Evidence map›Paper›PMID 41393850›Full record

ArticleDigital health

Knowledge, perceived benefits, perceived concerns, and predisposition to use telehealth services in Mogadishu, Somalia: A cross-sectional survey.

Mohamed Mustaf Ahmed, Zhinya Kawa Othman, Jamilu Sani, Ahmed Adam Mohamed, Amal Naleye Ali, Abdinasir Mohamed Aray, Mohamed Yusuf Mohamed, Mulki Mukhtar Hassan, Olalekan John Okesanya, Don Eliseo Lucero-Prisno and 1 more

Abstract read
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Article in Digital health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Mohamed Mustaf AhmedFaculty of Medicine and Health Sciences, SIMAD University, Mogadishu, Somalia.ORCID https://orcid.org/0009-0006-5991-4052
Zhinya Kawa OthmanDepartment of Pharmacy, Kurdistan Technical Institute, Sulaymaniyah, Kurdistan Region, Iraq.ORCID https://orcid.org/0009-0008-3914-0867
Jamilu SaniDepartment of Demography and Social Statistics, Federal University Birnin Kebbi, Birnin Kebbi, Kebbi State, Nigeria.
Ahmed Adam MohamedDepartment of Research and Innovations, eHealth Somalia, Mogadishu, Somalia.
Amal Naleye AliDepartment of Research and Innovations, eHealth Somalia, Mogadishu, Somalia.
Abdinasir Mohamed ArayFaculty of Medicine and Health Sciences, SIMAD University, Mogadishu, Somalia.
Mohamed Yusuf MohamedFaculty of Medicine and Health Sciences, SIMAD University, Mogadishu, Somalia.
Mulki Mukhtar HassanFaculty of Medicine and Health Sciences, SIMAD University, Mogadishu, Somalia.
Olalekan John OkesanyaDepartment of Public Health and Maritime Transport, University of Thessaly, Volos, Greece.
Don Eliseo Lucero-PrisnoDepartment of Global Health and Development, London School of Hygiene and Tropical Medicine, London, UK.
Najib Isse DirieDepartment of Urology, Dr Sumait Hospital, Faculty of Medicine and Health Sciences, SIMAD University, Mogadishu, Somalia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Telehealth offers a promising route to expand access to care in low-resource settings such as Somalia, but community readiness remains poorly characterized. This study assessed knowledge, perceived benefits and concerns, and predisposition to use telehealth among adults in Mogadishu. Methods: We conducted a 6-month cross-sectional survey in Mogadishu (December 2024 to May 2025) using convenience sampling in community settings and online. A forward-backward translated questionnaire captured sociodemographic data and four composite scores. Nonparametric tests compared median scores across groups, and Spearman's rank correlations assessed associations among outcomes. Results: We analyzed 423 eligible responses. Scores indicated moderate knowledge and perceived benefits, consistently high concerns, and modest predisposition to use telehealth. Knowledge was higher among participants with university education, employment, and better self-rated health, and showed a very weak inverse association with predisposition. Previous telehealth users reported higher perceived benefits, which increased with intention to use telehealth. Predisposition was higher among unemployed participants and those with previous telehealth use. Perceived concerns were high across all subgroups. Knowledge showed a very weak positive association with concerns, while perceived benefits were positively associated with both concerns and predisposition, with small effect sizes. Conclusion: Mogadishu residents had moderate knowledge and interest in telehealth but persistent concerns about reliability, quality, and data privacy. Education, employment, and prior exposure shaped attitudes, yet greater knowledge did not necessarily increase adoption. Targeted digital literacy, user-centred pilot programmes, and clear safety and privacy regulations are needed to realise the promise of telehealth in Somalia.

Indexed as

attitudescross-sectionaldigital healthknowledgeSomaliaTelehealth

Identifiers

PMID41393850
PMCPMC12696329

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.