Ethiopian TelecommunicationsEthiopian TelecommunicationsEthiopian TelecommunicationsEthiopian Telecommunications

Application of Broadband Infrastructure

For E- Health

Mandefro Tiruneh Mar,2006

((ETCETC))((ETCETC))CorporationCorporationCorporationCorporation

Broadband ICTInfrastructure

ForE-Health

In Ethiopia

E-Health/TelemedicineE-Health/Telemedicine

E-Health is the process of using information and communications technologies (ICTs) to deliver health information, services, and expertise over short and long distances.

E-Health is a more inclusive term than telehealth and represents the use of both telecommunications and information technology.

E-health is not a replacement of existing medical and health care services, but it is an additional tool to improve access to existing facilities and resources.

E-health or Telemedicine – strategic tool for facilitating the health care delivery.

E-health is a trend that follows the broader development of the information economy.

Health TelematicsHealth TelematicsHealth telematics is a composite term for

health-related activities, services and systems, carried out over a distance by means of information and communication technologies, for the purposes of global health promotion, disease control and health care, as well as education, management and research for health.

Improves survival rate Improves care outcomes with lower cost of care Immediate response Expands geographic coverage Reduces operating costs (mainly transportation) Increase access to continuing medical education and training Reduce professional isolation among doctors and other health care

staff located remote and rural areas Patient satisfaction = worker/professional retention Provide an advanced medical services in emergencies Equity is an issues : access to high quality care whether in urban or

rural areas Part of e- government

The potential benefits of The potential benefits of E-HealthE-Health

E-Health settingsE-Health settings

Rural Schools Clinics Hospitals Prisons Nursing homes/ Assisted living

Infrastructure Requirement to Infrastructure Requirement to address those settingsaddress those settings

• High quality patient data, video and images to be exchanged between different medical institutions

• ICT (Infrastructure) to connect geographically dispersed institutions, nation wide or world wide

• The infrastructure should support data, video and voice/audio (multimedia) services

• Quality, secured and fast delivery medical information• High speed (BW) connectivity or Broadband Infrastructure required• Part of ETC’s Vision and Mission :broadband initiatives for socio-

economic development

VisionVision

ETC envisions an information-based Ethiopian society where all our people have access to information infrastructure on equitable basis. ETC shall be an internationally recognized agile, strong and vibrant world-class ICT infrastructure and services provider

MissionMission

Develop and maintain a modern information and communications network infrastructure capable of supporting voice, data and video services, equitably across the country and with high capacity digital connectivity to the rest of the world.

Provide world-class telecommunication services including basic telephony, mobile and Internet and Multimedia Services.

Provide training, education and conduct research in the field of ICT for effective utilization telecommunications infrastructure.

Broadband NetworkBroadband NetworkInfrastructures: Mission/Vision Infrastructures: Mission/Vision

DeliberationDeliberation ETC started constructing end to end broadband

infrastructure that can enable ETC to provide integrated services (Voice, Data and Video) to demanding customers, through multiple access means.

This network will have a great role for the overall development of the country in general and nationwide ICT development program in particular.

ETC is making Broadband Services a reality!

ContinuedContinued……• ETC’s understanding of broadband is that it is the

ability to provide a multiplicity of services, whether data, voice/audio or video, at any speed

• Broadband networks and interactive multimedia applications are providing the foundation for the transformation of existing social and economic relationships into an “information society”.

BroadbandBroadband for socio- economic for socio- economic developmentdevelopment

• Modern, on-line public services Realization:• e-government• e-learning• e-Health, etc

• Dynamic, e-business environment• Widespread availability of broadband access at

competitive prices• Secure information infrastructure• broadband delivers the needs of the information

society and governments socio-economic objectives

Critical Factors/Challenges for Critical Factors/Challenges for Broadband Access RealizationBroadband Access Realization

Reaching multiple Locations / Geographies Using Multiple Access Technologies Delivering Multiple Services Addressing Multiple User Markets

Addressing Challenges: ETC’s Addressing Challenges: ETC’s PerspectivePerspective

Broadband Multimedia NetworkBroadband VSATBroadband InternetNational Fiber Backbone

Broadband Multimedia NetworkBroadband Multimedia Network The Core Broadband Infrastructure: Terrestrial

Capable of providing data, video, and voice services 24 Point of Presences – covering business sites With Multiple Broadband Access

– ADSL– FWA– WIFI– Fiber

This network enables ETC to provide a reliable, flexible, scalable, secure, cost effective and fully managed IP /MPLS VPN solutions for customers like:

o Governmental and Non-governmental organizationso Private Business/Organizationso Academic Institutionso International Organizationso Residentialo Medical Institutions , etc

ETC is making Broadband Services a reality!

Broadband VSATBroadband VSAT

• A Broadband VSAT Network is platform which supports integrated services such as video, Data /Internet, and voice on a single infrastructure.

• Has country wide coverage (450 + schools and 550+ weredas) as part of schoolnet and weredanet deployments

• Integrated with the core multimedia network, also used as broadband access means

ETC’s Broadband IntegratedETC’s Broadband IntegratedInfrastructure :e-Health Applications (1)Infrastructure :e-Health Applications (1)

IP/MPLSCORE

WiFi (Point-to-Point)

WiFi (Point-to-multipoint)

Fixed WirelessAccess

Fiber

ADSL

Satelite

ETC ‘s Hub

Remote EarthStation

Remote EarthStation

Remote EarthStation

Broadband ISP

) ) )

) )

) ) )

) )

) ) )

) ) ) ) ) ) ) ) ) ) )

Hub SiteRemote

Site

Broadband connection

e-Health Applications (2)e-Health Applications (2)

e-Health Applications (3)e-Health Applications (3) :Coverage

Yeka OldAir irkos Nifasilk Dessie Jimma Awassa Nazareth Dirediwa Debrazeit B/Dar Mekele

MM

MM MMMMMM

MM MM MM

TR/ITE Filowha

Sidistkilo Arada Bole Katema

MM MM MMMM MMMMMMMM MM

E1’s over SDH

STM-4MM

Gonder

Jijiga

Shashemene

Local n*E1 (8 Max)

Remote E1 via SDH

DSLAM (6015)

CPE’s

InternetInternet

7301

7301STM-1

Harar

Dilla

Nekempte

VPN’sVPN’s

ADSLAccess over Copper(Telephone Wires)High Speed (8Mb max)Internet & VPN

e-Health Applications (4)e-Health Applications (4) : Multiple use of broadband accesses

TR/ITE

BOLE

Yeka

STM-4LH

ARADA

SIDISTKILO

FOLIWHA

Katema

Nafasilk

Kirkos

STM-16SH

STM-16LH

168xE1

126xE1

MM

Old Airport

STM-4LH

STM-4LH

MM

MM

MM

MM

MM

MM

STM-16SH

MM

84xE1

84xE1

MM

This scenario representspart of the BroadbandMultimedia Network atthe 8 regional sites.

LE

LE

MM

DSLAM(Repeated at every MGX)

DSL CPE’s (soho97)

ubr&7246 Repeated at 5 sites

Cable CPE’s (ubr9x5)

V

V

VISM(64E1)

STM-1SH

OC3/ATM

3745MPLS/PE

3745MPLS/PE

P

P

802.1qOne 2950 per site

4 Wireless E1Sites(n*E1, n=1,2,4,8)

DSLAM

P

IMA

Internet

Internet

42xE1

84xE1

PE

MM

7401

7401

6015

Kolfe

Network Management SystemLE

BMN: Premium Services BMN: Premium Services

VPN Services Managed IP Telephony

Managed Hosting Services

Metro Ethernet

Services

ETC Making Broadband Services a Reality!!!

Virtual Private Network Simply Defined asVirtual Private Network Simply Defined as

Customer Connectivity Deployed on a Shared Infrastructure with the Same Policies as a Private Network

SP SharedNetwork

VPN AVPN A

• Intranet Site-to-Site VPNIntranet Site-to-Site VPN Branch offices

• Access VPNAccess VPNTelecommuters and Traveling users

• Extranet VPNExtranet VPNBusiness-to-business

VPN B

Head Office

256

NazerthFinance

Nazerth

MekeleFinance

Mekele

DiredewaFinance

Diredewa BahirdarFinance

Bahirdar

FIRA DataCenter

JimmaJijiga

AwassaFinance

Awassa

256128

128

128

128

128 128

Harar

128

256

256256

256

1M

FIRA Extranet with Custom ,National Bank andTrade&Industry

AATrade&Industy

Custom DataCenter

NationalBank

256

256

256

256

ADSL

Wirless

MPLS/VPNBACKBONE

Thank You !