The verdict in three sentences
In-person-only care forces the upcountry patient into 2 to 4 hours of travel, and 30 % skip their follow-up. Teleconsultation with mobile money collected up front turns those lost follow-ups into revenue, with no-shows under 5 % on paid appointments. A doctor handling 15 remote consults a day at 5,000 FCFA adds about 1.8 million FCFA a month.
In-person only vs paid teleconsultation
In-person care effectively excludes distant patients and short follow-ups. Teleconsultation with mobile payment captures those consults: the patient pays via mobile money, gets a 10-minute video slot, and the doctor is paid before the consultation even starts.
| Criterion | In-person only | Paid teleconsultation |
|---|---|---|
| Patient travel | 2-4 hours | 0 (video) |
| Skipped follow-ups | 30 % | under 5 % |
| Payment | after, uncertain | up front, mobile money |
| Mobile money fee | - | 1.5 % |
| Consultation length | variable | 10 min |
| Geographic reach | city | whole region |
Upfront payment changes everything: a paid appointment is almost never missed. The 1.5 % mobile money fee on a 5,000 FCFA consultation is 75 FCFA, painlessly absorbed.
2026 costs and business model
| Item | 2026 range |
|---|---|
| Teleconsultation module | 700,000 - 1,600,000 FCFA |
| Monthly subscription | 25,000 - 45,000 FCFA/mo |
| Mobile money fee per payment | 1.5 % |
| Consultation fee | 3,000 - 8,000 FCFA |
| Remote consults / day | 15 |
| No-show on paid appointments | under 5 % |
At 15 consults a day at 5,000 FCFA over 24 working days: 1,800,000 FCFA/month of added revenue, minus 1.5 % fees (27,000 FCFA) and the subscription.
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Mini case study
Dr. Nakato practices in Kampala and draws patients from Jinja and Mbarara. By opening teleconsultation, she handles 15 remote consults a day at 5,000 FCFA, collected up front via mobile money. That's 15 x 5,000 = 75,000 FCFA/day, over 24 days = 1,800,000 FCFA/month. Mobile money fees (1.5 %) cost 27,000 FCFA and the subscription 35,000 FCFA. The module (1,300,000 FCFA) is repaid in under a month of teleconsults, and her no-show falls under 5 %.
FAQ
How does the patient pay for the teleconsultation? Via mobile money (Orange Money or another wallet), collected up front at a 1.5 % fee. Upfront payment drives no-shows under 5 %.
How much extra can a doctor earn? At 15 remote consults a day at 5,000 FCFA, that's about 1.8 million FCFA a month of added revenue over 24 working days.
What's the online consultation fee? 2026 fees range from 3,000 to 8,000 FCFA depending on specialty and doctor, collected before the video consultation.
How much does the platform cost in 2026? The teleconsultation module costs 700,000 to 1,600,000 FCFA plus 25,000 to 45,000 FCFA/month (hosting, video, updates).
Does video work on a weak connection? Yes: the platform is optimized for 3G with an audio fallback if bandwidth drops, suited to the local market.
Let's talk about your project. We build your teleconsultation platform with upfront mobile-money payment and 3G-optimized video. WhatsApp +221 77 596 93 33.
Mohamed Bah
Fondateur, Kolonell
Passionate about digital and entrepreneurship in Africa, Mohamed has been helping Sénégalese businesses with their digital transformation since 2020. Founder of Kolonell, he believes every SME deserves a professional and accessible online présence.
