Information and communication technologies (ICTs) have great potential to address some of the challenges faced by both developed and developing countries in providing accessible, cost-effective, high-quality health care services. Telemedicine uses ICTs to overcome geographical barriers, and increase access to health care services. This is particularly beneficial for rural and underserved communities in developing countries – groups that traditionally suffer from lack of access to health care. This paper titled “a review of the development of telemedicine in selected countries in sub Saharan Africa” is aimed at providing an inside in the advancement of telemedicine in Cameroon, Ghana, Kenya and Nigeria. The method used is a systematic review of the documented information on functional telemedicine in the respective countries. Very little documentation is done on this topic in Cameroon as compared to Kenya, Ghana and Nigeria we concluded. It was also concluded that with the advancement in ICTs in these countries especially with the expansion in mobile telephone networks and internet availability, governments should develop clear policies to support and enhance the development of telemedicine to assist in the provision of quality health care especially in rural communities.