Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Primary Healthcare Services01:30

Primary Healthcare Services

2.7K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
2.7K
Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

4.3K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
4.3K
Principles of Disease Surveillance01:26

Principles of Disease Surveillance

792
Disease surveillance is the systematic collection, analysis, and interpretation of health data essential to the planning, implementation, and evaluation of public health practice. This process integrates data dissemination to entities responsible for preventing and controlling disease, injury, and disability. Surveillance systems provide crucial information for action, helping public health authorities make informed decisions to manage and prevent outbreaks, ensure public safety, optimize...
792
Secondary Healthcare System01:11

Secondary Healthcare System

2.2K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
2.2K
Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

6.4K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
6.4K
Integrated Healthcare System01:20

Integrated Healthcare System

2.6K
An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
2.6K

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Prevalence and determinants of meeting minimum meal frequency among children aged 6-23 months in Rwanda: a cross-sectional study.

BMJ public health·2026
Same author

The Costs of Digital Health Interventions to Improve Immunization Data in Low- and Middle-Income Countries: Multicountry Mixed Methods Study.

Journal of medical Internet research·2025
Same author

Prevalence and associated risk factors of stunting too early: analysis of the 2020 Rwanda demographic and health survey.

BMJ nutrition, prevention & health·2025
Same author

Health Benefit Package Revision Is an Art as Much as a Science - Lessons Learned on the Organization of the Appraisal Phase.

International journal of health policy and management·2025
Same author

Direct medical costs of congenital heart surgery for isolated lesions in Rwanda.

PLOS global public health·2025
Same author

Uptake of the Hepatitis B Vaccine Among Pre-Service Health Professionals in Rwanda.

Public health challenges·2025

Related Experiment Video

Updated: Apr 2, 2026

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
07:13

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform

Published on: April 12, 2021

5.4K

Digital Primary Health in Rwanda: Qualitative Study of User Experiences and Implementation Lessons From Babyl's

Sabine Musange Furere1, Gashaija Absolomon1, Nathalie Umutoni1

  • 1Centre for Impact, Innovation and Capacity Building for Health Information Systems and Nutrition (CIIC-HIN), Kigali, Rwanda.

Journal of Medical Internet Research
|April 1, 2026
PubMed
Summary

Digital health platform Babyl faced challenges in Rwanda due to issues with system integration, financing, and user adoption. Understanding these implementation lessons is crucial for future telemedicine initiatives in low-income countries.

Keywords:
Rwandadigital healthhealth system integrationimplementation sciencelow- and middle-income countriesqualitative researchtelemedicine

More Related Videos

Author Spotlight: Developing a Point-of-Care Hemoglobin Estimation Method for Anemia Management
05:35

Author Spotlight: Developing a Point-of-Care Hemoglobin Estimation Method for Anemia Management

Published on: January 19, 2024

1.7K
Design to Implementation Study for Development and Patient Validation of Paper-Based Toehold Switch Diagnostics
10:42

Design to Implementation Study for Development and Patient Validation of Paper-Based Toehold Switch Diagnostics

Published on: June 17, 2022

3.6K

Related Experiment Videos

Last Updated: Apr 2, 2026

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
07:13

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform

Published on: April 12, 2021

5.4K
Author Spotlight: Developing a Point-of-Care Hemoglobin Estimation Method for Anemia Management
05:35

Author Spotlight: Developing a Point-of-Care Hemoglobin Estimation Method for Anemia Management

Published on: January 19, 2024

1.7K
Design to Implementation Study for Development and Patient Validation of Paper-Based Toehold Switch Diagnostics
10:42

Design to Implementation Study for Development and Patient Validation of Paper-Based Toehold Switch Diagnostics

Published on: June 17, 2022

3.6K

Area of Science:

  • Digital health implementation science
  • Telemedicine adoption in low- and middle-income countries
  • Health informatics and system redesign

Background:

  • Digital health innovations aim to improve healthcare access in resource-limited settings.
  • Babyl, Rwanda's largest telemedicine platform, achieved significant reach before halting operations for redesign.
  • Limited research exists on the user experiences and implementation factors influencing such platforms' sustainability.

Purpose of the Study:

  • To explore user experiences and implementation lessons from Babyl's digital health platform.
  • To identify drivers and barriers affecting the adoption and scale-up of telemedicine services.
  • To understand implementation challenges contributing to the platform's halt by examining diverse stakeholder perspectives.

Main Methods:

  • A qualitative, cross-sectional study utilizing 20 focus group discussions and 32 key informant interviews.
  • Data collected from 12 health centers across ten districts with varied utilization and agent availability.
  • Thematic analysis of qualitative data, with member checking and intercoder reliability (Cohen kappa=0.82) ensuring rigor.

Main Results:

  • Five key themes emerged: perceptions of digital health, utilization enablers/barriers, satisfaction, benefits, and suggestions for improvement.
  • Positive perceptions of digital health for access and wait times, with convenience and qualified providers as key enablers.
  • Barriers included concerns over remote care quality, service delays, digital literacy, device access, and poor health facility integration; patient-provider perspectives diverged.

Conclusions:

  • Multiple implementation challenges across individual, community, health system, and policy levels contributed to Babyl's discontinuation.
  • Critical lessons emphasize the need for genuine health system integration, sustainable financing, stakeholder engagement, and gradual scaling.
  • Findings offer valuable insights for Rwanda's health sector digitalization and other African nations investing in telemedicine.