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CHW Telemedicine Project


Reached 95% user adoption in 3 months with a multi-channel telemedicine platform.

The Challenge

Rural communities in East Africa faced a healthcare crisis. Patients travelled hours to reach health facilities, while Community Health Workers lacked efficient tools for remote consultations. This wasn’t just inconvenient—it was life-threatening. 60% of patients delayed seeking medical care due to access barriers, and health workers could only see 3-4 patients daily due to travel and documentation overhead. The community required a telemedicine solution that could function with basic phones, unreliable internet, and multiple local languages.

My Role

  • Role:
    UX Designer & Project Manage
  • Duration:
    8 months

I led both the design strategy and project execution for this telemedicine platform, managing a cross-functional team of 12 across design, development, and healthcare domains. My dual role allowed me to ensure user-centered design principles were maintained while navigating complex implementation challenges.

  • Conducted immersive field research, living in target communities for 3 weeks.
  • Designed multi-channel telemedicine strategy across SMS, USSD, and IVR.
  • Created comprehensive training programs for 200+ health workers.
  • Managed stakeholder alignment across international NGO, tech partners, and community leaders.

The Solution

I designed a multi-channel telemedicine platform that met users where they were technologically and culturally:

SMS: Appointment reminders and health tips that worked on any phone USSD: Interactive menus for structured consultations without internet IVR: Voice-guided consultations in local languages for complex cases

The key insight? Instead of forcing users to adapt to technology, I created multiple pathways so they could choose the best option for their needs and circumstances. Users could even start consultations on one channel and continue on another.

Impact & Results

User Adoption:

The platform exceeded all targets and transformed healthcare delivery:

  • 95% adoption rate achieved in 3 months (target was 80%).
  • 90% daily engagement among health workers.
  • 92% session completion across all consultation types.
Operational Improvements:
  • 40% reduction in patient wait times.
  • 60% increase in daily consultation capacity per health worker.
  • 75% fewer missed follow-up appointments.
Business Impact:
  • 240% ROI over 3 years.
  • $260K annual savings from reduced travel and improved efficiency.
  • Platform now being scaled across East Africa.

What I Learned

This project taught me that exceptional UX design in complex environments requires deep cultural empathy combined with rigorous methodology. The most successful solutions emerge from genuine partnerships with users rather than assumptions made in conference rooms.

Working directly with health workers and patients in rural Kenya challenged every assumption I had about technology design. When users tell you they no longer worry about their family’s health because help is always available through their phone, you realize the profound impact thoughtful design can have on human lives.

Core takeaway: Multi-channel strategies that provide user choice are more effective than single-platform approaches, especially in diverse, resource-constrained environments where one size definitely doesn’t fit all.

Benjamin Smoke
CHW Telemedicine Project