The verdict in three sentences
A telehealth platform connects patient and doctor by video, with per-visit mobile-money payment (MTN MoMo, mobile money) of 3,000 to 15,000 FCFA. Mandatory prepayment drops no-shows by 40 %, optimized video holds under 500 kbps for rural areas, and e-prescription closes the consultation. An investment of 3,000,000 to 6,000,000 FCFA opens access to care where supply is scarce.
Per-visit or subscription: the right model
Two revenue models coexist. Per-visit payment matches real usage and reassures the occasional patient; subscription retains chronic patients and smooths revenue. Many platforms combine both.
| Criterion | Per-visit payment | Monthly subscription |
|---|---|---|
| Typical price | 3,000 - 15,000 FCFA / visit | 5,000 - 20,000 FCFA / month |
| Target audience | Occasional patient | Chronic patient |
| Prepayment (anti no-show) | Yes, systematic | Included |
| Revenue predictability | Low | High |
| Entry barrier | Low | Medium |
| Mobile money | MoMo per visit | Recurring debit |
What the platform delivers
Telehealth doesn't replace everything, but it absorbs a large share of simple and follow-up consultations, removing the trip.
| Metric | Without platform | With platform | Impact |
|---|---|---|---|
| No-show rate | 30 - 40 % | 18 - 24 % | -40 % (prepayment) |
| Required video bitrate | 1.5 - 2 Mbps | < 500 kbps | Rural areas served |
| Time to get an appointment | 2 - 5 days | < 24 h | Faster access |
| Patient travel cost | 1,000 - 5,000 FCFA | 0 | Direct saving |
| Prescription | Paper | Electronic | Smoother pharmacy |
| Collection | Cash at office | 100 % mobile money | Traceability |
Prepayment by MoMo before the video room opens is the central mechanism: it guarantees attendance and secures the doctor's fee.
Mini case study
Dr. Mugisha, a GP in Kigali, wants to launch a telehealth offering. He targets 12 consultations a day at 6,000 FCFA, i.e. 72,000 FCFA/day, 26 days a month = 1,872,000 FCFA of gross monthly revenue.
The platform costs 4,500,000 FCFA. Prepayment moves his no-show from 35 % to 21 %, saving about 1.7 consultations a day, i.e. ~10,200 FCFA/day recovered = 265,200 FCFA/month. Counting all the telehealth revenue it makes possible, the platform pays for itself in under 3 months of activity.
Become a Kolonell referral partner
Do you know clinics, doctors or pharmacies that need to go digital? Join our referral partner program. You introduce the client, we deliver the project, and you earn a commission on the sale.
Need a professional website?
Kolonell builds websites that attract clients, optimized for the Sénégalese market. Free quote in 2 minutes.
| Project type | Sale commission | Recurring |
|---|---|---|
| Showcase site | 15 % | 5 % |
| E-commerce | 12 % | 5 % |
| Marketplace | 10 % | - |
| Institutional | 8 % | - |
For a 4,500,000 FCFA telehealth platform classed as custom work, a referral partner can earn a meaningful commission on a single contract. No technical skill required: you open the door, we do the rest.
FAQ
How much does a telehealth platform cost in Kigali in 2026?
Between 3,000,000 and 6,000,000 FCFA depending on modules (video, booking, queue, e-prescription, payment, records). A 2026 order of magnitude for a full platform.
How does prepayment cut no-shows by 40 %?
The patient pays for the consultation by MoMo or mobile money before entering the video room. Having already paid, they show up: no-shows fall about 40 %.
Does the video work on a weak connection?
Yes, a well-built platform optimizes the stream to hold under 500 kbps, with audio fallback if needed. This is essential to serve rural areas.
Is the e-prescription valid?
It is generated, time-stamped and sent to the patient; its usage framework depends on local regulation. It clearly smooths the pharmacy handoff.
Which payment methods are supported?
MTN Mobile Money and mobile money first, with the option to add cards for the diaspora. Both per-visit payment and recurring subscription are handled.
Let's talk about your project. We build your telehealth platform — optimized video, booking, MoMo payment, e-prescription. 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.
