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Mobile teledermatology for rural Nepal: Dermatologic care using mobile phone in a primary health care centre
Institute of Medicine, Kathmandu, Nepal.
Anandaban Hospital, Lalitpur, Nepal.
Silguri, India.
Khopasi Primary Health Care Centre Kavre, Nepal.
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2016 (English)In: Journal of Institute of Medicine, ISSN ISSN: 1993-2979, Vol. 38, no 1, 7-10 p.Article in journal (Refereed) Published
Abstract [en]

Introduction: Skin diseases are among the five most common health problems in Nepal. We have now tested the validity of mobile teledermatology with mobile phones to find a safe and easy way of diagnosis and treatment of skin diseases for the most vulnerable people in remote areas without access to derma­ tologists.


Methods: A medical officer at a primary health care centre examined the patient, obtained information of the patient and the skin disease, took photographs of the skin lesions. Then  he transmitted  all these data  via Viber to a dermatologist in Kathmmandu, who in real time formulated diagnosis  and treatment  and  sent it via Viber to the medical officer. Subsequently the patient was examined face to face by a blinded dermatologist at the same primary health care centre. The time taken  for each modality  of consultation  was recorded .A third dermatologist analysed and compared the diagnoses formulated during telederma­ tology  and the face to face  consultations.


Results: Altogether 107 skin diseases were diagnosed in 101 patients. There was an overall concordance  of 88% between the diagnoses of skin diseases by mobile teledermatology and face to face consultations (Cohen k coefficient 0.85). The average face to face consultation time was 5 minutes, while it was 7 min­ utes more for teleconsultation.  More than 75% of the photos  were of good   quality.


Conclusions: Mobile teledermatology using smartphones is a reliable, useful, cost effective method to provide expertise for improving dermatologic care for the needy population in rural and remote parts of Nepal.

Place, publisher, year, edition, pages
Nepal: Institute of Medicine , 2016. Vol. 38, no 1, 7-10 p.
Keyword [en]
teledermatology, dermatologic care, rural Nepal, mobile phones
National Category
Medical and Health Sciences Family Medicine
URN: urn:nbn:se:liu:diva-131441OAI: diva2:972413
Available from: 2016-09-20 Created: 2016-09-20 Last updated: 2016-09-26Bibliographically approved

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Rosdahl, Inger
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Division of Neuro and Inflammation ScienceFaculty of Medicine and Health SciencesDepartment of Dermatology and Venerology
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