Organizations in developed countries such as theUnited States of America andCanada face difficulties and challenges in technology\r\ntransfer from one organization to another; the complexity of problems easily compounds when such transfers are attempted from\r\ndeveloped to developing countries due to differing socioeconomic and cultural environments. There is a gap in the formation\r\nof research and education programs to address technology transfer issues that go beyond just transferring the technologies to\r\nsustaining such transfers for longer periods. This study examined telemedicine transfer challenges in three Sub-Sahara African\r\ncountries and developed a framework for sustainable implementation of e-medicine. Both quantitative and qualitative research\r\nmethods were used. The study findings indicate that e-medicine sustainability in Sub-Saharan Africa is affected by institutional\r\nfactors such as institutional environment and knowledge management practices; technical factors such as the technological\r\nenvironment and technology transfer project environment; social environmental factors such as social environment and donor\r\ninvolvement. These factors were used to model the proposed framework.
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