Rapid advancement in telecommunications and health technology and their recent convergence as ‘tele-health’ is leading to the emergence of a new type of care network that has the potentials to support an array of services for health care provision and delivery irrespective of time, space and distance. With  the constant competition for resources in the health sector, ‘Tele-Health’technologies and their applications are intended to improve ‘quantity’and ‘quality’of health care, increase competitiveness within the care industry and reduce overhead costof care acquisition. Nigeria, although at its early stage in Tele-health technology, is actively participating in a number of promising applications covering a spectrum of healthcare processes. Our objective is to provide a snapshot into one of such application; PROJECT ECHO^T– Extending Community Health Outcome through Telecom-Technology is a Dial-A-Doc tele-clinical support initiative towards universal health coverage.