Hala, MSF nurse, is showing a health promotion video on a tablet to Mousera during a regular check-up visit. Mousera, a 73-year-old Lebanese woman, suffers from hypertension, asthma and back pain, and is considered at higher risk of contracting COVID-19. She lives alone at her house in Burj al-Barajneh camp, Beirut. Her daughters regularly come to help with the cleaning of the house. “They’re keeping the house clean and well ventilated. You can even smell how clean it is”, says Mousera. At first, shielding wasn’t Mousera’s ideal plan. Although she lives alone, her son and beloved grandchildren live just upstairs. “How can I not hug my grandson when I see him?” But she eventually understood that shielding would protect her and her family better against COVID-19. Mousera shares the tips and information she receives from MSF with her relatives, over the phone. “We all are afraid of the novel coronavirus reaching the camp so everyone is being careful”. تعرض الممرضة في منظّمة أطباء بلا حدود هالة على مسّرة مقطع فيديو يقدّم التوعية الصحية على جهاز لوحي خلال زيارة الفحص المنتظمة. مسّرة، امرأة لبنانية تبلغ من العمر 73 عاماً، تعاني من ارتفاع ضغط الدم والربو وآلام الظهر وتُعتبر أكثر عرضة للإصابة بمرض كوفيد-19. تعيش مسّرة وحدها في منزلها في مخيم برج البراجنة في بيروت. تأتي بناتها بانتظام للمساعدة في تنظيف المنزل؛ وتقول، "تُبقي بناتي المنزل نظيفاً وجيد التهوية. يمكنكم حتى أن تشموا مدى نظافته". في البداية، لم تكن خطة الحماية الوقائية تبدو مناسبة لمسّرة. ورغم أنها تعيش وحدها، إلا أن ابنها وأحفادها العزيزين على قلب


Telemedicine allows remote medical teams to consult with a whole network of experts whenever they are confronted with cases that go beyond their immediate capacities. 

With no access to advanced diagnostic tools or specialist expertise, medical workers in places that are more difficult to access or remote often have limited abilities to fully understand many of their patients’ more complex symptoms, and therefore can’t necessarily always provide advanced lifesaving care. Doctors Without Borders/Médecins Sans Frontières (MSF) began introducing telemedicine into its field operations in 2010.

Scaling up new technologies can be difficult at the best of times, and the fact that much of MSF’s work involves urgent crisis response in resource-poor settings has provided additional challenges. Over the last few years, thousands of cases have been managed using MSF’s telemedicine services — representing thousands of patients who would otherwise have not received the kind of critical clinical diagnoses that are often taken for granted in places with more advanced health systems.

Those numbers alone suggest that telemedicine can play a fundamental role in MSF’s humanitarian mission, and help the organization deliver urgently needed healthcare to places where there is otherwise little or no access to medicine.

What is telemedicine? 

Telemedicine is a service that helps break barriers for access to medical care. It provides improved speed and accuracy for healthcare services in areas that are more difficult to access. It also allows experts and specialists to be available in areas through the service – this includes remote areas and non-remote areas. Telemedicine is a services that uses MSF’s global connectivity to help bridge the gap between medical care in remote areas and large hospitals. 

Telemedicine offers healthcare providers the capacity to directly connect with the specialist expertise they need for their patient(s). This occurs primarily via an asynchronous system (Store & Forward), and increasingly via real-time consultations and trainings. The program also integrates a research learning component and continues to develop a strong internal and external community of practice that enables MSF practitioners to learn from one another.

MSF uses telemedicine software that allows medical professionals to manage remote medical information and medical consultations with maximum confidentiality.

The system will use the most appropriate available technologies to offer secure services through portable and non-portable devices suitable for MSF contexts of operations. MSF will grow its pool of engaged specialists with diverse expertise and languages.

How does it work?

Telemedicine is an interconnected platform that allows data to be exchanged in order to provide medical care for patients in remote areas. A medical team can upload data such as images to the MSF platform where a participating specialist is able to access the data and help make a diagnosis. 

This is a “store and forward” model of telemedicine: data is sent to a network of specialist consultants who can provide additional information to the doctor in the field. Telemedicine provides greater knowledge-sharing and can be tailored to a project’s needs. 

The system will ensure data privacy of patients and protection of medical data, reduce medical isolation of international and national medical personnel, and contribute to achieving high levels of medical quality and access, especially in remote settings. Moreover, telemedicine will contribute to better patient care and reduced cost by reducing the need for referrals and global travel, which will also reduce MSF’s carbon footprint.

MSF has the ambition for telemedicine to be widely accessible, reliable and to consistently provide high quality support.

Why is it important?

It allows us to treat more patients and provide more life-saving medical care. 

The great advantage of telemedicine is that our patients, despite being treated in places with limited resources, can access specialized care. Currently, widespread internet access in MSF field projects helps bridge the gap between the level of care in the field and large medical centres. 

MSF’s current model of humanitarian medical intervention often requires qualified international medical personnel to be directly on the ground. With telemedicine, the practical limitations of that approach can potentially be mitigated, not only by virtually connecting experts from anywhere on the globe, but – more significantly — bringing expertise itself to the project sites.

What can it deliver? 

  • Easy access to expert advice
  • Easy access to specialists
  • Quick answers to various medical questions (typical responses are between 24-48 hours)

 How does MSF deliver it?

  • A global network of experts
  • Through smartphone(s) and portable devices
  • Supported through a consolidated central MSF reference centre with 24-hour support