Table 7.

Identified challenges and recommendations.

Challenges	Recommendations
Consultation gets disrupted due to network problem	There is no immediate solution for such disruption, while continued investment in infrastructure of telecommunication network will improve the quality of calls in future
Talk time is expensive for the poor	Aponjon may create a toll-free option for selected communities where subscribers have low wealth index [14]; Aponjon may also explore other ideas such as mobile cash transfer to marginalized customers for talk times [36]
Doctors struggle to diagnose certain symptoms without visual examination	In this context, a training program of local providers, such as village doctors, community health workers, and Dai s, should be revived. Since the local providers are the foremost people to be contacted during delivery or any other illnesses, their explanation of symptoms could provide a realistic picture of the condition of the patients to the doctors over phone [14,58]
Referrals of the doctors to seek treatment at health facilities or a specialist service is not specific	A proper integrated system plan is required; the consultation service requires to be linked with existing local facilities; a smooth connection for emergency transport needs to be organized between consultation service and existing facilities; data interoperability between service centers and a national patient database is warranted [61-66]
The consultation service did not follow up patients on medication and referrals	Toll-free follow-up calls and reminder text messages to patients regarding appointments and medication need to be integrated in the service [67]