<![CDATA[This study aimed to analyze barriers to maternal and child health service access and to examine the potential implementation of a locally appropriate Telemedicine Clinic (KTM) model in Cigunung Herang Village, Cianjur. A descriptive study with a participatory situational-analysis approach was conducted on 10 July 2026. Data were collected through field observation, participant registration, basic health screening including blood pressure, blood glucose, and uric acid examination, as well as health and educational counselling. The findings were analyzed descriptively to identify health-service barriers, community needs, and the feasibility of telemedicine implementation. A total of 146 participants were involved, consisting of 106 community members and 40 pregnant women. The study identified several major barriers, including difficult road access, an estimated 30 km distance to the public health center, and uneven telecommunications coverage. Elevated blood pressure and blood glucose were among the prominent health findings; however, the available individual-level data were insufficient to determine prevalence. The study also identified the need for a simple, low-bandwidth telemedicine system supported by health screening, documentation, referral mechanisms, and local assistance. These findings indicate that the Telemedicine Clinic model has the potential to support maternal and child health service accessibility when implemented gradually and integrated with existing primary health care services.]]>
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