The verdict in three sentences
A teleconsultation app combines medical video, e-prescription and mobile money payment for a consultation billed at 3,000 to 10,000 FCFA. The telehealth market grows around 25 %/year, driven by smartphone penetration and the shortage of specialists outside capitals. Development costs between 2,000,000 and 6,000,000 FCFA depending on features and pays off through the volume of remote consultations.
What makes up a teleconsultation app
A good telehealth app is more than a video call. It chains booking, payment, video consultation, e-prescription sent to the patient, and follow-up. Upfront mobile money payment ensures the doctor is paid before the consultation, solving the model's main obstacle.
| Feature | Role | Key stake |
|---|---|---|
| Encrypted video | Remote consultation | Quality even on 3G |
| Mobile money payment | Collection before video | Zero unpaid bills |
| E-prescription | Prescription sent to patient | Legal value and legibility |
| Patient record | Consultation history | Continuity of care |
| Secure messaging | Post-consultation follow-up | Patient retention |
| Doctor calendar | Availability slots | Time optimisation |
Compliance and business model
Teleconsultation touches sensitive health data: encryption, patient consent and secure hosting are essential. On revenue, several models coexist; here are the 2026 ballpark figures.
| Business model | How it works | Ballpark |
|---|---|---|
| Per-consultation commission | 15-20 % taken on each act | 600-2,000 FCFA/consultation |
| Doctor subscription | Monthly platform fee | 15,000-40,000 FCFA/month |
| Patient subscription | Unlimited access to a network | 3,000-8,000 FCFA/month |
| Pay-per-consultation | Direct patient payment | 3,000-10,000 FCFA/act |
| Corporate partnership | Telehealth for employees | On quote |
The most robust model at launch combines pay-per-consultation and platform commission, before adding subscriptions once the patient base is built.
Mini case study
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Dr Mballa, a GP, wants to remotely consult patients in his home region, 300 km away. He launches an app with a 15 % platform commission and consultations at 5,000 FCFA.
He does 8 teleconsultations/day, 22 days/month, i.e. 176 consultations. Gross revenue: 880,000 FCFA/month, of which 15 % commission = 132,000 FCFA, leaving him 748,000 FCFA. These consultations did not exist before: they are patients he would never have seen. The app (mid tier at 4,000,000 FCFA) pays for itself in about 6 months, while decongesting his physical practice.
FAQ
Does video work on a weak connection? Yes, the app automatically adapts video quality to available bandwidth and falls back to audio only if 3G weakens. This ensures a usable consultation even in rural areas.
Does the e-prescription have legal value? The prescription is signed by the identified doctor and timestamped. Recognition depends on the local regulatory framework; we design the module to comply with e-prescription developments locally.
How is the doctor sure of getting paid? The patient pays by mobile money before the video starts. The doctor only launches the consultation once payment is confirmed by webhook, completely removing unpaid bills.
Can several doctors and specialties be integrated? Yes, the platform manages a directory of practitioners with specialties, fees and availability. The patient chooses their doctor, enabling a genuine telehealth network.
How long to go live? Budget 8 to 12 weeks for a full platform with video, payment and e-prescription. An MVP focused on video and payment can ship in 5 to 6 weeks.
Let's talk about your project. We build your teleconsultation app with video, mobile money payment and e-prescription, compliant and ready to scale. 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.
