-based Violence, Female Genital Mutilation and Child Marriage [Internet]. UNFPA; 2020 [cited 2020 May 7]. Available from:

UNFPA. COVID-19 Technical Brief for Maternity

Services [Internet]. 2020 [cited 2020 May 7]. Available from

Riley T, Sully E, Ahmed Z and Biddlecom A. Estimates of the Potential Impact of the COVID-19 Pandemic on Sexual and Reproductive Health in Low-and Middle-Income Countries. Int Perspect Sex Reprod Health. 2020; 46:73–76.

World Health Organization. Telemedicine: opportunities and developments in member states. Report on the second global survey on eHealth. World Health Organization; 2010.

Yao J, Murray AT and Agadjanian V. A geographical

perspective on access to sexual and reproductive health care for women in rural Africa. Soc Sci Med 1982. 2013 Nov; 96:60–8.

Okonofua F. Confronting the challenge of reproductive

health in Africa: a textbook for students and development practitioners. Universal-Publishers; 2014.

Gomperts RJ, Jelinska K, Davies S, Gemzell‐Danielsson

K and Kleiverda G. Using telemedicine for termination of pregnancy with mifepristone and misoprostol in settings where there is no access to safe services. BJOG Int J Obstet Gynaecol. 2008;115(9):1171–8.

Parajuli R and Doneys P. Exploring the role of

telemedicine in improving access to healthcare services by women and girls in rural Nepal. Telemat Inform. 2017 Nov 1;34(7):1166–76.

Wamala DS and Augustine K. A meta-analysis of

telemedicine success in Africa. J Pathol Inform [Internet]. 2013 May 30 [cited 2020 May 2];4. Available from:

Mbarika VW. Is telemedicine the panacea for sub-Saharan Africa’s medical nightmare? Commun ACM. 2004;47(7):21–24.

Makinde OA, Sule A, Ayankogbe O and Boone D.

Distribution of health facilities in Nigeria: Implications and options for Universal Health Coverage. Int J Health Plann Manage. 2018 Oct 1;33(4): e1179–92.

Combi C, Pozzani G and Pozzi G. Telemedicine for

Developing Countries. Appl Clin Inform. 2016 Nov 2;7(4):1025–50.

Mars M and Erasmus L. Telemedicine can lower health

care costs in Africa. Innovate. 2012; 7:32–33.

Okoroafor IJ, Chukwuneke FN, Ifebunandu N, Onyeka

TC, Ekwueme CO and Agwuna KK. Telemedicine and biomedical care in Africa: Prospects and challenges. Niger J Clin Pract. 2017;20(1):1–5.

Sekandi JN, Buregyeya E, Zalwango S, Dobbin KK,

Atuyambe L, Nakkonde D, Turinawe J, Tucker EG, Olowookere S, Turyahabwe S and Garfein RS. Video directly observed therapy for supporting and monitoring adherence to tuberculosis treatment in Uganda: a pilot cohort study. ERJ Open Res [Internet]. 2020 Jan 1 [cited 2020 May 13];6(1). Available from:

Hollander JE and Carr BG. Virtually Perfect?

Telemedicine for Covid-19. N Engl J Med. 2020 Apr 30;382(18):1679–81.

Silver L and Johnson C. Internet use growing across sub-

Saharan Africa, but most are still offline [Internet]. Pew Research Center’s Global Attitudes Project. 2018 [cited 2020 Feb 9]. Available from:

Martinez R, Rogers AD, Numanoglu A and Rode H. The

value of WhatsApp communication in paediatric burn care. Burns. 2018 Jun 1;44(4):947–55.

Abusin S. Using WhatsApp Smartphone Application to

Monitor INR in Patients on Warfarin: First Experience with 21 patients. 2019.

Mbarika VW, Byrd TA and Raymond J. Growth of

teledensity in least developed countries: Need for a mitigated euphoria. J Glob Inf Manag JGIM. 2002;10(2):14–27


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