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  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 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

1 st year activity

2 nd year evaluation 255/339 clinical cases 84/339 open questions 24/ / /339

24/ / /339 2 nd year evaluation details

ARVs details

 Satellife ( net.org/) net.org/  Women and Children and HIV  Clinical Care Options  Medscape  The Body  Aidsmap

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

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