Abia State Telehealth Initiative: A Novel Ingenuity

In Nigeria, Universal health coverage has been sub-optimal due to limited access and inequality. This is worsened by poor health-seeking behavior due to out-of-pocket expenditure health system financing being practiced by a greater percentage of the population. However, leveraging on the increasing population of Nigerian’s using communication technologies provides a viable and robust platform for improving patient’s care. Consequently, tele-health initiative provides a complementary approach to improving access to quality health and universal health system coverage. Tele-health initiative is Abia state’s input in progressing the Universal Health Coverage mandate of the Federal Government of Nigeria, anchored on the e-Health policy of Nigeria, after its adoption at the 58th NCH in Sokoto in 2016, of which Abia became the pioneer state for the Project. Abia state’s telecommunication market caters to almost 3.5 million active subscribers, making it the single largest provider of services in the state. Objective: The project is designed to ascertain the impact of the tele-health initiative on healthcare service coverage in Abia State. Methodology: This is a descriptive study with the quantitative and qualitative arm. The study was conducted in all the seventeen local government areas in the State. Result: 29,488 incoming calls were related to general health inquiries about basic information, counseling, and support that improved callers’ knowledge and attitude towards their health, concerns, and symptoms. Also, 66.8% of all calls (19,382) were for routine health information, complaints on mild everyday symptoms, chronic disease management, and follow-up care. About 29.6% of total calls (8751) were made by persons seeking information on socially stigmatizing topics and conditions.