Perceptions of Healthcare Workers on Telemedicine Adoption in Primary Healthcare Facilities in Oyo State

Background: Telemedicine offers significant potential to extend the reach of primary healthcare in Nigeria, particularly in settings with inadequate specialist density. This study explores the perceptions of healthcare workers on telemedicine adoption at primary healthcare facilities in Oyo State, South West geopolitical zone. Methods: A cross-sectional descriptive study enrolled 200 healthcare workers from 10 purposively selected primary healthcare centres. A structured self-administered questionnaire assessed awareness of telemedicine, perceived benefits and barriers, and readiness for adoption. Results: Awareness of telemedicine was moderate. Perceived benefits included improved specialist access and reduced patient travel burden. Infrastructure deficits, limited digital literacy, and unreliable internet connectivity were major barriers. Younger healthcare workers demonstrated significantly higher acceptance rates. Conclusion: Healthcare workers in Oyo State recognise the potential of telemedicine but face substantial structural and competency barriers to adoption. Family medicine departments should lead digital health literacy training and advocate for investment in telecommunication infrastructure to facilitate equitable telemedicine integration at primary care level. Keywords: telemedicine, primary healthcare, healthcare workers, Oyo State, digital health