# A Mixed Methods Study of the Challenges and Prospects of Utilizing Telemedicine in the Delivery of Healthcare to Nigerian Children

## TL;DR

This study explores the challenges and opportunities of using telemedicine for children's healthcare in Nigeria, finding that awareness and resources are key barriers.

## Contribution

The study provides insights into telemedicine adoption barriers and opportunities in Nigerian pediatric care through mixed methods.

## Key findings

- Urban respondents had higher telemedicine awareness compared to rural respondents.
- Lack of awareness and cost were significant barriers to telemedicine adoption.
- Telemedicine was perceived as less effective than in-person consultations.

## Abstract

In Nigeria, telemedicine is underutilized despite unacceptable age-related childhood mortality indices. This study identifies the barriers, prospects, and benefits of telemedicine utilization in paediatric care in Nigeria.

A convergent parallel approach of mixed methods design. Electronic questionnaires were used to obtain data from 57 and 50 mothers in an urban and a rural healthcare facility, respectively, in Abuja, Nigeria. Audio-recorded semi structured in-depth interviews were conducted with key informants, including a paediatrician, an ICT expert, and a matron. The qualitative data were analyzed via an inductive thematic analysis.

Telemedicine awareness was greater among urban respondents (p < 0.000). It was seen as inferior to physical consultation, and lack of awareness, cost of service, with resource constraints were barriers to utilization. Respondents unaware of telemedicine were 0.27 times less willing to pay for the services (p = 0.017). Themes generated include resource constraints, standard operating procedures, and possible advantages.

Telemedicine is beneficial in terms of patient convenience and physical workspace decongestion. Public awareness and resource availability will enhance telemedicine utilization in paediatric care.