PCSV, présenté par F. Jacq, pas de proceedings ; Objectives: Telemedicine networks allow to train local physicians and to improve diagnosis by exchanging medical data. But the set-up of multipoint dynamic telemedicine requires moving towards GRID technologies. The objective is to develop telemedicine services for physicians from Burkina Faso and France with the perspective of setting up a grid infrastructure between the participating medical sites. Methods: A web site to exchange diagnosis on diabetic retinopathy was developed in PHP. Another application using web services was developed to exchange patient information on ophthalmology between two databases. Results: The main difficulty comes from limited resources in developing countries including staff skills, bandwidth and funding. But the collaboration with dispensaries opened a door to enhanced collaboration between physicians of France and Burkina Faso Conclusions: These applications are designed with the aim of their use on grids which opens the perspective of multipoint dynamic telemedicine. We are developing a new generation of telemedicine service using experience acquired in the last two years.