Telemedicine in Tanzania: a systematic literature review.

Purpose: This review explores the challenges and opportunities of implementing telemedicine in rural Tanzania. The study examines how telemedicine can address healthcare gaps in underserved areas and identifies key barriers that hinder its full adoption. It also provides insights into strategies for improving healthcare delivery through telemedicine in rural settings.

Design/methodology/approach: A systematic literature review methodology was employed following the PRISMA guidelines. The study collected and analysed relevant academic and grey literature from PubMed, Google Scholar and Scopus databases. The search focused on telemedicine in rural Tanzania, with a thematic analysis used to categorise the challenges and opportunities identified in the literature.

Findings: The review found that the major challenges to telemedicine implementation in rural Tanzania include inadequate telecommunications infrastructure, limited digital literacy among healthcare providers, insufficient financial investment and weak regulatory frameworks. Despite these barriers, telemedicine presents significant opportunities to improve healthcare access, particularly by connecting rural patients with specialists, reducing travel times and integrating telemedicine with national health insurance systems. Innovations such as drone-based medical deliveries and SMS-based health interventions also show promise.

Originality/value: This paper comprehensively overviews telemedicine's potential to transform healthcare delivery in rural Tanzania. It synthesises existing literature, highlights critical gaps in telemedicine adoption and proposes actionable strategies for overcoming these barriers. The study contributes valuable insights for policymakers, healthcare providers and stakeholders interested in leveraging telemedicine to enhance healthcare outcomes in underserved regions.