Telehealth for Human Resources Development and Health Capacity Building in Africa

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Telehealth for Human Resources Development and
Health Capacity Building in Africa Maurice Mars
Nelson R Mandela School of Medicine
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Problems
Local - solution ? Africa - a vision
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DICTA Primum non nocere Beware the
enthusiast Use technology to solve problems,
and not for the sake of using technology
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Perspective
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HIV Infection
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Population Data (Millions)
1950 2000 2050 World 2,519 6,057 9,322 Africa 2
21 794 2,000 Asia 1,399 3,672 5,428 Europe 548 7
27 603 Latin America / Caribbean 167 519 806 Nor
thern America 172 314 438 Oceania 13 31 47 Sour
ce United Nations Population Division, World
Population Prospects 2000 Revision
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People Med Schools Africa 794
million 110 Northern America 314 million 150
Physicians / 100,000 Italy 554 South Africa
56 Cuba 530 Nigeria 19 USA 279 Zimbabwe 14
Egypt 202 Uganda 4 China 167 Malawi
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AFRICA
Medical Schools 110 35 no e-mail ? 30
short of basic science teachers
A F R E T The African Regional Training
Center Network for Basic Medical Allied
Health Sciences
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LocalInternet Access
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Is IT a Solution?
Cost of Ownership Connectivity Bandwidth e-mail
/ web Generic vs Specific Telemedicine / education
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Is IT a Solution?
Co-operative of Medical Schools Regional Nodes
Data acquisition Data dissemination Onli
ne access Disk provision Videoconferencing
Telemedicine
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Is IT a Solution?
Co-operative of Medical Schools Goals and
Benefits improved appropriate
education improved service delivery improved
patient care empowerment of practitioners better
use of human resources
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Medical School
Curriculum change multi-site campus teaching
resources IT facilities library facilities
staff
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Medical School
ICT Solution multi-site campus web and
e-mail video conferencing telemedicine library
resources
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Fogarty Foundation Grant Medical Informatics
Training in sub-Saharan Africa
Capacity development fellowships conferences
workshops new degree Link to Tufts University
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Award winning medical database repository of
teaching materials compilation of appropriate
resources web or local delivery American
Association of Medical Schools widespread
implementation in USA ?
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Tele-medicine and Tele-education
National infrastructure Tele-medicine serv
ice delivery postgraduate training Tele-educ
ation healthcare professionals undergrad /
postgrad satellite TV broadcast
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Low Tech, Low Cost Tele-medicine
Research on tele-radiology digital camera and
e-mail tele-pathology store and forward linking
small hospitals to national telemedicine
infrastructure international consultation

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Digital Camera lt 1 megapixels file size 140k
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Low Tech, Low Cost Tele-medicine
Research on tele-radiology digital camera and
e-mail tele-pathology store and forward linking
small hospitals to national telemedicine
infrastructure international consultation

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International Commission on Occupational Health
(ICOH)

Teaching programme delivered via satellite to
digital radio
Potential educational database update
clockwork digital radio clockwork and solar
computers G3 phone technology satellite mobile
phone technology
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Libraries
To study the phenomena of disease without books
is to sail an uncharted sea Sir William
Osler
Prohibitive costs hard and electronic copy
Lobby for low cost full text e-services regional
continental e-mail libraries
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Sustainability
Training Medical informatics Telemedicine Postgra
duate Diploma and Masters in Medical Informatics
and Telemedicine
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Is IT a Solution?
Co-operative of Medical Schools Goals and
Benefits improved appropriate
education improved service delivery improved
patient care empowerment of practitioners better
use of human resources
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Ex Africa semper aliquid novi Pliny
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