  Medical tele-management is an emerging field of study in telemedicine that
proposes an interactive and proactive disease management approach which
combines tele-monitoring and tele-consultation services through an information
and communications technology (ICT) supported partnership. On one hand, chronic
diseases require frequent and continuous monitoring to avoid complications; on
the other hand is the need for a platform where health workers in rural
settlements can consult or interact with their counterparts in urban areas to
reduce isolation. However, telemedicine systems exist singly either as
tele-monitoring or tele-consultation systems or majorly in developed countries
with dedicated and adequate ICT resources and infrastructure. This work
developed a combined tele-monitoring and tele-consultation system for the
management of chronic diseases within an information and communication
technology resource-constrained setting. This is achieved through the
development of a multi-tiered framework and model deployed to provide medical
tele-management services for rural African communities. The developed system
achieved reliability score, availability, uptime and downtime of 0.9, 99.65%,
99.65% and 0.21% respectively. The evaluation results of the
post-implementation task revealed that response means of 4.20 and 4.22 were
achieved for the system degree of relevance (SDR) and system ease of use (SEU),
respectively on a rating scale of 1 to 5.
