1. 350 needs in low resource settings Maria Zolfo Institute of Tropical Medicine, Antwerp, Belgium

2. BACKGROUND  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)

3. 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

4. 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

5. 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

6. Method of working  Expert advice from HIV/AIDS specialists is offered to colleagues in the field through a discussion forum on http://telemedicine.itg.behttp://telemedicine.itg.be

7. 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

9. 1 st year activity

18. 2 nd year evaluation 255/339 clinical cases 84/339 open questions 24/339 165/339 150/339

19. 24/339 150/339 165/339 2 nd year evaluation details

20. ARVs details

38.  Satellife (http://www.health net.org/)http://www.health net.org/  Women and Children and HIV  Clinical Care Options  Medscape  The Body  Aidsmap

42. General 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

44. SURVEY

47. Off line function for posting !

48. http://telemedicine.itg.be Thank you!