Building aTelepreventive Medicine Program For The Aga Khan Development Network AKDN President Shams

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Building aTelepreventive Medicine Program For
The Aga Khan Development Network
(AKDN)President Shams Kassim Lakha,
Dr Sunita Dodani
Professor Ronald E LaPorte

• In collaboration with the Aga khan University,
  Pakistan University of Pittsburgh, USA

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AKDN Supercourse

• Presentation Outline
• Concept of telepreventive medicine
• Current supercourse network
• AKDN spread globally
• Current linkages of AKDN with supercourse
• Objectives of telepreventive medicine
• Preventive cardiology program as a model

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• The ability to project programmes and
  activities over great distances can bring
  educational opportunities and resources into
  settings where they are poorly developed at
  present, because of financial constraints, or
  sheer isolation. Where individuals have access to
  computers in their homes or, as will be the case
  in rural areas in developing countries for some
  time to come, in community centers, technology
  can provide the first real opportunity for
  lifelong education on a broad scale
• His Highness the Aga Khan, Washington, 2001

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Concept Of Telepreventive Medicine

• Definition of Prevention
• Actions aimed at eradicating, eliminating, or
  minimizing the impact of disease and disability.
  The concept of prevention is best defined in the
  context of levels, traditionally called primary,
  secondary, and tertiary prevention
• A Dictionary of Epidemiology, Fourth Edition
• Edited by John M. Last

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Rising Life Expectancy (WHO Report, 1997)
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Global Burden Of Disease Project1996 report
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Global Burden Of Disease Project1996 report
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Focus On Prevention

• WHO focuses on prevention, not clinical care.
  Prevention has brought global improvement of
  health this century and will continue into the
  next. The most powerful means to improve health
  in your country and the world is through
  prevention approaches.
• WHO report 1997

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Concept of Telepreventive Medicine

• Telepreventive medicine
• Inexpensive Low to High bandwidth systems
  designed to reach large numbers of healthy people
  to prevent disease.
• Telemedicine
• Expensive High bandwidth systems designed to
  reach small numbers of sick people to cure
  disease.

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Focus On Prevention

• Increased life expectancy in the past century was
  achieved through the improvement of sanitation
  and prevention
• Successful prevention in the past and in the
  future needs to be rooted in the networking of
  health professionals around the world to share
  their knowledge
• Much of the prevention is information transfer
• The internet is the prevention superhighway

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Supercourse - Model Of Global Health Network

• The Global Health Network represents a group
  of leading public health and telecommunications
  officials who are bringing state of the art
  Internet technology into global health.
• Mission
• To connect people involved in prevention
  worldwide

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Global Health Network

• Global health network components
• Connecting health professionals of developed and
  developing countries together through internet
• Sharing best knowledge of prevention and health
  in a very cost effective manner
• Distributing prevention knowledge both in the
  rural and urban parts of the world with primary
  focus in developing countries
• Networking NGOs

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Global Health Network

• Currently more than 151 countries are connected
  through supercourse
• More than 1,500 lectures available on the website
  http//www.pitt.edu/super1
• More than 40 members are from developing
  countries.
• In Pakistan, there are 510 members and 45 from
  AKU
• We share knowledge, all countries contribute the
  knowledge
• Islamic supercourse

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Supercourse in Pakistan

• Supercourse in Pakistan was established and
  developed from the grass roots in September 2002.
• Currently this network consist of over 510
  leading scientists who share teleprevention
  information in all part of Pakistan, both in
  urban and rural parts http//www.pitt.edu/super1/
  pakistan/pakistan.htm

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Aga Khan Development networkAKDN

• A group of private, international,
  nondenominational agencies working to improve
  living conditions and opportunities for people
  regions of the developing world.
• The focuses on health, education, culture, rural
  development, institution-building and the
  promotion of economic development. It is
  dedicated to improving living conditions and
  opportunities for the poor, without regard to
  their faith, origin or gender

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AKDN

• AKDN seek to reach people without access to
  services, complementing but not substituting the
  efforts of government and other providers.
• Network agencies function through the
  participation of local people at all levels in
  defining services needed, providing them and
  evaluating their effectiveness.

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AKDN
Supporting 22 countries world wide
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AKDN

• Areas of development
• Education (primarily medical and primary)
• Health (primary, secondary tertiary
• Culture
• Architecture
• Economic development
• NGO enhancement
• Rural development

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AKDN

• Health
• Improve the health and well-being of remote rural
  communities.
• Special attention to women and children.
• Examples are seen in rural support programs in
  Pakistan, India, Kenya etc
• Educational services
• Community based schools (e.g. in Pakistan rural
  northern areas)
• Center of excellence offering international
  curricula ( India, Bangladesh etc)

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AKDN

• Aga Khan University
• Chartered as Pakistans first private
  international university in 1983,
• Promote human welfare by disseminating
• knowledge and providing instruction, training,
• research and services in health sciences,
  education and other disciplines.

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Where individuals have access to computers
in their homes or, as will be the case in rural
areas in developing countries for some time to
come, in community centers, technology can
provide the first real opportunity for lifelong
education on a broad scale. One lesson is clear.
The mastery of the use of the essential elements
of communication and information technologies
will have to be part of the experience of every
university student sooner rather than later. The
use of the technology should have a place in the
educational process itself, and its mastery
should be on the list of competencies that every
graduate should possess.
His Highness, Washington, 2001
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Proposed Telepreventive Medicine program for
AKDN

• Objectives
• Develop a network of researchers, scientists and
  health care professionals of AKDN and global
  health countries, who are experts in prevention
  and connect them through Supercourse to the
  global scientists.
• Establish WHO collaborating centers in AKDN
  countries with the collaboration of University of
  Pittsburgh
• Establish first Public health School in AKDN
  countries in collaboration with WHO collaborating
  center of University of Pittsburgh and global
  health network.
• Develop Telepreventive Cardiology nationwide
  program as an offshoot of global health network
  in AKDN countries

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Proposed Telepreventive Cardiology Program For
AKDN Countries

• Objectives
• Develop a network of cardiologists, scientists
  and specialist around the world to share their
  expertise on preventive cardiology themes with
  AKDN countries.
• Formulate guidelines and protocols on the major
  risk factors and behaviors of Cardiovascular
  diseases by linking developed and developing
  world through telepreventive medicine network
• Establish WHO collaborating centers in the Aga
  khan university of preventive cardiology with the
  collaboration with WHO collaborating center of
  University of Pittsburgh and global health
  network.

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Current AKDN Countries And Spread Of Supercourse
Network
AKDN Countries Supercourse Members In AKDN
Countries
AKDN Countries Supercourse Members In AKDN
Countries
3
Bangladesh
1
0
Burkina Faso
2
787
Canada
3
1
Congo
4
0
Cote Dlvoire
5
400
India
6
18 (also from AKHS, Kenya)
Kenya
7
1
Madagascar
8
3
Mauritius
9
2
Niger
10
3
Nepal
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(Contd)
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Current AKDN Countries And Spread Of Supercourse
Network (Contd)
AKDN Countries Supercourse Members In AKDN
Countries
AKDN Countries Supercourse Members In AKDN
Countries
17
Nigeria
12
510 (45 in AKU)
Pakistan
13
5
Senegal
14
24
Switzerland
15
2
Tajikistan
16
12
Tanzania
17
208
UK
18
5
Uganda
19
3689
USA
20
7344
Total
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Telepreventive Medicine program In AKDN
countries

• Networking
• Head quarters at the Aga khan university
• A group of scientists will be developed by
  linking with developed countries scientists
  through internet
• This network will than serve to provide and share
  prevention knowledge to al AKDN countries
• Members from AKDN countries will be identified
  who will further spread knowledge in health care
  professionals, health workers, communities and
  rural areas.
• Students trained will carry prevention knowledge
  to rural areas.

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AKDN Web of Prevention
AKU
Central Asia
Global Health Network
Kenya
FSU
Northern Areas of Pakistan
Harvard
Bangladesh
University of Pittsburgh
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Proposed Telepreventive Medicine program for AKDN

• Partners
• AKDN
• Aga Khan university, Aga Khan foundation, Aga
  khan health services, Aga Khan educational
  services, Aga khan foundation, Aga Khan planning
  and building services University of Central
  Asia
• University of Pittsburgh
• WHO Collaborating Center
• Global Health Network

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Development is sustainable only if the
beneficiaries become, in a gradual manner,
the masters of the process. This means
that initiatives cannot be contemplatedexclusivel
y in terms of economics, but rather as an
integrated programme that encompasses social and
cultural dimensions as well. Education and skills
training, health and public services,
conservation of cultural heritage, infrastructure
development, urban planning and rehabilitation,
rural development, water and energy management,
environmental control, and even policy and
legislative development are among the various
aspects that must be takeninto account. His
Highness AMSTERDAM, 7 SEPTEMBER 2002