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Rural areas in South Africa have unique conditions such as remoteness and scarcity of reliable public facilities. Information and Communication Technologies (ICTs) introduced into these areas must be suitable for these conditions. Using a user-centred design approach based on Participatory Design and Action Research, the paper has developed a telemedicine application for a rural village in the Eastern Cape. This paper describes how the authors determined the requirements and design for the application and why one chose Voice over Internet Protocol (VoIP) combined with a store and forward approach to achieve the telemedicine goals. The paper presents an overview of the methodology one is using, describe the software application the authors' have developed and mention several challenges they have faced to date.
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