350 needs in low resource settings maria zolfo institute of tropical medicine, antwerp, belgium
TRANSCRIPT
350 needs in low resource settings
Maria ZolfoInstitute of Tropical Medicine,
Antwerp, Belgium
BACKGROUNDBACKGROUND
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)
BACKGROUNDBACKGROUND
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
AIMS (I)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
AIMS (II)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
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
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
1st year activity
2nd year evaluation
255/339 clinical cases
84/339 open questions
ARV
OIs Δ & Rx
Main topics
24/339
165/339
150/339
OIs Δ & Rx
ARV general use
ARV & TB
ARV side effects
ARV resistance
ARV with OIs
ARV in PMTCT
IRIS
Main topics
24/339
150/339
165/339
2nd year evaluation details
ARVs details
ARV oriented questions
46
18
41
35
6
12
7
ARV general use
ARV & TB
ARV side effects
ARV resistance
ARV with OIs
ARV in PMTCT
IRIS
Satellife (http://www.healthnet.org/)
Women and Children and HIV
Clinical Care Options
Medscape The Body Aidsmap
General perception from the fieldGeneral 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
SURVEY
Off line function for posting !
