french medical
TRANSCRIPT
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‐
AT
French Medical
Institute
For
Children
(FMIC)
AZIZ AHMAD JAN
Genera Director & CEO, FMIC
Date: January 23, 2010
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30 years of war
Dilapidated infrastructures
A critical health situation
A severe precariousness of the
population
Appalling Indicators:Infant mortality rate (per 1000 live births) 129
Under 5 mortality rate (per 1000 live births) 191
Maternal mortality ratio 1600
Total fertility
rate 7.2
Total population (million) 24.5
Children under age 5 (million) 4.9
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INTRODUCTION TO FMIC
The French Medical Institute for Children (FMIC) acts as this
fifth-tier, providing a benchmark for health service delivery in
Afghanistan.
FMIC has evolved from a uni ue artnershi between the
French NGO, La Chaine de L’Espoirei, the Aga Khan
Development Network (AKDN), the French Government and.
Currently it is 85 bed and with state of the art diagnostic and
laboratory services with access to all groups of patients in OPDand in-patient is only peads
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VISION & MISSION OF FMIC
VISION:
FMIC will develop into a sustainable institute of excellence providing exemplary and safe care, teaching
an researc , w c pos ve y mpac e ea
indicators of Afghanistan, and surrounding regions.
Mission:
FMIC’s mission is to provide compassionate,
accessible and cost-effective, quality care and the
partners aim for it to become a role model for hospital
care in t e country.
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e-HEALTH AT FMIC
•The Teleradiology model developed between Aga Khan University (AKU) Karachi and
French Medical Institute for Child health (FMIC) with the help of Roshan Telecom.
- ,
hospital in order to improve its services and building capacity, the mainobjective of this establishment is to evaluate a model for Telehealth activities
Kabul (FMIC).
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e-HEALTH AT FMIC
• In year 2009 FMIC has sent 87 CT Scans
• MRI 131 MRI
-
• Training sessions 20 for Bamyan Hospital “Nursing EducationServices” (NES) of FMIC. The Tele-link is also being utilized for
managemenBelow are the details of sessions conducted for NES during the year 2008-
2009.. . .
1. 2008 07 44
2. 2009 13 120
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Vision
Continuing Health
Medical
Education
Care
Delivery
Operationally
e‐
relevant
Development
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TECHNOLOGY USED IN FUTURE
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HOW e-HEALTH WORKS
FMIC AKU
Consultation
Request
Test
Performed
Consultation
ResponseResult Given
Upload Studies
Download Results
2 Mbps
(1
E1)Direct
Data
LinkDownload Results
through web based
software
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e-HEALTH USAGE AT FMIC
AKUH Karachi- On-line diagnosis of AKUH Karachi- Continuing Medical
CT Scans from FMIC Kabul Education from FMIC Kabul
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EXISTING & FUTURE NEEDS
•Improving care provision
• - , ,
Clinical Pharmacy (E-Pharmacy)
• n anc ng earn ng oppor un es
1. Creating links with other AKDN Institutions
2. Internet availability3. Connecting all AKDN centers and community-based workers to
FMIC
• Improving information management1. E-Management
2. Exchan e of information between AKDN institutions
3. Sharing of resources
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REQUIREMENTS OF RESOURCES
The following resources needed for continuity and sustainability of the project:
• e ca e ac es or e ra n ng an e uca on
• Broad band bandwidth.
• Tele-consultation rooms and facilities “digital stethoscope,
”
• For electronic medical record or health record system, a
compre ens ve an .
• For online library
• Required funding for the program.
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CHALLENGES
Expanding e-health services requires an expansion of the number of health providers
that are linked
•
•Upgrading Technological Systems
•Quality tele-link facility
•The cost of implementation is a significant barrier.
•Dependence on donor funding/lack ofresouces
•
ange n anagemen ear o oc ors
•Training of the health workforce and retention in rural areas is a long-term
across the country including in rural and hard-to-reach areas.
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COST & BENEFIT ANALYSIS PROJECT
Cost benefit analysis is a qualitative research to
identify the potential benefits of automation of
The critical issues to be studied :
omputat on o cost. e cost nc u es t e rect
or monetary cost of providing the services.
The cost of time is another important component.
terms of patient attended.
The benefits of time saved.
The benefits to the reci ients.
The investment in computerization and other
related costs.
The cost and benefits to the doctor / patients /
administration and management.
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LEARNING FROM e-HEALTH
e- ea t s a way to ensure prov s on o care, capac ty u ng n
Afghanisatn
-
innovative
-
healthcare
Implementing E-health strategy in Afghanistan will be the step towards
changing the nature of health care.
e-health overcomes barriers posed by the security situation and the
rural-urban divide.
The pervasive issue of maintaining medical equipment in developing
coun r es can now e mprove y e use o e-ma n enance.
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