# Ivory Coast Primary Care Telehealth Case Study > Case study: telehealth across 10 primary healthcare centers in Divo and Boundiali, supporting 4,816 patients and training 73 professionals. Case study — Ivory Coast # Primary Care Telehealth in Ivory Coast: 10 Centers Equipped From November 2023 to August 2025, a clinical telehealth pathway was deployed across 10 primary healthcare centers (PHCs) in the Divo and Boundiali districts. The program combined a software platform, connected medical devices, workforce training, and power-resilience measures. [Request a deployment assessment](/en/contact) [Explore the international solution](/en/solutions/international) [Image: Entrance to a healthcare facility in Boundiali, Ivory Coast] Healthcare facility in Boundiali. 10 primary healthcare centers 4,816 patients supported 73 professionals trained 612 ultrasound examinations 784 teleconsultations or tele-expertise reviews 137 ECG examinations Consolidated operating period: November 2023 to August 2025. Context ## Connecting primary care with remote expertise Ivory Coast health authorities, the INSP, the DMHP, OPHIR Technologies, and Promotal MedConnect worked toward one goal: enabling primary care teams to capture clinical data and request remote expertise without routinely transferring the patient. The scope covered five centers in Divo and five in Boundiali. The platform, examination devices, connectivity, training, and support were prepared as one operating pathway. Results by district ## Concrete tracking of examinations and care pathways District PHCs Patients Ultrasounds Teleconsultations / expert reviews ECG Divo 5 1,879 516 628 91 Boundiali 5 2,937 96 156 46 Total 10 4,816 612 784 137 Training and adoption ## 73 professionals trained for their role The program trained 31 physicians, 20 nurses, and 22 midwives. Each pathway combined platform use, vital-sign and ECG acquisition, connected-device handling, and complete teleconsultation exercises. 31 physicians 20 nurses 22 midwives [Image: Healthcare professionals attending practical connected-ultrasound training] Practical connected-ultrasound training. [Image: Healthcare professionals training on the MedConnect platform and equipment] Hands-on platform and equipment training. Deployment method ## Six phases from equipment delivery to sustained use Field experience shows that technology alone is not enough. Every center must be prepared, tested, trained, and supported over time. 01 ### Site assessment Review power, connectivity, facilities, security, and team availability at every location. 02 ### Preconfiguration Install software, prepare accounts, pair devices, and complete acceptance testing before shipment. 03 ### Installation Inventory, assemble, connect, function-test, and document acceptance at each center. 04 ### Role-based training Use distinct practical pathways for physicians, nurses, midwives, and technical leads. 05 ### Supported launch Run complete teleconsultation scenarios, reinforce support, and structure early incident reporting. 06 ### Operations Monitor usage, maintain equipment, coordinate clinical activity, and schedule specialist availability. [Image: Technicians training with photovoltaic panels in Ivory Coast] Building local capability for power resilience. Lessons for scaling ## Operational design determines service continuity - **Assess every site:** power, connectivity, space, security, and staff availability. - **Build power resilience:** plan continuity measures and the local skills required to maintain them. - **Coordinate the clinical network:** schedule sessions and ensure remote clinicians are available. - **Measure adoption:** track requests, completed opinions, examinations, incidents, and support needs. Continued adoption after the initial period ## Tele-expertise activity continued As of July 21, 2026, the aggregated operational extract contained 1,326 tele-expertise cases involving 1,111 distinct patients. Of those cases, 744 had received a completed clinical opinion. 1,326 cases created 1,111 distinct patients 744 completed opinions Between September 2025 and July 21, 2026, teams created 153 new cases and completed 59 clinical opinions. Continued activity demonstrates adoption of the pathway; its intensity also highlights the need for active clinical coordination and available specialists. Methodology note Results from November 2023 through August 2025 come from the consolidated deployment report. Figures through July 21, 2026 come from an aggregated, anonymized technical extract: no names, clinical content, contact details, or individual identifiers were extracted. The two reporting scopes are presented separately. The rollout across the ten centers was also documented by [ the Ivorian Press Agency ](https://www.aip.ci/cote-divoire-aip-la-telemedecine-en-cours-de-deploiement-dans-des-centres-de-sante-de-divo/). ## Plan a deployment for your health system We can assess sites, connectivity, clinical pathways, equipment, training, and support before defining the configuration. 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