Remote HIV/AIDS consultations in resource-limited settings Maria Zolfo Institute of Tropical Medicine, Antwerp, Belgium.

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Presentation transcript:

Remote HIV/AIDS consultations in resource-limited settings Maria Zolfo Institute of Tropical Medicine, Antwerp, Belgium

BACKGROUND  Telemedicine is a way to deliver health care in remote areas  s 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)

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

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)  To provide continuous medical education in the field of HIV/AIDS for doctors following Short Course on Antiretroviral Therapy ( 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

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

Receiving cases/questions:

Receiving cases/questions: Web interface

Receiving cases/questions: Web interface (alerts)

Receiving cases/questions: Web interface (alerts)

1 st year activity

2 nd year evaluation 257/342 clinical cases 85/342 open questions 24/ / /342

24/ / /342 2 nd year evaluation details

ARVs details

What is iPath  iPath - an open source software to build telemedicine platforms. Developed at University of Basel  ipath.ch - an association to promote telemedicine and to support projects in developing countries

User Interface  Group Display - case list

Case Display - Description & Images User Interface - Comments/Diagnosis New comments:  automatic alert

General perception from the field /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 ! A hybrid web and solution!

Thank you!