KNOWLEDGE, ATTITUDE AND PRACTICES OF ANESTHETISTS TOWARDS TELEHEALTH IN RWANDA
Authors
Mr Edmond Rusumazihanye
Dr Gaston Nyirigira MD, MMED, FCA
Dr Charles Nsanzabera PhD
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Abstract
Background:
Limited anesthetic capacity, including shortages of trained providers and equipment, contributes significantly to preventable deaths from surgical conditions in low-income countries. Telehealth has the potential to improve access to specialist support and enhance surgical care. This study assessed the knowledge, attitudes, and practices (KAP) of anesthesia practitioners toward telehealth in Rwanda.
Methods:
A quantitative Analytical cross-sectional study was conducted among anesthetists in Rwanda. Participants were recruited through the Rwanda Allied Health Professionals Council using a census sampling approach between 6 March and 7 May 2024. Data were analyzed using descriptive and analytical statistics, chi-square tests, and logistic regression, with statistical significance set at p < 0.05 at a 95% confidence level.
Findings:
Among respondents, 67.05% demonstrated high knowledge of telehealth, 57.8% had a positive attitude, while only 23.12% exhibited good telehealth practice. Poor practice was significantly associated with lack of telehealth training, lower awareness of telehealth benefits, female gender, and older age groups. Resistance from colleagues and lack of trust in telehealth equipment were not significantly associated with practice levels.
Conclusion:
Although anesthesia practitioners in Rwanda generally demonstrate adequate knowledge and favorable attitudes toward telehealth, actual utilization remains low. Addressing training gaps and increasing awareness of telehealth benefits may improve adoption and strengthen surgical care delivery.
Keywords
References
1. Kaye, A. D., Okeagu, C. N., Pham, A. D., & Urman, R. D. (2021). The rise of telemedicine in anesthesiology: Opportunities and challenges. Current Opinion in Anesthesiology, 34(6), 727–733.
2. World Health Organization (WHO). (2021). The state of telemedicine adoption worldwide: A global health perspective. Geneva: WHO.
3. Fortune Business Insights. (2023). Telehealth market size, share, and industry analysis. London: The Lancet Publication.
4. Brennan, D., Fritz, Z., & Thompson, D. (2022). Telehealth adoption among anesthesiologists in the United States: Trends and challenges. Anesthesia & Analgesia, 134(5), 1021–1035.
5. Greenhalgh, T., Wherton, J., & Shaw, S. (2021). The rapid expansion of telehealth in the NHS: Lessons from COVID-19.BMJ, 372, n634.
6. Scott, R., Williams, B., & Taylor, J. (2022). The role of telehealth in rural anesthesia services: Evidence from Australia.Australian Journal of Anesthesia, 45(2), 88–102.
7. Chitungo, I., Mhango, M., &Dzinamarira, T. (2021). Barriers and facilitators of telemedicine adoption in low- and middle-income countries: A systematic review.Digital Health, 7, 1–12.
8. Jain, A., Kumar, S., & Patel, V. (2022). Tele-anesthesia in India: Bridging the gap in perioperative care.Indian Journal of Anesthesia, 66(4), 321–329.
9. Rodriguez, J., Santos, E., & Miranda, L. (2021). Telehealth in anesthesia: Insights from Brazil and the Philippines.International Journal of Digital Health, 5(1), 56–72.
10. Olanrewaju, T., Adepoju, F., & Musa, K. (2022). Telehealth adoption in Africa: Current trends and future directions. African Health Review, 46(1), 23–39.
11. Moyo, T., Nkosi, P., &Khumalo, B. (2021). Tele-anesthesia consultations in South Africa: Enhancing perioperative care in remote hospitals. South African Journal of Anesthesia and Analgesia, 27(3), 112–124.
12. Adebayo, T., Okonkwo, C., & Yusuf, A. (2022). The impact of tele-anesthesia on preoperative assessment efficiency in Nigerian tertiary hospitals: A pilot study. Journal of Telemedicine and Telecare, 28(3), 145–156.
13. Kimani, P. K., Wambui, A. M., & Otieno, J. (2022). Telemedicine in anesthesia practice: The Kenyan experience. East African Medical Journal, 99(7), 230–245.
14. Nakanwagi, S., Mugisha, J., & Kiyonga, J. (2022). The impact of telehealth-supported perioperative assessments in Uganda. African Journal of Medical Practice, 58(2), 89–101.
15. Ministry of Health Rwanda. (2022). National Digital Health Strategy 2022–2026. Kigali, Rwanda: Government of Rwanda.
16. Bizimana, J., Uwizeye, C., & Nshimyumukiza, L. (2023). Evaluating the role of telehealth in perioperative planning in Rwanda: A case study of district hospitals.Rwanda Medical Journal, 80(2), 67–79.
17. World Health Organization (WHO). (2023). Digital health and telemedicine in Rwanda: National trends and policy recommendations. Geneva: WHO.
18. World Health Organization (WHO). (2021). Telemedicine: Opportunities and developments in member states. WHO Global Observatory for eHealth series, Volume 2.
19. World Health Organization (WHO). (2022). Global strategy on digital health 2020–2025. WHO.
20. Bashshur, R. L., Shannon, G. W., Krupinski, E. A., & Grigsby, J. (2016). The taxonomy of telemedicine. Telemedicine and e-Health, 17(6), 484-494.
21. Miller, R. D., & Eriksson, L. I. (2020). Miller’s Anesthesia (9th ed.). Elsevier.
22. Rwanda Allied Health Professionals Council (2023). List of authorized anesthetists in Rwanda. Kigali: RAHPC
23. Wade VA, Eliott JA, Hiller JE. (2022). Clinician Acceptance is the Key Factor for Sustainable Telehealth Services. Qual Health Res
24. Tuma F, Nassar AK. (2021). Applying Bloom's taxonomy in clinical surgery: Practical examples. Ann Med Surg (Lond). 2021;69:102656.
25. Al Jaghsi A, Saeed M, Abu Fanas S, Alqutaibi AY, Mundt T. Validity and reliability of new instruments for measuring patient satisfaction with removable dentures, Arabic Version. BMC Oral Health. 2021;21:446.
26. Wubante SM, Tegegne MD. Health professionals’ knowledge of telemedicine and its associated factors working at private hospitals in resource-limited settings. Front Digit Health. 2022;4:976566. doi:10.3389/fdgth.2022.976566
27. National Center for Biotechnology Information (NCBI). (2020). Acceptance and perceptions of telemedicine among doctors in Karachi. Journal of Telemedicine and Telecare, 26(5), 287-293.
28. PubMed Central (PMC). (2021). Telemedicine in low- and middle-income countries: Challenges and opportunities. Journal of Global Health, 11(2), 124-132.
29. Ebidor Lawani-Luwaji, Chibuike Frederick Okafor. Perceptions of Telemedicine and Rural Healthcare Access in a Developing Country: A Case Study of Bayelsa State, Nigeria. Barw Medical Journal. 2025 Sep. 22;3(4):21-5
30. Doe, A., & Roe, B. (2021). Exploring the effectiveness of telehealth interventions for diagnosis, contact tracing, and care of COVID-19 patients in sub-Saharan Africa: A rapid review. Health and Technology, 11(3), 345-360.
31. Gupta S, Agarwal P, Bhattacharya S, Singh A. (2020). Telehealth: An Evolving Field in Developing Countries. Yearb Med Inform.
32. Greenhalgh T, Wherton J, Shaw S, Morrison C. (2016). Video consultations for respiratory patients: A case study of macro versus micro implementation. J Telemed Telecare.
33. Wade VA, Eliott JA, Hiller JE. (2022). Clinician Acceptance is the Key Factor for Sustainable Telehealth Services. Qual Health Res.
34. Smith A, Jones B, et al. (2023). Gender Differences in Healthcare Providers' Adoption of Telehealth: A Qualitative Study. Journal of Telehealth and Telehealth.