350 needs in low resource settings

1
350 needs in low resource settings

• Maria Zolfo
• Institute of Tropical Medicine, Antwerp, Belgium

2
BACKGROUND

• Telemedicine is a way to deliver health care in
  remote areas
• E-mails have been used for years as a low cost
  telemedicine support for colleagues working in
  low resource settings, by the Institute of
  Tropical Medicine, Antwerp (ITMA)

3
BACKGROUND

• In 2003 the ITMA set up a computer aided training
  project to guide doctors in the implementation of
  antiretrovirals (ARVs) and AIDS care in
  developing countries

4
AIMS (I)

• To facilitate the introduction of high-quality
  ARV care for HIV/AIDS patients, living in
  resource limited settings by providing adequate
  technical support for ARVs and management of
  opportunistic infections (OIs), to clinician from
  the South

5
AIMS (II)

• To provide continuous medical education in the
  field of HIV/AIDS for doctors following SCART,
  through a discussion forum on a medical web site,
  supporting and guiding medical decision making
  and management of difficult clinical cases

6
Method of working

• Expert advice from HIV/AIDS specialists is
  offered to colleagues in the field through a
  discussion forum on http//telemedicine.itg.be

7
Initial partners in the field

• Sihanouk Hospital Center of Hope, Phom Penh,
  Cambodia
• Central Hospital, Kigali, Rwanda
• Institute of Tropical Medicine Alexander Von
  Humboldt, Lima, Peru
• MSF-Belgium projects in South East Asia

8
(No Transcript)
9
1st year activity
10
(No Transcript)
11
(No Transcript)
12
(No Transcript)
13
(No Transcript)
14
(No Transcript)
15
(No Transcript)
16
(No Transcript)
17
(No Transcript)
18
2nd year evaluation
24/339
255/339 clinical cases 84/339 open questions
165/339
150/339
19
2nd year evaluation details
24/339
150/339
165/339
20
ARVs details
21
(No Transcript)
22
(No Transcript)
23
(No Transcript)
24
(No Transcript)
25
(No Transcript)
26
(No Transcript)
27
(No Transcript)
28
(No Transcript)
29
(No Transcript)
30
(No Transcript)
31
(No Transcript)
32
(No Transcript)
33
(No Transcript)
34
(No Transcript)
35
(No Transcript)
36
(No Transcript)
37
(No Transcript)
38

• Satellife (http//www.healthnet.org/)
• Women and Children and HIV
• Clinical Care Options
• Medscape
• The Body
• Aidsmap

39
(No Transcript)
40
(No Transcript)
41
(No Transcript)
42
General perception from the field

• E-mail/discussion forum support is considered
  important for
• patient management
• increased knowledge of medical staff
• avoiding referrals
• access to medical literature

43
(No Transcript)
44
SURVEY
45
(No Transcript)
46
(No Transcript)
47
Off line function for posting !
48
http//telemedicine.itg.be
Thank you!