{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T15:29:43Z","timestamp":1786116583110,"version":"build-2736575974"},"reference-count":38,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2024,9,4]],"date-time":"2024-09-04T00:00:00Z","timestamp":1725408000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Telemedicine and e-Health"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Access to antenatal ultrasound is limited in low-income countries such as Ethiopia. Virtual care platforms that facilitate supervision and mentoring for ultrasound scanning may improve patient access by facilitating task-sharing of antenatal ultrasound with midlevel providers. The purpose of this study was to assess the feasibility of a large volume tele-ultrasound program in Ethiopia, its impact on antenatal care (ANC) and patient access, and its sustainability as it transitioned from a pilot project to a continuing clinical program.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Health care providers at two health centers in the North Shoa Zone, Ethiopia, performed antenatal tele-ultrasound exams with remote guidance from obstetricians located in urban areas. Data regarding ANC and ultrasound utilization, participant travel, ultrasound findings, specialist referrals, and participant experience were collected through a mobile app.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Between November 2020 and December 2023, 7,297 tele-ultrasound exams were performed. Of these, 489 tele-ultrasound exams were performed during the period of data collection from October to December 2022. The availability of tele-ultrasound at the two health centers significantly reduced participant travel distance (4.2 km vs. 10.2 km;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.01; one-way distance). Most participants (99.2%) indicated the tele-ultrasound service was very important or important, with high levels of satisfaction. Clinically significant findings were identified in 26 cases (5.3%), leading to necessary referrals.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This study demonstrated the feasibility of a large volume tele-ultrasound program in Ethiopia, its impact on improving the quality of ANC, and its sustainability. These findings lay a foundation upon which low-income countries can develop tele-ultrasound programs to improve antenatal ultrasound access.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/tmj.2024.0066","type":"journal-article","created":{"date-parts":[[2024,9,4]],"date-time":"2024-09-04T04:49:08Z","timestamp":1725425348000},"page":"85-93","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Advancing Antenatal Care in Ethiopia: The Impact of Tele-Ultrasound on Antenatal Ultrasound Access in Rural Ethiopia"],"prefix":"10.1177","volume":"31","author":[{"given":"Felagot Taddese","family":"Terefe","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, St. Paul\u2019s Hospital Millennium Medical College, Addis Ababa, Ethiopia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bonnie","family":"Yang","sequence":"additional","affiliation":[{"name":"School of Medicine, Queen\u2019s University, Kingston, Ontario, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kemal","family":"Jemal","sequence":"additional","affiliation":[{"name":"School of Nursing, Queen\u2019s University, Kingston, Ontario, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dereje","family":"Ayana","sequence":"additional","affiliation":[{"name":"Department of Medicine, College of Medicine and Health Sciences, Salale University, Fitche, Ethiopia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mulat","family":"Adefris","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of Gondar, Gondar, Ethiopia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mukemil","family":"Awol","sequence":"additional","affiliation":[{"name":"Department of Midwifery, College of Medicine and Health Sciences, Salale University, Fitche, Ethiopia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mengistu","family":"Tesema","sequence":"additional","affiliation":[{"name":"Department of Public Health, College of Medicine and Health Sciences, Salale University, Fitche, Ethiopia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bewunetu","family":"Dagne","sequence":"additional","affiliation":[{"name":"Department of Computer Science, College of Natural Sciences, Salale University, Fitche, Ethiopia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandra","family":"Abeje","sequence":"additional","affiliation":[{"name":"Canadian Physicians for Aid and Relief, Addis Ababa, Ethiopia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alehegn","family":"Bantie","sequence":"additional","affiliation":[{"name":"Canadian Physicians for Aid and Relief, Addis Ababa, Ethiopia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Loewenberger","sequence":"additional","affiliation":[{"name":"Canadian Physicians for Aid and Relief, Ottawa, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott J.","family":"Adams","sequence":"additional","affiliation":[{"name":"Department of Medical Imaging, University of Saskatchewan, Saskatoon, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ivar","family":"Mendez","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Saskatchewan, Saskatoon, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,9,4]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.7189\/jogh.06.010404"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13690-020-00499-8"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12978-019-0819-1"},{"key":"e_1_3_3_5_2","volume-title":"Newborn Mortality","author":"World Health Organization","year":"2022","unstructured":"World Health Organization. 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