Objective:

To develop a consensus-based evaluation framework for a community telehealth program in Granizal, Antioquia, Colombia.

Approach:

• Delphi Methodology: A three-round Delphi methodology was employed involving 15 panelists from various sectors to gather insights on telehealth evaluation.

Key Findings:

• Consensus was achieved across seven evaluation domains: pre-visit data, post-visit data, follow-up data, health post resources, barriers, community engagement strategies, and access solutions.
• Key barriers identified included limited connectivity, insufficient infrastructure, fragmented insurance coverage, workforce instability, and lack of political commitment.
• Community health workers (CHWs) were recognized as vital for patient engagement and program sustainability.

Interpretation:

The framework integrates clinical, social, infrastructural, and behavioral indicators aligned with local realities, emphasizing the importance of community involvement.

Limitations:

• The study may not be generalizable to all low-resource settings due to specific local conditions in Granizal.
• Potential biases in panelist selection and responses may affect the consensus outcomes.

Conclusion:

The study highlights the importance of participatory approaches in designing telehealth evaluation frameworks, promoting equity and contextual relevance.