1. Bob Bollinger MD MPH Professor of Infectious Diseases and International Health Johns Hopkins University rcb@jhmi.edu

2. The Hopkins CCGHE Mission To provide clinical care and research training for health care providers in resource-limited settings To use cost-effective, telehealth and telemedicine tools for clinical education To demonstrate improved health outcomes among patients, of trained providers

3. Johns Hopkins University Global Health Research Partnerships

4. Why Telehealth and Telemedicine? Greater access to more providers More rapid and timely information More consistent content quality Optimal for continuing medical education Limits “Brain Drain” More cost-effective than other training initiatives

5. Role of IT Support of Indo-US Collaborative Clinical Research 1992: “What is email?” 1996: “What is a local data management network?” 1999: “What is ftp?” 2002: “What is on-line data entry?” 2005: “What is video conferencing?” 2006: “What is Internet2?”

8. Use of Internet For Support of Indo-US Research Research Training –E-learning –Telemedicine Training Research Conduct –Weekly Project Meetings –Portal

10. High resolution digital microscopy Live ophthalmology demonstration First Indo-US Internet2 Program: 3 October 2006

11. Internet2 Challenges Health Research and Education in India Other priorities for HB network support Reliable bandwidth Set-up cost Usage cost Local technical support Dependence on outside technical support Cost of content development