building atelepreventive medicine program for the aga khan development network (akdn) president...
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Building aTelepreventive Medicine Program For The
Aga Khan Development Network (AKDN)
President Shams Kassim Lakha, Dr Sunita Dodani & Professor Ronald E LaPorte
In collaboration with the Aga khan University, Pakistan & University of Pittsburgh, USA
AKDN & SupercoursePresentation Outline
• Concept of telepreventive medicine• Current supercourse network• AKDN spread globally• Current linkages of AKDN with supercourse• Objectives of telepreventive medicine• Preventive cardiology program as a model
“The ability to project programmes and activities over great distances can bring educational opportunities and resources into settings where they are poorly developed at present, because of financial constraints, or sheer isolation. Where individuals have access to computers in their homes or, as will be the case in rural areas in developing countries for some time to come, in community centers, technology can provide the first real opportunity for lifelong education on a broad scale”
His Highness the Aga Khan, Washington, 2001
Concept Of Telepreventive Medicine
Definition of Prevention “Actions aimed at eradicating, eliminating,
or minimizing the impact of disease and disability. The concept of prevention is best defined in the context of levels, traditionally called primary, secondary, and tertiary prevention”
A Dictionary of Epidemiology, Fourth Edition
Edited by John M. Last
0
10
20
30
40
50
60
70
80
1950 1960 1970 1980 1990
(Age
in y
ears
) World
LessDeveloped
MoreDeveloped
Rising Life Expectancy (WHO Report, 1997)
Global Burden Of Disease Project1996 report
33
58
1710
1990 2020
Chronic/InjuryInfectious/Other
Global Burden Of Disease Project1996 report
Developed Countries
22%
Developing Countries
78%
Focus On Prevention
WHO focuses on prevention, not clinical care. Prevention has brought global improvement of health this century and will continue into the next. The most powerful means to improve health in your country and the world is through prevention approaches.
WHO report 1997
Concept of Telepreventive MedicineTelepreventive medicine
Inexpensive Low to High bandwidth systems designed to reach large numbers of healthy people to prevent disease.
Telemedicine Expensive High bandwidth systems
designed to reach small numbers of sick people to cure disease.
Focus On Prevention Increased life expectancy in the past century
was achieved through the improvement of sanitation and prevention
Successful prevention in the past and in the future needs to be rooted in the networking of health professionals around the world to share their knowledge
Much of the prevention is information transfer
The internet is the prevention superhighway
Supercourse - Model Of Global Health Network
The Global Health Network represents a group of leading public health and telecommunications officials who are bringing state of the art Internet technology into global health.
Mission To connect people involved in prevention
worldwide
Global Health NetworkGlobal health network components• Connecting health professionals of developed and
developing countries together through internet• Sharing best knowledge of prevention and health
in a very cost effective manner• Distributing prevention knowledge both in the
rural and urban parts of the world with primary focus in developing countries
• Networking NGOs
Global Health Network• Currently more than 151 countries are connected
through supercourse• More than 1,500 lectures available on the website
http://www.pitt.edu/~super1• More than 40% members are from developing
countries.• In Pakistan, there are 510 members and 45 from AKU• We share knowledge, all countries contribute the
knowledge• Islamic supercourse
Supercourse in Pakistan• Supercourse in Pakistan was
established and developed from the grass roots in September 2002.
• Currently this network consist of over 510 leading scientists who share teleprevention information in all part of Pakistan, both in urban and rural parts http://www.pitt.edu/~super1/pakistan/pakistan.htm
Aga Khan Development networkAKDN
A group of private, international, nondenominational agencies working to improve living conditions and opportunities for people regions of the developing world.
The focuses on health, education, culture, rural development, institution-building and the promotion of economic development. It is dedicated to improving living conditions and opportunities for the poor, without regard to their faith, origin or gender
AKDN AKDN seek to reach people without access
to services, complementing but not substituting the efforts of government and other providers.
Network agencies function through the participation of local people at all levels – in defining services needed, providing them and evaluating their effectiveness.
Supporting 22 countries world wide
AKDN
AKDN
Areas of development• Education (primarily medical and primary)• Health (primary, secondary & tertiary• Culture• Architecture• Economic development• NGO enhancement• Rural development
AKDNHealth• Improve the health and well-being of remote
rural communities.• Special attention to women and children.• Examples are seen in rural support programs
in Pakistan, India, Kenya etc
Educational services• Community based schools (e.g. in Pakistan
rural northern areas)• Center of excellence offering international
curricula ( India, Bangladesh etc)
AKDNAga Khan University
• Chartered as Pakistan’s first private international university in 1983,
• Promote human welfare by disseminating
knowledge and providing instruction, training,
research and services in health sciences, education and other disciplines.
“Where individuals have access to computers in their homes or, as will be the case in rural areas in developing countries for some time to come, in community centers, technology can provide the first real opportunity for lifelong education on a broad scale. One lesson is clear. The mastery of the use of the essential elements of communication and information technologies will have to be part of the experience of every university student sooner rather than later. The use of the technology should have a place in the educational process itself, and its mastery should be on the list of competencies that every graduate should possess”. His Highness, Washington, 2001
Proposed Telepreventive Medicine program for AKDN
Objectives• Develop a network of researchers, scientists and health care
professionals of AKDN and global health countries, who are experts in prevention and connect them through Supercourse to the global scientists.
• Establish WHO collaborating centers in AKDN countries with the collaboration of University of Pittsburgh
• Establish first Public health School in AKDN countries in collaboration with WHO collaborating center of University of Pittsburgh and global health network.
• Develop Telepreventive Cardiology nationwide program as an offshoot of global health network in AKDN countries
Proposed Telepreventive Cardiology Program For AKDN Countries
Objectives• Develop a network of cardiologists, scientists and
specialist around the world to share their expertise on preventive cardiology themes with AKDN countries.
• Formulate guidelines and protocols on the major risk factors and behaviors of Cardiovascular diseases by linking developed and developing world through telepreventive medicine network
• Establish WHO collaborating centers in the Aga khan university of preventive cardiology with the collaboration with WHO collaborating center of University of Pittsburgh and global health network.
Current AKDN Countries And Spread Of Supercourse Network
3Mauritius 9
2Niger 10
3Nepal 11
(Cont’d)
1Madagascar 8
18 (also from AKHS, Kenya) Kenya 7
400India 6
0Cote D’lvoire 5
1Congo 4
787Canada 3
0Burkina Faso 2
3Bangladesh 1
AKDN Countries Supercourse Members In AKDN Countries
AKDN Countries Supercourse Members In AKDN Countries
Current AKDN Countries And Spread Of Supercourse Network (Cont’d)
17Nigeria 12
510 (45 in AKU)Pakistan 13
5Senegal 14
24Switzerland 15
2Tajikistan 16
12Tanzania 17
208UK 18
5Uganda 19
3689USA 20
7344Total
AKDN Countries Supercourse Members In AKDN Countries
AKDN Countries Supercourse Members In AKDN Countries
Telepreventive Medicine program In AKDN countries
Networking• Head quarters at the Aga khan university• A group of scientists will be developed by linking with
developed countries scientists through internet• This network will than serve to provide and share
prevention knowledge to al AKDN countries• Members from AKDN countries will be identified who
will further spread knowledge in health care professionals, health workers, communities and rural areas.
• Students trained will carry prevention knowledge to rural areas.
AKDN Web of Prevention
Kenya
Central Asia
University of Pittsburgh
Global Health Network
Bangladesh
Northern Areas of Pakistan
Harvard
AKU
FSU
Proposed Telepreventive Medicine program for AKDNPartners• AKDN
Aga Khan university, Aga Khan foundation, Aga khan health services, Aga Khan educational services, Aga khan foundation, Aga Khan planning and building services & University of Central Asia
• University of PittsburghWHO Collaborating Center
• Global Health Network
“Development is sustainable only if the beneficiaries become, in a gradual manner, the masters of the process. This means that initiatives cannot be contemplatedexclusively in terms of economics, but rather as an integrated programme that encompasses social and cultural dimensions as well. Education and skills training, health and public services, conservation of cultural heritage, infrastructure development, urban planning and rehabilitation, rural development, water and energy management, environmental control, and even policy and legislative development are among the various aspects that must be takeninto account.”
His Highness AMSTERDAM, 7 SEPTEMBER 2002