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350 needs in low resource settings

350 needs in low resource settings. Maria Zolfo Institute of Tropical Medicine, Antwerp, Belgium. BACKGROUND. Telemedicine is a way to deliver health care in remote areas

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350 needs in low resource settings

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  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. 1st year activity

  9. 2nd year evaluation 24/339 255/339 clinical cases 84/339 open questions 165/339 150/339

  10. 2nd year evaluation details 24/339 150/339 165/339

  11. ARVs details

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

  13. 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

  14. SURVEY

  15. Off line function for posting !

  16. http://telemedicine.itg.be Thank you!

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