Updated telemedicine information
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Dr. B. M. Riazul Islam
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**Telemedicine Services in Bangladesh (Government Facilities)**
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**Introduction & Background**
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- **Population & Context**: Bangladesh has a population of over 180 million, with many living in rural areas lacking robust healthcare infrastructure.
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- **Telemedicine Emergence**: The Ministry of Health & Welfare (MoHFW) launched the telemedicine system in 2010 to bridge rural-urban healthcare gaps.
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- **COVID-19 Impact**: The need for remote healthcare surged during the pandemic, accelerating the push for telemedicine solutions.
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**Current Status**
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- **Digital Health Transformation**: Telemedicine is a flagship initiative under Bangladesh’s broader “Digital Health” strategy.
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- **Facilities & Deployment**: As of 2023, **232 Telemedicine Centers** are operational:
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**1\. 22 Centers as Both Providers and Receivers**:
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- 1. Nachol Upazila Health Complex (Chapai Nawabganj, Rajshahi)
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2. Kotalipara Upazila Health Complex (Gopalganj, Dhaka)
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3. Kashiani Upazila Health Complex (Gopalganj, Dhaka)
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4. Chaddagram Upazila Health Complex (Cumilla, Chittagong)
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5. Tanore Upazila Health Complex (Rajshahi, Rajshahi)
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6. Modhupur Upazila Health Complex (Tangail, Dhaka)
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7. Mithapukur Upazila Health Complex (Rangpur, Rangpur)
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8. Banshkhali Upazila Health Complex (Chittagong, Chittagong)
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9. Kazipur Upazila Health Complex (Sirajgonj, Rajshahi)
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10. Panchbibi Upazila Health Complex (Joypurhat, Rajshahi)
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11. Chakaria Upazila Health Complex (Cox's Bazar, Chittagong)
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12. Rajarhat Upazila Health Complex (Kurigram, Rangpur)
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13. Mongla Upazila Health Complex (Bagerhat, Khulna)
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14. Panchari Upazila Health Complex (Khagrachhari, Chattogram)
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15. Singair Upazila Health Complex (Manikganj, Dhaka)
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16. Chilmari Upazila Health Complex (Kurigram, Rangpur)
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17. Fenchuganj Upazila Health Complex (Sylhet, Sylhet)
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18. Kaunia Upazila Health Complex (Rangpur, Rangpur)
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19. Shibchar Upazila Health Complex (Madaripur, Dhaka)
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20. Haripur Upazila Health Complex (Thakurgaon, Rangpur)
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21. Subarnachar Upazila Health Complex (Noakhali, Chattogram)
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22. Nasirnagar Upazila Health Complex (Brahmanbaria, Chattogram)
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**2\. 194 Centers Exclusively as Recipients**:
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1. Adamdighi Upazila Health Complex,Bogura,Rajshahi
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2. Ajmiriganj Upazila Health Complex,Habiganj,Sylhet
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3. Akkelpur Upazila Health Complex,Joypurhat,Rajshahi
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4. Alikadam Upazila Health Complex,Bandarban,Chittagong
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5. Amtali Upazila Health Complex,Barguna,Barishal
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6. Anwara Upazila Health Complex,Chittagong,Chittagong
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7. Ashuganj Upazila Health Complex,Brahmanbaria,Chittagong
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8. Assasuni Upazila Health Complex,Satkhira,khulna
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9. Bagherpara Upazila Health Complex,Jashore,Khulna
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10. Baniachong Upazila Health Complex,Habiganj,Sylhet
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11. Banshkhali Upazila Health Complex,Chittagong,Chittagong
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12. Baraigram Upazila Health Complex,Natore,Rajshahi
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13. Barhatta Upazila Health Complex,Netrokona,Mymensingh
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14. Belabo Upazila Health Complex,Narsingdi,Dhaka
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15. Barlekha Upazila Health Complex,Moulavibazar,Sylhet
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16. Belkuchi Upazila Health Complex,Sirajganj,Rajshahi
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17. Bera Upazila Health Complex,Pabna,Rajshahi
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18. Betagi Upazila Health Complex,Barguna,Barishal
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19. Bhedarganj Upazila Health Complex,Shariatpur,Dhaka
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20. Bhangura Upazila Health Complex,Pabna,Rajshahi
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21. Bheramara Upazila Health Complex,Kustia,Khulna
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22. Bhurungamari Upazila Health Complex,Kurigram,Rangpur
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23. Birampur Upazila Health Complex,Dinajpur,Rangpur
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24. Birganj Upazila Health Complex,Dinajpur,Rangpur
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25. Birol Upazilla Health Complex,Dinajpur,Rangpur
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26. Bishwanath Upazila Health Complex,Sylhet,Sylhet
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27. Bochaganj Upazila Health Complex,Dinajpur,Rangpur
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28. Boda Upazila Health Complex,Panchagarh,Rangpur
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29. Borhanuddin Upazila Health Complex,Bhola,Barishal
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30. Burichong Upazila Health Complex,Cumilla,Chittagong
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31. Chaddagram Upazila Health Complex,Cumilla,Chittagong
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32. Chakaria Upazila Health Complex,Cox's Bazar,Chittagong
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33. Chandina Upazila Health Complex,Cumilla,Chittagong
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34. Chatkhil Upazila Health Complex,Noakhali,Chittagong
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35. Chatmohor Upazila Health Complex,Pabna,Rajshahi
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36. Chhatak Upazila Health Complex,Sunamgonj,Sylhet
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37. Charghat Upazila Health Complex,Rajshahi,Rajshahi
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38. Charfession Upazila Health Complex,Bhola,Barishal
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39. Chhagalnaya Upazila Health Complex,Feni,Chittagong
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40. Chilmari Upazila Health Complex,Kurigram,Rangpur
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41. Chirirbandar Upazila Health Complex,Dinajpur,Rangpur
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42. Chowgacha Upazila Health Complex,Jeshore,Khulna
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43. Chunarughat Upazila Health Complex,Habiganj,Sylhet
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44. Companiganj Upazila Health Complex,Sylhet,Sylhet
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45. Dacope Upazila Health Complex,Khulna,Khulna
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46. Damurhuda Upazila Health Complex,Chuadanga,Khulna
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47. Dashmina Upazila Health Complex,Patuakhali,Barishal
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48. Daulatkhan Upazila Health Complex,Bhola,Barishal
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49. Debhata Upazila Health Complex,Satkhira,Khulna
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50. Debiganj Upazila Health Complex,Panchagarh,Rangpur
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51. Derai Upazila Health Complex,Sunamganj,Sylhet
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52. Dewanganj Upazila Health Complex,Jamalpur,Mymensingh
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53. Dharmapasha Upazila Health Complex,Sunamganj,Sylhet
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54. Dhubaura Upazila Health Complex,Mymensingh,Mymensingh
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55. Dhunat Upazila Health Complex,Bogura,Rajshahi
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56. Dhupchachia Upazila Health Complex,Bogura,Rajshahi
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57. Dimla Upazila Health Complex,Nilphamari,Rangpur
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58. Dighalia Upazila Health Complex,Khulna,Khulna
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59. Dighinala Upazila Health Complex,Khagrachari,Chittagong
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60. Domar Upazila Health Complex,Nilphamari,Rangpur
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61. Dumuria Upazila Health Complex,Khulna,Khulna
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62. Faridpur Upazila Health Complex,Pabna,Rajshahi
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63. Fenchuganj Upazila Health Complex,Sylhet,Sylhet
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64. Galachipa Upazila Health Complex,Patuakhali,Barishal
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65. Ghatail Upazila Health Complex,Tangail,Dhaka
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66. Godagari Upazila Health Complex,Rajshahi,Rajshahi
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67. Gournadi Upazila Health Complex,Barishal,Barishal
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68. Gowainghat Upazila Health Complex,Sylhet,Sylhet
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69. Gurudashpur Upazila Health Complex,Natore,Rajshahi
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70. Haimchar Upazila Health Complex,Chandpur,Chittagong
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71. Haluaghat Upazila Health Complex,Mymensingh,Mymensingh
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72. Harinakunda Upazila Health Complex,Jhenaidah,Khulna
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73. Haripur Upazila Health Complex,Thakurgaon,Rangpur
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74. Harirampur Upazila Health Complex,Manikganj,Dhaka
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75. Hatibandha Upazila Health Complex,Lalmonirhat,Rangpur
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76. Islampur upazila Health Complex,Jamalpur,Mymensingh
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77. Iswardi Upazila Health Complex,Pabna,Rajshahi
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78. Jaldhaka Upazila Health Complex,Nilphamari,Rangpur
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79. Jhenaigati Upazila Health Complex,Sherpur,Mymensingh
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80. Jhikargacha Upazila Health Complex,Jashore,Khulna
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81. Kachua Upazila Health Complex,Bagerhat,Khulna
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82. Kachua Upazila Health Complex,Chandpur,Chittagong
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83. Kalai Upazila Health Complex,Joypurhat,Rajshahi
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84. Kalapara Upazila Health Complex,Patuakhali,Barishal
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85. Kalia Upazila Health Complex,Narail,Khulna
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86. Kaliganj Upazila Health Complex,Gazipur,Dhaka
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87. Kalihati Upazila Health Complex,Tangail,Dhaka
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88. Kalukhali Upazila Health Complex,Rajbari,Dhaka
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89. Kamalganj Upazila Health Complex,Moulavibazar,Sylhet
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90. Kaptai Upazila Health Complex,Rangamati,Chittagong
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91. Kashiani Upazila Health Complex,Gopalganj,Dhaka
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92. Kathalia Upazila Health Complex,Jhalokathi,Barishal
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93. Katiadi Upazila Health Complex,kishoreganj,Dhaka
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94. Kazipur Upazila Health Complex,Sirajgonj,Rajshahi
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95. Kawkhali Upazila Health Complex,Pirojpur,Barishal
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96. Kawkhali Upazila Health Complex,Rangamati,Chittagong
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97. Khaliajhuri Upazila Health Complex,Netrokona,Mymensingh
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98. Khetlal Upazila Health Complex,Joypurhat,Rajshahi
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99. kishoreganj Upazila Health Complex,Nilphamari,Rangpur
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100.Kotalipara Upazila Health Complex,Gopalganj,Dhaka
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101.Kotchandpur Upazila Health Complex,Jhenaidah,Khulna
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102.Koyra Upazila Health Complex,Khulna,Khulna
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103.Kaunia Upazila Health Complex,Rangpur,Rangpur
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104.Kulaura Upazila Health Complex,Moulvibazar,Sylhet
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105.Lakshmichari Upazila Health Complex,Khagrachari,Chittagong
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106.Lakhai Upazila Health Complex,Habiganj,Sylhet
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107.Lalmohan Upazila Health Complex,Bhola,Barishal
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108.Lalpur Upazila Health Complex,Natore,Rajshahi
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109.Lohagara Upazila Health Complex,Narail,Khulna
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110.Manikchari Upazila Health Complex,Khagrachari,Chittagong
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111.Mathbaria Upazila Health Complex,Pirojpur,Barishal
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112.Matiranga Upazila Health Complex,Khagrachari,Chittagong
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113.Matlab Daxin Upazila Health Complex,Chandpur,Chittagong
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114.Mirpur Upazila Health Complex,Kushtia,Khulna
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115.Mithamoin Upazila Health Complex,kishoreganj,Dhaka
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116.Mithapukur Upazila Health Complex,Rangpur,Rangpur
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117.Modhupur Upazila Health Complex,Tangail,Dhaka
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118.Mohadevpur Upazila Health Complex,Naogaon,Rajshahi
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119.Mohalchari Upazila Health Complex,Khagrachari,Chittagong
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120.Mohammadpur Upazila Health Complex,Magura,Khulna
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121.Mohanganj Upazila Health Complex,Netrokona,Mymensingh
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122.Moheshkhali Upazila Health Complex,Cox's Bazar,Chittagong
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123.Mongla Upazila Health Complex,Bagerhat,Khulna
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124.Morrelganj Upazila Health Complex,Bagerhat,Khulna
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125.Mujibnagar upazila health complex,Meherpur,Khulna
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126.Mukshedpur Upazila Health Complex,Gopalganj,Dhaka
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127.Muktagacha Upazila Health Complex,Mymensingh,Mymensingh
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128.Muradnagar Upazila Health Complex,Cumilla,Chittagong
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129.Nabinagar Upazila Health Complex,B. Baria,Chittagong
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130.Nachol Upazila Health Complex,Chapai Nawabganj,Rajshahi
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131.Naikhongchari Upazila Health Complex,Bandarban,Chittagong
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132.Nakla Upazila Health Complex,Sherpur,Mymensingh
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133.Nalchity Upazila Health Complex,Jhalokathi,Barishal
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134.Nalitabari Upazila health Complex,Sherpur,Mymensingh
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135.Nasirnagar Upazila Health Complex,Brahmanbaria,Chittagong
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136.Nazirpur Upazila Health Complex,Pirojpur,Barishal
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137.Niamatpur Upazila Health Complex,Naogaon,Rajshahi
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138.Paikgacha Upazila Health Complex,Khulna,Khulna
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139.Pakundia Upazila Health Complex,Kishoreganj,Dhaka
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140.Panchari Upazila Health Complex,Khagrachari,Chittagong
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141.Panchbibi Upazila Health Complex,Joypurhat,Rajshahi
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142.Pangsha Upazila Health Complex,Rajbari,Dhaka
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143.Parbatipur Upazila Health Complex,Dinajpur,Rangpur
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144.Patharghata Upazila Health Complex,Barishal,Barishal
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145.Patnitala Upazila Health complex,Naogaon,Rajshahi
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146.Patgram Upazila Health Complex,Lalmonirhat,Rangpur
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147.Parsuram Upazila Health Complex,Feni,Chittagong
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148.Pirgacha Upazila Health Complex,Rangpur,Rangpur
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149.Pirganj Upazila Health Complex,Rangpur,Rangpur
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150.Pirganj Upazila Health Complex,Thakurgaon,Rangpur
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151.Purbadhala Upazila Health Complex,Netrokona,Mymensingh
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152.Raiganj Upazila Health Complex,Sirajgonj,Rajshahi
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153.Raipura Upazila Health Complex,Narsingdi,Dhaka
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154.Rajapur Upazila Health Complex,Jhalokathi,Barishal
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155.Rajarhat Upazila Health Complex,Kurigram,Rangpur
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156.Rajoir Upazila Health Complex,Madaripur,Dhaka
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157.Ramgarh Upazila Health Complex,Khagrachari,Chittagong
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158.Rampal Upazila Health Complex,Bagerhat,Khulna
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159.Sadullapur Upazila Health Complex,Gaibandha,Rangpur
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160.Sadarpur Upazila Health Complex,Faridpur,Dhaka
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161.Saidpur Upazila Health Complex,Nilphamari,Rangpur
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162.Saint Martin 20 Bed Hospital,Cox's Bazar,Chittagong
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163.Santhia Upazila Health Complex,Pabna,Rajshahi
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164.Sarail Upazila Health Complex,B. Baria,Chittagong
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165.Sarankhola Upazila Health Complex,Bagerhat,Khulna
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166.Shahzadpur Upazila Health Complex,Sirajganj,Rajshahi
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167.Shajahanpur Upazila Health Complex,Bogura,Rajshahi
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168.Sarsa Upazila Health Complex,Jessore,Khulna
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169.Saturia Upazila Health Complex,Manikganj,Dhaka
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170.Sherpur Upazila Health Complex,Bogura,Rajshahi
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171.Shibalaya Upazila Health complex,Manikgonj,Dhaka
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172.Shibchar Upazila Health Complex,Madaripur,Dhaka
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173.Shibganj Upazila Health Complex,Chapai Nawabganj,Rajshahi
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174.Sreemangal Upazila Health Complex,Moulavibazar,Sylhet
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175.Shantiganj Upazila Health Complex,Sylhet,Sylhet
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176.Shyamnagar Upazila Health Complex,Satkhira,Khulna
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177.Singair Upazila Health Complex,Manikganj,Dhaka
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178.Singra Upazila Health Complex,Natore,Rajshahi
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179.Sonagazi Upazila Health Complex,Feni,Chittagong
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180.Subarnachar Upazila Health Complex,Noakhali,Chittagong
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181.Sundarganj Upazila Health Complex,Gaibandha,Rangpur
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182.Tajumuddin Upazila Health Complex,Bhola,Barishal
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183.Tala Upazila Health Complex,Sathkhira,Khulna
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184.Tanore Upazila Health Complex,Rajshahi,Rajshahi
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185.Tarail Upazila Health Complex,kishoreganj,Dhaka
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186.Taraganj Upazila Health Complex,Rangpur,Rangpur
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187.Tarash Upazila Health Complex,Sirajgonj,Rajshahi
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188.Teknaf Upazila Health Complex,Cox's Bazar,Chittagong
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189.Tetulia Upazila Health Complex,Panchagarh,Rangpur
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190.Trishal Upazila Health Complex,Mymensingh,Mymensingh
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191.Tungipara Upazila Health Complex,Gopalganj,Dhaka
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192.Ukhia Upazila Health Complex,Cox's Bazar,Chittagong
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193.Ulipur Upazila Health Complex,Kurigram,Rangpur
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194.Zokiganj Upazila Health Complex,Sylhet,Sylhet
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**3\. 40 Centers Exclusively as Providers**:
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1. Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Dhaka
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2. National Institute of Diseases of the Chest & Hospital (NIDCH), Dhaka, Dhaka
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3. National Institute Of Cancer Research And Hospital (NICRH), Dhaka, Dhaka
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4. National Institute Of Cardiovascular Disease (NICVD), Dhaka, Dhaka
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5. National Institute of Kidney Disease and Urology (NIKDU), Dhaka, Dhaka
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6. National Institute Of Neuro Science (NINS), Dhaka, Dhaka
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7. National Institute Of Ophthalmology (NIO), Dhaka, Dhaka
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8. National Institute of Traumatology and Rehabilitation (NITOR), Dhaka, Dhaka
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9. National Institute Of Mental Health (NIMH), Dhaka, Dhaka
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10. National Institute of Burn and Plastic Surgery, Dhaka, Dhaka
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11. National Gastroliver Institute & Hospital, Dhaka, Dhaka
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12. Gopalganj Eye Hospital And Training Institute, Gopalganj, Dhaka
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13. National Institute of ENT, Dhaka, Dhaka
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14. Dhaka Medical College hospital, Dhaka, Dhaka, Dhaka
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15. Sir Solimullah Medical College Hospital, Dhaka, Dhaka
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16. Shaheed Suhrawardy Medical College and Hospital, Dhaka, Dhaka
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17. Mugda Medical College Hospital, Dhaka, Dhaka
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18. Mymensingh Medical College Hospital, Mymensingh, Mymensingh
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19. Khulna Medical College Hospital, Khulna, Khulna
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20. Rajshahi Medical College Hospital, Rajshahi, Rajshahi
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21. Sher-E-Bangla Medical College Hospital, Barishal, Barishal
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22. Rangpur Medical College Hospital, Rangpur, Rangpur
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23. MAG Osmani Medical College Hospital, Sylhet, Sylhet
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24. Chittagong Medical College Hospital, Chittagong, Chittagong
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25. Cumilla Medical College Hospital, Cumilla, Chittagong
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26. Colonel Malek Medical College Hospital, Manikgong, Dhaka
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27. Bandarban District Hospital, Bandarban, Chittagong
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28. Gaibandha District Hospital, Gaibandha, Rangpur
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29. Gopalganj 250 bed General Hospital, Gopalganj, Dhaka
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30. Lakshmipur District Hospital, Lakshmipur, Chittagong
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31. Moulvibazar District Hospital, Moulvibazar, Sylhet
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32. Naogaon District Hoispital, Naogaon, Rajshahi
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33. Nilphamari District Hospital, Nilphamari, Rangpur
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34. Patuakhali District Hospital, Patuakhali, Barishal
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35. Satkhira District Hospital, Satkhira, Khulna
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36. Tangail 250 Bed District Hospital, Tangail, Dhaka
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37. Thakurgaon District Hospital, Thakurgaon, Rangpur
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38. Sirajganj District Hospital, Sirajganj, Rajshahi
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39. Chaddagram Upazila Health Complex, Cumilla, Chittagong
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40. Management Information System (MIS), Dhaka, Dhaka
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- **Service Providers & Receivers**:
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1. **40** service providers.
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2. **194** service receivers.
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- **Equipment**: Centers are furnished with telestethoscopes, teleECG, telemicroscopes, teleglucometers, advanced cameras, large screens, desktop computers, UPS, etc. (provided by MIS, DGHS).
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- **Cost & Access**: Consultations with specialist doctors at any hospital are provided free of charge for patients at upazila health complexes or for referral cases.
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**Most Common Diseases Treated via Telemedicine**
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1. B86 Scabies
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2. B354 Tinea corporis
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3. B000 Eczema herpeticum
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4. L70 Acne
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5. L23 Allergic contact dermatitis
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6. L089 Local infection of skin and subcutaneous tissue, unspecified
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7. L20 Atopic dermatitis
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8. H10 Conjunctivitis
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9. L40 Psoriasis
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10. M545 Low back pain
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11. L01 Impetigo
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12. L80 Vitiligo
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13. L21 Seborrhoeic dermatitis
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14. R51 Headache
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15. B68 Taeniasis
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**Offered Services**
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1. **Teleconsultation**
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||||
2. **Mental Health Support**
|
||||
3. **Health Information & Awareness**
|
||||
|
||||
**Advantages**
|
||||
|
||||
1. **Accessibility**:
|
||||
- Connects rural patients with urban specialists.
|
||||
- Reduces travel time and associated costs.
|
||||
2. **Affordability**:
|
||||
- Minimizes financial burden of in-person visits.
|
||||
- Some services subsidized by government or NGOs.
|
||||
3. **Efficiency**:
|
||||
- Cuts down patient wait times.
|
||||
- Streamlines follow-ups and chronic disease management.
|
||||
4. **Crisis Response**:
|
||||
- Instrumental during COVID-19 to lessen load on physical facilities.
|
||||
|
||||
**Limitations & Challenges**
|
||||
|
||||
1. **Awareness & Trust**:
|
||||
- Low awareness among rural residents.
|
||||
- Cultural skepticism toward online consultations.
|
||||
2. **Healthcare Professional Training**:
|
||||
- Insufficient training for telemedicine tools.
|
||||
- Resistance from some providers to adopt digital methods.
|
||||
3. **Regulatory & Policy Gaps**:
|
||||
- Lack of clear telemedicine regulations and guidelines.
|
||||
- Concerns about data privacy and security.
|
||||
4. **Equipment Costs**:
|
||||
- High initial setup expense for telemedicine platforms and diagnostics.
|
||||
|
||||
**Future Prospects**
|
||||
|
||||
1. **Government Vision**:
|
||||
- Increased funding and partnerships for telemedicine infrastructure.
|
||||
2. **Technology Integration**:
|
||||
- AI-driven diagnostic support.
|
||||
- Mobile apps for personalized healthcare management.
|
||||
3. **Public-Private Partnerships**:
|
||||
- Collaboration between government and private sector to scale services.
|
||||
4. **Focused Training & Awareness**:
|
||||
- Training programs for healthcare professionals.
|
||||
- Awareness campaigns for local communities.
|
||||
5. **International Collaborations**:
|
||||
- Partnerships with global telemedicine providers for advanced solutions.
|
||||
Loading…
Reference in New Issue
Block a user