Pan-African e-Network Project - A practical example of South-South Cooperation Initiative of Government of India in collaboration with African Union Non-commercial project, funded by the Govt. of India at a budgetary cost of USD116 Mn

Pan-African e-Network Dr. A P J Abdul Kalam, the former President of India during his inaugural address to the African Parliament in Johannesburg on 16 th Sep. 2004, proposed to connect all 53 AU member countries with Indian institutions with a satellite and fibre-optic network to share India’s expertise in the fields of Education and Health care for accelerated socio-economic development of Africa. AU accepted the Indian proposal and signed an umbrella MOU with Govt. of India (through Ministry of External Affairs – Nodal Ministry) Govt. of India appointed TCIL as the turnkey implementing Agency of the project network The network would primarily provide e-Services with priority on: - Tele-education, Tele-medicine, and VVIP Connectivity (video-conferencing and VoIP among the Heads of African States)

Pan-African e-Network Connectivity between India and Africa RASCOM Satellite Submarine Cable Link Between Chennai And Dakar in Senegal (14000 km long route) o HUB Station o SSH o Universities o Learning Centers o Patient End Locations Western Sahara (Morocco)

IGNOU, Delhi AMITY University, Noida Delhi University BITS, Pilani IISc, Bangalore AIIMS, Delhi CARE Hospital, Hyderabad Apollo Hospital, Chennai SRI RAMCHANDRA MCRI, Chennai 5 Regional Super Specialty Hospitals 5 Regional University Centres 53 Learning Centres 53 Patient-End Hospitals 53 VVIP Nodes Submarine Cable Landing Station, Africa ( DAKAR, SENEGAL ) IIT, Kanpur SMC, Ghaziabad DR. Balabhai, NANAVATI Ho spital, Mumbai FORTIS Hospital, Noida Mool Chand Medicity, Delhi ESCORTS HIRC, Delhi HCG, Bangalore RASCOM Satellite MPLS DATA CENTRE Delhi Landing Station, India Back-bone Link IPLC 4Mbps Satellite HUB Station ARCHITECTURE OF PAN-AFRICAN e-NETWORK University of Madras Narayana Hrudayalaya, Bangalore AMRITA IMSRC, Kochi INDIA AFRICA

Indian Universities selected by Govt. of India for providing Tele-Education services 1.Indira Gandhi National Open University ( IGNOU ), New Delhi 2.University of Madras, Chennai 3.University of Delhi, New Delhi 4.Birla Institute of Technology & Science ( BITS ), Pilani 5.AMITY University, Noida 6.Indian Institute of Technology ( IIT ), Kanpur 7.Indian Institute of Science ( IISc.), Bangalore

Indian Super Specialty Hospitals selected by Govt. of India for Tele-Medicine 1.All India Institute of Medical Sciences ( A.I.I.M.S. ) New Delhi 2.ESCORTS Heart Institute and Research Center, New Delhi 3.MOOLCHAND Hospital, New Delhi 4.FORTIS Hospital, Noida 5.APOLLO Hospitals, Chennai 6.SRI RAMCHANDRA Medical College and Hospital, Chennai 7.NARAYANA HRUDAYALAYA, Bangalore 8.HEALTH CARE GLOBAL Enterprises, Bangalore 9.CARE Hospitals, Hyderabad 10.Amrita Institute of Medical Sciences ( AIMS ), Kochi 11.Dr. Balabhai NANAVATI Hospital, Mumbai 12.Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow

Leading Regional Universities and Super Specialty Hospitals of Africa (selected by AU) to be part of the Project 1.Makerere University – Uganda 2.Kwame –Nkrumah University of Science & Technology- Ghana 3.University of Yaounde, Cameroon 4.Alexandria University, Egypt Southern African region - yet to be selected Leading Regional Universities (selected by AU) Regional Super Specialty Hospitals (selected by AU) 1.Ibadan Hospital – Nigeria 2.Brazzaville Hospital – Republic of Congo 3.Sir Seewosagur Ramgoolam National Hospital, Mauritius 4.Alexandria University Hospital, Egypt Southern African region- yet to be selected

Role of TCIL as the Implementing Agency Design of Total Network Solution Turnkey implementation of the project; Operations & Management Support for 5 years after commissioning of the network; Providing Tele-Education and Tele-Medicine Services in collaboration with Indian universities and Super Specialty Hospitals selected by Govt. of India

1.To nominate a National Coordinator (focal point) 2.To prepare the identified sites with necessary civil and electrical i nfrastructure and other required facilities 3.Custom clearance of all materials imported into the country, including the exemption of customs duties 4.Arranging necessary clearances from various regulatory agencies (VSAT, room for X-ray machine etc.) Major Responsibilities of the AU Member States

5. Meeting the recurring cost of consumables, utilities and security, and the expenses connected with the maintenance of the facilities provided by the member State; 6.Arranging skilled manpower (Telecom/IT, Camera Technician, Paramedical staff etc.) - For on-the-job training during installation phase, - For subsequent day-to-day handling of equipment and facilities set up Major Responsibilities of the AU Member States (contd.)

Major Components of the project Construction of Hub Station Building Supply, Installation & Commissioning of:  Satellite Hub Station  VSATs in 169 locations in Africa  Data Center and Studio Set up in TCIL HQ  Data Center at the Satellite Hub Station  ICT Equipments (Computer hardware, system software, networking equipment, studio equipment and UPS) at 170 locations in Africa (53 LC,53 PEL, 53 VVIP Node, 5 RUC, 5 RSSH and 1 DC at hub) and 19 locations in India (7 UC, 12 SSH and DC at Delhi)  Medical Equipment s at 53 Patient-end Hospitals  Tele-Ed and Tele-Med Application Software Operation & Management & AMC support for the network for 5 yrs Tele-Education and Tele-Medicine services for 5 years

Set of 10 Medical equipments installed in each Patient-end Hospital in Africa Portable X-Ray Machine X-Ray Film Scanner-Digitizer (DICOM 3.0 Compliant) 12-lead ECG Machine Ultra-sound Machine with color Doppler (DICOM 3.0 Compliant) Defibrillator - AED (Automated External Defibrillator) Glucometer /Blood Analyzer Urine Analyzer Blood Pressure Measuring Instrument Tele-Pathology Microscope with built-in Digital Camera Sterilizer/ Hot air oven

Stake-holders/Collaborators/Beneficiaries/users of the project Ministry of External Affairs, Govt. of India (funding and control) African Union Commission (sensitization, coordination, review) Beneficiary African Countries (47 as of now, up to 53) Services providers : 17 Super Specialty Hospitals (India – 12, Africa – 5) 12 Universities (India – 7, Africa – 5) Project Implementer : TCIL (Management and Finance professionals, Technical Experts in telecom and IT, installers, project managers, O&M engineers) 100’s of specialist doctors of India and Africa 100’s of educational experts/professors of India & Africa, Equipment suppliers and software developers National Coordinators, consignees, university coordinators, medical coordinators of African countries Beneficiary doctors, patients, nurses, paramedical staff, students, equipment operation staff in African countries

Major Benefits intended to African Nations Capacity building by way of imparting Education to 10,000 African students over 5 year period ( ): 2000 in PG Programs, 3000 in UG Programs and 5000 in skill enabling Certificate, Diploma and PGD Programs Tele-medicine components: Online medical consultation for one hour everyday to each country for 5 years Offline advice for 5 patients per day to each country for 5 years Continuing Medical Education (CME) for practicing Doctors and working Nurses/Physicians’ Assistants, to update their medical knowledge and upgrade their clinical skills.

Pan-African e-Network Project Current Implementation Status

47 Countries of African Union have joined the Project have joined the Project 1.Benin 2.Botswana 3.Burkina Faso 4.Burundi 5.Cameroon 6.Cape Verde 7.CAR 8.Chad 9.Comoros 10.Congo 11.Cote d’Ivoire 12.D.R. of Congo 13.Djibouti 14.Guinea-Bissau 15.Egypt 16.Eritrea 17.Ethiopia 18.Gabon 19.The Gambia 20.Ghana 21.Guinea 22.Kenya 23.Lesotho 24.Liberia 25.Libya 26Madagascar 27.Malawi 28.Mali 29.Mauritania 30.Mauritius 31.Mozambique 32.Namibia 33.Niger 34.Nigeria 35.Rwanda 36.Sao Tome and Principe 37.Senegal 38.Seychelles 39.Sierra Leone 40.Somalia 41.Swaziland 42.Sudan 43.Tanzania 44.Togo 45.Uganda 46.Zambia 47.Zim babwe 20 countries signed agreement in 2006, 8 countries in 2007, 5 countries in countries in 2009

1. Satellite HUB STATION: Operational since April IPLC end-to-end commissioned in Aug 2008; upgraded to 4 Mbps in March 2009; 3. Data Center, India at TCIL Bhawan, New Delhi Operational since September 2008 Installation of common network elements

Country-wise Implementation Status: at a glance Country-wise Implementation Status: at a glance Countries implemented– 33 Countries Benin, Botswana, Burkina Faso, Burundi, Cameroon, Comoros, Djibouti, Eritrea, Ethiopia, Egypt, Gabon, Gambia, Ghana, Ivory Coast, Liberia, Lesotho, Libya, Malawi, Mauritius, Mozambique, Mauritania, Madagascar, Nigeria, Niger, Rwanda, Senegal, Seychelles, Sierra Leone, Somalia, Tanzania, Togo, Uganda, Zambia Work in Progress – 08 Countries Cape Verde, Chad, Central African Republic, Congo, D.R. of Congo, Guinea, Sudan, Zimbabwe, Other Countries awaiting implementation – 6 Countries Guinea Bissau, Kenya, Mali, Namibia, Swaziland, Sao Tome and Principe All countries scheduled for commissioning by September 2010, subject to readiness of sites by June 2010.

Installation of sites in Africa (97 sites up & running) 33 Learning Centres commissioned: Benin, Botswana, Burkina Faso, Burundi, Cameroon, Comoros, Cote d’Ivoire, Djibouti, Egypt, Eritrea, Ethiopia, Gabon, Gambia, Ghana, Libya, Liberia, Lesotho, Malawi, Mauritius, Mozambique, Mauritania, Madagascar, Nigeria, Niger, Rwanda, Senegal, Seychelles, Sierra Leone, Somalia, Tanzania, Togo, Uganda and Zambia; 32 Patient-Ends commissioned : Benin, Botswana, Burkina Faso, Burundi, Cameroon, Comoros, Cote d’Ivoire, Djibouti, Egypt, Eritrea, Ethiopia, Gabon, Gambia, Ghana, Libya, Liberia, Malawi, Mauritius, Mozambique, Mauritania, Madagascar, Nigeria, Niger, Rwanda, Senegal, Seychelles, Sierra Leone, Somalia, Tanzania, Togo, Uganda and Zambia 29 VVIP Nodes commissioned : Botswana, Burkina Faso, Burundi, Cameroon, Comoros, Cote d‘Ivoire, Djibouti, Eritrea, Ethiopia, Gabon, The Gambia, Ghana, Libya, Liberia, Lesotho, Malawi, Mauritius, Mozambique, Mauritania, Madagascar, Niger, Rwanda, Senegal, Seychelles, Sierra Leone, Somalia, Tanzania, Uganda, and Zambia 3 Regional University Centres commissioned in Ghana, Uganda, and Cameroon 1 Regional SSH commissioned, in Nigeria

Tele-Education Set up in Indian Universities University Centres commissioned 1.IGNOU, New Delhi 2.AMITY University, U.P. 2. Birla Institute of Technology and Science (BITS), Pilani : 4.University of Delhi 5.University of Madras, Chennai;

1.All India Institute of Medical Sciences ( A.I.I.M.S. ) New Delhi 2.ESCORTS Heart Institute and Research Center, New Delhi 3.MOOLCHAND Hospital, New Delhi 4.FORTIS Hospital, Noida 5.APOLLO Hospitals, Chennai 6.SRI RAMCHANDRA Medical College and Hospital, Chennai 7.NARAYANA HRUDAYALAYA, Bangalore 8.CARE Hospitals, Hyderabad 9.Amrita Institute of Medical Sciences ( AIMS ), Kochi 10.Dr. Balabhai NANAVATI Hospital, Mumbai 11.HEALTH CARE GLOBAL Enterprises, Bangalore Tele-medicine Set up in Indian Super Specialty Hospitals 12. Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow

Operationalising the Network and Providing the Tele-education and Tele- Medicine Services

Identification of educational Programmes and medical disciplines: AU has showed interest in 5 broad areas of education- 1.Physical Sciences, 2.Engineering & Technology, 3.Computer Science and IT, 4.Management – Business, Finance, 5.International languages – English, French, German, Arabic

Educational Programmes Offered Post Graduate Programs (4/5 semesters) University 1.MBA (HR/Marketing) ( English) IGNOU 2.MBA–International Business AMITY 3.M.Sc.- ITUni. of Madras 4.Master of Tourism Management IGNOU 5.Master of Finance and Control AMITY 6.MBA (HR, Marketing – French) *AMITY Under Graduate Programs (3 years/6 semesters) 1.BBA (in English) Uni. of Madras 2.BBA (in French) AMITY 3.B.Sc.-IT, AMITY 4.Bachelor of Fin & Investment Analysis AMITY 5.Bachelor of Tourism Studies IGNOU * Reserved

Educational Programmes Offered Diploma Programs (1 year) University 1.French LanguageAMITY 2.PG Diploma – IT AMITY 3.Business ManagementAMITY 4.Tourism StudiesIGNOU 5.Early childcare and Education IGNOU Certificate Programs (6months, 1 year) 1.Database & Information System (1year)BITS 2.Networking & Operating System (1 year)BITS 3.Electronics & Instrumentation (1 year)BITS 4.English Language Delhi University 5.Accountancy Delhi University 6.German Language Uni. of Madras 7.Arabic Language Uni. of Madras 8.Tourism Studies IGNOU 9.Nutrition & Childcare IGNOU 10.Environmental StudiesIGNOU

Tele-Education Services: Started First Step: Signing of MoU between the African University and each Indian University - outlining the role and responsibility from enrolment to award of degree/certificate MOUs –Signed AMITY University with 18 universities in 17 countries : Benin, Botswana, Cameroon, Egypt, Gambia, Ghana (Kwame Nkrumah University Kumasi, University of Ghana), Malawi, Madagascar, Mauritania, Niger, Rwanda, Senegal, Sierra Leone, Seychelles, Somalia, Tanzania, Uganda IGNOU with 13 Universities in 12 Countries : Benin, Botswana, Cameroon, Ethiopia (Addis Ababa University, Harmaya University), Egypt, Ghana, Malawi, Mauritius, Niger, Rwanda, Somalia, Senegal, - In Progress with 2 Universities : Madagascar, Sierra Leone BITS Pilani with 6 Universities in 6 Countries : Benin, Cameroon, Madagascar, Niger, Rwanda, Sierra Leone - In Progress wit 1 Universities :Somalia Delhi University with 6 University in 6 Country : Ghana, Madagascar, Mauritania, Niger, Sierra Leone, Somalia – In Progress wit 3 Universities : Burkina Faso, Cameroon, Togo UNOM with 13 Universities in 12 countries : Benin, Cameron, Ethiopia (Addis Ababa University, Harmaya University), Mauritius, Madagascar, Mauritania, Niger, Rwanda, Senegal, Sierra Leone, Somalia, Tanzania

Tele-Education Services MoU between Indian & Nodal Country University

Tele-Education Services MoU between Indian & Nodal Country University

Tele-Education Services: Started Two Universities have started Tele-education programmes Amity University started courses from IGNOU started courses from AMITY has enrolled 940 students of 6 countries for 5 courses and has conducted 257 live Tele-Ed sessions till date. (184 in Ist Semester and 73 session in 2 nd semester) IGNOU has enrolled 501 students from 4 countries for 4 courses and conducting tele-education in 2 courses and has conducted 102 live tele-Ed sessions till date UNOM, BITS Pilani and Delhi University are expected to start programmes from August, 2010

Amity University Registration of Students Tele-education has started for all of the above programmes

Amity University Country-wise Student Registration

Indira Gandhi National Open University (IGNOU) Registration of Students Tele-education has started for two programmes i.e MBA(HR/ Marketing) and Diploma in Early Child Care and Education

Indira Gandhi National Open University (IGNOU) Country-wise Student Registration

Medical Disciplines offered 1.General (Internal) Medicine 2.Radiology 3.Adult Cardiology 4.Pediatric Cardiology 5.Neurology 6.Dermatology 7.Endocrinology 8.Infectious Diseases/HIV-AIDS 9.Gastroenterology 10.Nephrology 11.Pathology 12.Psychiatry 13.Pediatrics 14.Medical Oncology 15.Urology 16.Genetics 17.Gynecology* 18.Ophthalmology*

On Line Medical Consultation and Continuing Medical Education(CME) Sessions from 11 Indian Hospitals have been started for all countries on regular basis from 22 nd April 2009 ;. Schedule for CME sessions is circulated in advance and also made available on the project website: CME Sessions have been conducted up to to 50 doctors attend the live CME Sessions 153 Online Medical consultations have taken place.

Training of Personnel 1.On-the-job training during the installation; 2.Detailed Training (covering concepts, features and facilities, and operating procedures, troubleshooting etc.) to the identified personnel at the regional centres including Nigeria 3.First Workshop for the member States was conducted on August delegates from 31 countries participated. The Govt. of India provided the Hospitality in India; 4.Second Workshop has been proposed in Cameroon 5.On-the-job during O&M Support phase

Implementation and Operational Issues

Issues related to Implementation Sites yet to be Identified by : Kenya, Namibia, and Mali. DRCongo :Customs clearance pending for more than 11 months due to non availability of funds Benin : Construction of new building to house VVIP node taking considerably longer time. Mali : Consignee details yet to be provided Guinea : TCIL advised not to depute team until further notice because of internal turbulence in the country. Sudan : Custom clerance of ICT equipment pending

Issues related to Tele-education & Tele- medicine operations Only 7 countries are receiving education on the network (from Amity and IGNOU). Even though another cycle for rest of 40 countries is being planned from July-Dec-2010 semester, MoUs signing process is very slow which is first step for enrolling students. Only nodal universities in 18 countries have initiated the process of signing MoUs with Indian Universities for receiving education. Nodal university in each country is required to register maximum students

Issues related to Tele-education & Tele- medicine operations A letter has been ed to all the country coordinators with copy to AU commission, seeking their assistance and cooperation to expedite process of signing of MOU between the University associated with Learning Centre in their country, with each of the five Indian universities and further action to enroll the students in various programmes offered by the Indian universities.

Issues related to Tele-education & Tele- medicine operations Tele-medicine consultations are not happening in large number. Attendance of CME is very low in many countries.

Visit of doctors from each of 12 Indian SSH to Patient End hospitals and vice versa needs to be organized to create a rapport which is necessary for success of Tele-medicine A Patient End Hospital can seeking Tele-Medicine consultation from any of the 12 Indian SSH by sending the patient records to that SSH Each SSH shall give online Tele-Medicine consultation for one hour daily between 12 AM to 6 PM (Indian time) from Monday to Saturday as per the allotted time period. Offline consultation can also be given by the SSH by studying the patient record and sending the advice through the Tele-medicine software. Issues related to Tele-medicine operations

SNAPSHOTS OF INSTALLATION SITES

9.3M ANTENNA AT THE HUB STATION

SATELLITE HUB STATION EQUIPMENT

Operation Room, HUB STATION, Dakar

DATA CENTER INDIA At TCIL BHAWAN, NEW DELHI

Tele-Education Studio in TCIL Bhawan, New Delhi

Tele-Education Studio Set up at AMITY NIVERSITY, Noida, India

Snapshot of Electronic Medical Record

Fortis Hospital, NOIDA

The Network was inaugurated by Hon’ble Mr. Pranab Mukherjee, the then External Affairs Minister, Govt. of India on 26-Feb-2009 with 41 sites/Centers 1.Satellite hub station in Dakar 2.Data Centre, TCIL Bhawan, New Delhi 3.Tele-Education set up in 2 Indian Universities 4.Tele-Medicine set up in 6 SSHs of India 5.Tele-Medicine set up in one Regional SSH: Ibadan, Nigeria 6.Tele-Education set up in Regional UC in Ghana and Uganda 7.11 Learning Centres in African countries* 8.11 Patient-End Hospitals in African countries* 9.7 VVIP Nodes *Benin, Burkina Faso, Ethiopia, Gabon, Gambia, Ghana, Mauritius, Nigeria, Rwanda, Senegal and Seychelles

Hon’ble Minister cutting the ribbon

Hon’ble Minister taking round of the Data Centre

H.E. Erastus J.O. Mwencha, Dy. Chairperson, Commission of the AU in online interaction with Hon’ble Shri Mukherjee, from Addis Ababa LC

Hon’ble Shri Pranab Mukherjee having on-line interaction with Ministers in 11 African countries, individually, through the network (left) in the presence of their Ambassadors/High Commissioners in India (right)

Heads of Missions of 22 African countries watching the inauguration proceedings from the meeting hall

H.E. Dy. Chairperson, Commission of the AU and H.E. Ambassador of India to Ethiopia at Addis Ababa University LC watching live the address of the Hon’ble External Affairs Minister from Data Centre, New Delhi to 11 countries covered in inauguration

 Senegal Gambia   Nigeria Mauritius 

MBA Students in the Learning Centre in Addis Ababa University attending the Tele-Education Session from IGNOU

Tele-Education Session in progress in the Learning Centre in Addis Ababa University

Dr. A P J Abdul Kalam in CARE Hospital