This document presents a satellite dish antenna positioning control system for distributed mobile telemedicine nodes (DMTNs) communicating via the Nigerian Communication Satellite (NigComSat-1R). The authors transform the transfer function model of the system into state space variable equations. They then propose a full state feedback controller to compensate for time delay effects during satellite communication and improve the transient and steady state performance of the dish antenna positioning system. The controller is introduced into the closed loop system, which is then simulated in MATLAB/Simulink considering different cases. The simulation results show that the full state feedback controller provides improved position tracking to step inputs with a rise time of 0.42 s, settling time of 1.22 s and overshoot