The African teleconsultation market went from $50M in 2022 to $280M in 2026. The pandemic accelerated adoption, and structural inadequacies (medical deserts, distances) make teleconsultation crucial in Francophone Africa.

TL;DR

- Stack: Next.js + WebRTC (Daily.co / LiveKit) + Stripe/Wave + GDPR/Law 2008-12.

- Legal framework: Order-registered physicians + informed consent + signed digital prescription.

- Potential market: $5-15B by 2030 on the continent.

Technical architecture

`

[Patient] → [Patient web app]

↓

[Slot booking + payment]

↓

[Confirmation + WebRTC link]

↓

[15-30 min consultation]

↓

[Doctor] [Doctor app with patient file]

↓

[Signed digital prescription]

↓

[Partner pharmacy] [Drug dispensing]

`

Step 1 — choose WebRTC provider

For African SME: Daily.co (simple) or LiveKit self-host (cheap at scale).

Step 2 — data model

`prisma

model Doctor {

id String @id @default(cuid())

firstName String

lastName String

email String @unique

specialty String

licenseNumber String @unique

country String

languages String[]

pricePerCallXof Int

pricePerCallEur Int?

rating Float?

reviewCount Int @default(0)

isVerified Boolean @default(false)

isAvailable Boolean @default(true)

}

model Consultation {

id String @id @default(cuid())

patientId String

doctorId String

scheduledAt DateTime

durationMin Int @default(20)

type String

status String

paymentStatus String

paymentAmount Int

videoRoomId String?

startedAt DateTime?

endedAt DateTime?

diagnosis String?

prescription Prescription?

notes String?

followUpDate DateTime?

}

model Prescription {

id String @id @default(cuid())

consultationId String @unique

doctorId String

patientId String

items Json

pdfUrl String

signedAt DateTime

validUntil DateTime

filledAt DateTime?

pharmacyId String?

}

`

Step 3 — booking + payment

`tsx

'use client';

export default function BookConsultation() {

return (

steps={[

{ name: 'Symptoms', component: SymptomsStep },

{ name: 'Specialty', component: SpecialtyStep },

{ name: 'Doctor', component: DoctorStep },

{ name: 'Slot', component: TimeSlotStep },

{ name: 'Patient', component: PatientStep },

{ name: 'Payment', component: PaymentStep },

]}

onComplete={async (data) => {

const res = await fetch('/api/consultations', {

method: 'POST',

body: JSON.stringify(data),

});

const { id, paymentUrl } = await res.json();

window.location.href = paymentUrl;

}}

/>

);

}

`

Step 4 — consultation room

`tsx

'use client';

import DailyIframe from '@daily-co/daily-js';

import { useEffect } from 'react';

export default function ConsultationRoom({ consultation, role }) {

useEffect(() => {

const callFrame = DailyIframe.createFrame({

iframeStyle: { width: '100%', height: '600px' },

showLeaveButton: true,

theme: { colors: { accent: '#10b981' } },

});

callFrame.join({

url: https://kolonell.daily.co/${consultation.videoRoomId},

userName: role === 'patient' ? consultation.patient.firstName : Dr ${consultation.doctor.lastName},

});

callFrame.on('left-meeting', () => {

fetch(/api/consultations/${consultation.id}/end, { method: 'POST' });

});

return () => callFrame.destroy();

}, [consultation.id]);

return (