The Promise and the Peril of Virtual Health Care

Since 2015, telemedicine has been helping connect doctors with people in rural parts of Kenya, which has proven to be crucial during the coronavirus pandemic. Although not all insurance companies have made the process easy and some residents don't trust the use of technology to keep their data safe, the practice has seen a significant increase in people with chronic diseases utilizing the system as a means of limiting their exposure to situations where they could be exposed to the virus.

In 2020, Nigeria's Rural Electrification Agency installed a 50-kilowatt solar-hybrid system at Gombe State Specialist Hospital, providing uninterrupted electricity to critical units, including the ICU and emergency departments. Since its installation, maternal mortality dropped from 15-20 deaths monthly to 1-2 per month, and neonatal deaths also decreased from 50 to 20-25 monthly. The system has also helped healthcare workers perform life-saving surgeries without interruption, as these surgeries were often delayed or impossible due to power outages.

To allow patients to still see their doctors during the coronavirus pandemic, insurance providers have eliminated some of the barriers for providers to be reimbursed for telehealth appointments. This change in policy has helped doctors in Maine grow their telehealth practices in ways that may outlast the pandemic.

The move to telemedicine was made necessary due to the coronavirus outbreak, but in Vermont, many health clinics are planning to continue incorporating the practice even after the pandemic dissipates. Although there are limitations to telehealth such as connectivity issues, many health care providers in the state are reporting that the elimination of barriers for their patients are still significant successes.

A community health care clinic in Oregon’s Wallowa County has been able to offer mental health services to its clients during the coronavirus pandemic thanks in part to an already-established virtual practice. In place to better serve the rural community, the clinic's telehealth option has gained even more popularity since social distancing became a necessity. Although the practice isn't without its limitations, such as access to internet, overall, the expanded access has helped reduce the impacts of isolation.

To aid in postpartum hemorrhage care, the Kisumu Medical and Education Trust distributes uterine balloon tamponade kits that can be used to stop excessive bleeding and prevent death after other measures have failed. The kits have been provided to more than 1,300 healthcare facilities in 23 countries and over 6,000 healthcare workers have been trained to use them.

Non-pneumatic Anti-shock Garments (NASG) are emergency garments used during cases of post-partum hemorrhage that save women’s lives by compressing blood vessels to reduce excessive blood loss. Currently, there are 498 NASGs distributed across several counties and the use of the garment has resulted in a 38% reduction in the maternal mortality rate.

The government's response to the coronavirus pandemic eliminated many bureaucratic barriers and increased funding for health clinics across Hawaii, allowing the entities to offer services such as mobile clinics and telehealth. Although it is yet to be seen if these changes will last, the changes have proved successful enough that several legislative measures are now under consideration.

In Colombia – where having an abortion can be stigmatizing, in some cases illegal, and now even more difficult due to the coronavirus pandemic – a clinic has set up a national hotline to help women who are up to 10 weeks pregnant aaccess to safe abortions at home. So far, the clinic has connected with 700 women.

When the coronavirus pandemic caused organizations and businesses to shut their doors, some medical practices, such as facilities that treat addiction, found relief by moving to telehealth services. In Lousiana, "emergency changes to federal and state telehealth regulations" allowed patients to seek therapy and other services via telephone and video, which helped them avoid exposure to the virus, yet still access the care they needed.