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Telemedicine and human African trypanosomiasis in Angola

2025-09Artigo científico Acesso aberto
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dc.contributor.authorSalvador, Fernanda Gonçalves Ferreira
dc.contributor.authorOliveira, Liliane de Fátima A.
dc.contributor.authorMachado, Constantina Pereira Furtado
dc.contributor.authorNzila, Pedro Mbueno
dc.contributor.authorSilveira, Henrique
dc.contributor.authorValete, Cláudia Maria
dc.contributor.institutionInstituto de Higiene e Medicina Tropical (IHMT)
dc.contributor.institutionLaboratório Associado de Translacção e Inovação para a Saúde Global - LA Real (Pólo IHMT)
dc.contributor.institutionVector borne diseases and pathogens (VBD)
dc.contributor.institutionGlobal Health and Tropical Medicine (GHTM)
dc.contributor.pblElsevier
dc.date.accessioned2026-01-28T17:55:01Z
dc.date.available2026-01-28T17:55:01Z
dc.date.issued2025-09
dc.descriptionFunding Information: This work wa ssupported by funds from the Foundation for Science and Technology (FCT, Portugal) and GHTM/IHMT-NOVA (grant numbers: GHTM-UID/04413/2020 and doi:10.54499/UI/BD/151068/2021). This study was financed in part by the Coordenacao de Aperfeicoamento de Pessoal de Nivel Superior, Brazil (CAPES), Finance Code 001. Publisher Copyright: © 2025 The Author(s)
dc.description.abstractObjectives: Human African trypanosomiasis (HAT), or sleeping sickness, is a neglected tropical disease (NTD) endemic in rural Angola. Although telemedicine can improve healthcare access and coordination, its absence from HAT care highlights gaps in achieving World Health Organization goals for digital health equity and NTD control by 2030. To identify the challenges and opportunities for the local implementation of telemedicine in HAT care. Methods: A mixed-methods study was conducted at the Instituto de Combate e Controlo das Tripanossomiases, a specialized unit of the Angolan Ministry of Health. One interview was conducted with the national HAT manager, and questionnaires were distributed to healthcare professionals, with a response rate of 61.5 %. This study was approved by the Ethics Committee of the Ministry of Health of Angola. Results: Analysis revealed strong local interest in piloting telemedicine for HAT to improve healthcare access, particularly for remote case discussions among healthcare professionals in underserved areas. However, key barriers included unstable Internet connectivity, low digital literacy, insufficient human resources, and limited informatics support. Conclusions: These challenges underscore the need for a multi-sectoral strategy to enable the integration of telemedicine into HAT care and advance digital health equity in Angola.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent362037
dc.identifier.doi10.1016/j.ijregi.2025.100696
dc.identifier.issn2772-7076
dc.identifier.otherPURE: 130721344
dc.identifier.otherPURE UUID: 43b2bfc4-6c53-4155-9e66-9aa419d6c6fa
dc.identifier.otherScopus: 105011683482
dc.identifier.otherWOS: 001541582600001
dc.identifier.otherPubMed: 40778349
dc.identifier.otherPubMedCentral: PMC12329280
dc.identifier.otherORCID: /0000-0002-7939-772X/work/203972477
dc.identifier.urihttp://hdl.handle.net/10362/199836
dc.identifier.urlhttps://www.scopus.com/pages/publications/105011683482
dc.language.isoeng
dc.peerreviewedyes
dc.subjectDigital health
dc.subjectHuman African trypanosomiasis
dc.subjectNeglected tropical diseases
dc.subjectSleeping sickness
dc.subjectTelemedicine
dc.subjectInfectious Diseases
dc.subjectEpidemiology
dc.subjectPublic Health, Environmental and Occupational Health
dc.subjectSDG 3 - Good Health and Well-being
dc.titleTelemedicine and human African trypanosomiasis in Angolaen
dc.title.subtitleLocal insights into challenges and opportunities for remote health deliveryen
dc.typejournal article
degois.publication.titleIJID Regions
degois.publication.volume16
dspace.entity.typePublication
rcaap.rightsopenAccess

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