ITU Pilot Projects

1. ITU Pilot Projects Mr. Mohamed Abdalla ITU Arab Regional Office,Cairo

2. YEMEN

4. Objectives This project has multiple objectives, in particular to test and evaluate the effectiveness of new technologies, i.e. wireless IP-based systems, in rural and remote areas, and to provide a platform for the wide introduction of Internet, e-mail and multimedia services such as telemedicine, tele-education etc. at a low cost to rural areas. The project will be monitored and evaluated by all project partners to determine best practices in terms of financial and management sustainability models for wireless IP-based systems.

5. Objectives The expected output of the project is an extension of Information and Communication Technology (ICT) services to a cluster of 10 unserved rural villages around Al Qatn in Hadramout using IP-based wireless access technology. Each village will be provided with basic telephone services as well as with fax, Internet, e-mail and even with more advanced e-applications like telemedicine and tele-education as required by the local population.

6. Telephone service in the project villages is currently provided by GSM network and Thuraya satellite. It is foreseen that business customers are using GSM phones for basic telephone service while residential customers will take advantage of a proposed Multipurpose Community Telecentre (MCT).MCT will provide also fax, PC and Internet services, which may attract, in particular, business customers and immigrants who have to communicate to other parts of Yemen and abroad. Subject to detail site survey one of the ten client stations may be allocated to one the three health centres. YemenNet may establish a a point of presence (POP) in Al Qatn enabling broadband Internet access in the villages.

7. Item ITU MOC PTC Donors, suppliers Local entrepreneurs Technical assistance incl. training and possibly some equipment, see 2.1 and 5.5 above 40,000 Tower, power, road, building and installation (human resources), see 2.3 and 5.4 above 40,000 11 wireless routers incl. Antenna see 2.4 and 5.3 above 40,000 VoIP facilities, routers, servers see 2.4 and 5.3 above 60,000 PCs, peripherals, telephones in MCTs and enterprises for a cluster of 10 sites, see 2.5 and 5.3 above 40,000 Total US$ 220,000 40,000 40,000 100,000 40,000 Budget

8. SUDAN

10. Objectives The telecom operator, SudaTel, offers Baseband and Broadband services that are based on the latest technology and are quite adequate for eHealth applications (e.g. TeleMedicine and TeleEducation) including full colour video and other forms of static and dynamic medical imaging. SudaTel clients are able to establish their own virtual Wide Area Networks or Intranets or Extranets, or to merely rent dedicated lines with speeds from 64 Kbps to 2 Mbps (and 155 Mbps will be available later this year). Its services are also enabling third-party enterprises to currently provide a wide range of services including full Internet services.

11. Objectives This study asserts that a Sudan TeleHealth Network, which starts with TeleMedicine services, is strongly justified and technically quite feasible. It is also invariably strongly supported by the decision-makers in the Health, Education and Telecommunications sectors. It is proposed that, initially, the following services be developed, introduced and brought up to routine operational services: TeleRadiology, TelePathology, TeleUltrasound, and TeleEducation.

12. The Sudan is about to embark on laying the roots for eHealth solutions in general, even though it is TeleMedicine and TeleEducation at present. What does that mean at this stage? First, the solution should be conceived such that the Sudan TeleHealth Network can readily accommodate more and varied applications other than the initial ones: TeleRadiology, TelePathology and TeleSonography. Second, the technological infra-structure of the network should be conceived such that, as the uses and users of the current applications expand, it can cope with the resulting greater volume, need for speed and bandwidth. Third, it should be strictly based on international, widely accepted standards such that it would readily and economically interface with future improvements, enhancements, or break-through in methodology, technology and application.

13. Project Phases PHASE 0: Preparatory Phase. PHASE I: Installation and Start of Pilot Applications. PHASE II: Nation-wide coverage of the Pilot Applications. PHASE III:Enhancing for a Sudan TeleHealth Network

14. FOREIGN COMPONENTS: Sending/Requesting sites (in 5 states): Tele-Radiology stations (+PCs) Tele-Ultrasound stations Tele-Pathology stations (microscopes+PCs) Video Terminal stations Sub-Total$l = Receiving/Providing site (Khartoum): Tele-Radiology station (+PC) Tele-Ultrasound station Tele-Pathology station (microscope + PC) Video Terminal station Remote Access Server Network Control & Management Other Technological necessities Sub-Total$ = Other items for all 6 sites: Installation and Training Uninterrupted Power Supply Shipping and Insurance to Khartoum Airport Additional (3-year) Warranty/Service Sub-Total $= 400,900 122,380 58,500 Sub-Total All Foreign Components = 581,780 Budget

15. LOCAL COMPONENTS: Refurbishment of the 6 sites Personnel Cost Data Communications (1st year of operation) 60,000 20,000 45,000 Sub-Total All Local Components = 125,000 The estimates for a budget based on 5 sending hospitals and 1 receiving hospital in Khartoum. The estimates cover all items, technological and administrative, and include the necessary refurbishment of the host premises for the TeleMedicine facilities. This comes to a Foreign component of US$ 581,780, and a Local component of US$ 125,000.

16. LEBANON

18. Objectives The concept of this project – that is the initiation of TeleMedicine and TeleEducation service - is only part of the much broader field of eHealth and, such, it is important that the solution conceived should be extensible in a variety of ways. In other words, Lebanon is about to embark on starting eHealth solutions in general, even though it is it is TeleMedicine and TeleEducation at present.

19. Objectives The Project should be conceived such that Lebanon TeleHealth Network can readily accommodate more and varied applications other than the initial ones: TeleRadiology, TelePathology and TeleSonography. • The technological infra-structure of the network should be conceived such that, as the uses and users of the current applications expand, it can cope with the resulting greater volume, need for speed and bandwidth.

20. Objectives It should be strictly based on international, widely accepted standards such that it would readily and economically interface with future improvements, enhancements, or break-through in methodology, technology and application.

21. Project Phases • PHASE 0: Preparatory Phase • PHASE I: Installation and Start of Pilot Applicants • PHASE II: Nation-wide coverage of the Pilot Applications • PHASE III: Enhancing a Lebanese Tele-Health Network

22. Estimated Cost Element US$ 162,160 Sending/Requesting sites (2) (Jezzine, Falogha) Tele-Radiology stations (PCs) Tele-Ultrasound stations Tele-Pathology stations (microscopes + PCs) Video Terminal stations FOREIGN COMPONENTS: Sub-total = Receiving/Providing site (1): (Ain Wazein) Tele-Radiology station (+PC) Tele-Ultrasound station Tele-Pathology station (microscope + PC) Video Terminal station Remote Access Server Network Control & Management Other Technological necessities 112,380 Sub-total= BUDGET

23. Other items for all 3 sites: Installation and Training Uninterrupted Power Supply Shipping and Insurance to Beirut Airport Additional (3-year) Warranty/Service Sub-total= LOCAL COMPONENTS: 32,400 Refurbishment of the 3 sites Personnel Cost Data Communications (1st year of operation) Sub-Total All Foreign Components = 306,940 Sub-Total All Local Components = 68,000