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International Telecommunication Union Workshop on Standardization in E-health Geneva, 23-25 May 2003 Keneya blown : the Keneya blown : the telemedicine pilot telemedicine pilot project of Mali project of Mali Dr Ousmane LY Executive Coordinator Of Keneya Blown Division of Medical Informatics, Geneva University Hospitals, Geneva, Switzerland

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Page 1: International Telecommunication Union Workshop on Standardization in E-health Geneva, 23-25 May 2003 Keneya blown : the telemedicine pilot project of Mali

International Telecommunication Union

Workshop on Standardization in E-healthGeneva, 23-25 May 2003

Keneya blown : the Keneya blown : the telemedicine pilot telemedicine pilot

project of Maliproject of MaliDr Ousmane LY Executive Coordinator Of Keneya

BlownDivision of Medical Informatics, Geneva

University Hospitals, Geneva, Switzerland

Page 2: International Telecommunication Union Workshop on Standardization in E-health Geneva, 23-25 May 2003 Keneya blown : the telemedicine pilot project of Mali

223-25 May 2003 Workshop on Standardization in E-health

ITU-T

Plan

o Introduction o Presentation of keneya blowno Activities of Keneyao Aplications implementingo Keneya Blown Distance learning

platformo Presentation of keneya blown home pageo The FMPOS databaseo Teleconsultation

Page 3: International Telecommunication Union Workshop on Standardization in E-health Geneva, 23-25 May 2003 Keneya blown : the telemedicine pilot project of Mali

323-25 May 2003 Workshop on Standardization in E-health

ITU-T

Introduction

o Digital divide - a more important issue o UN General Secretary in his allocution

during the world telecommunication day in 2001, outlined the following:

Internet is available all other the world

Developping world could benefit from internet in many sectors such as health and education

Page 4: International Telecommunication Union Workshop on Standardization in E-health Geneva, 23-25 May 2003 Keneya blown : the telemedicine pilot project of Mali

423-25 May 2003 Workshop on Standardization in E-health

ITU-T

Introduction(2)

More and more attention is paid to the digital divide

Inequal access to internet for world citizens

Internet will make access to knowledge a source of power

Page 5: International Telecommunication Union Workshop on Standardization in E-health Geneva, 23-25 May 2003 Keneya blown : the telemedicine pilot project of Mali

523-25 May 2003 Workshop on Standardization in E-health

ITU-T

Keneya blown : presentation

o URL : http://www.keneya.org.ml o Country : Malio Initiator : Dr Ousmane LYo Actors : - The keneya blown team - Mr Guy Olivier Segond (Switzerland) - Pr Antoine Geissbuhler (Switzerlanfd) - SOTELMA (Mali) - National Telecommunication

compagny - IICD (Netherlands) - International Institute for

Communication and Development - REIMICOM Association for the development of

healths telematics in Mali

Page 6: International Telecommunication Union Workshop on Standardization in E-health Geneva, 23-25 May 2003 Keneya blown : the telemedicine pilot project of Mali

623-25 May 2003 Workshop on Standardization in E-health

ITU-T

Why this name ?

o Keneya – health in Bamanano Blown – hall in Bamanan : - Place where a visitor is met before

entering the house - Place of concertation

Page 7: International Telecommunication Union Workshop on Standardization in E-health Geneva, 23-25 May 2003 Keneya blown : the telemedicine pilot project of Mali

723-25 May 2003 Workshop on Standardization in E-health

ITU-T

Why this name ?

o Diseases – visitors. - “keneya blown” is the hall where we

plan to meet and fight them. Thus we focus attention to the prevention

o “Keneya blown” - hall. - It is then the right place where health

professionnals can discuss and share their experiences.

Page 8: International Telecommunication Union Workshop on Standardization in E-health Geneva, 23-25 May 2003 Keneya blown : the telemedicine pilot project of Mali

823-25 May 2003 Workshop on Standardization in E-health

ITU-T

Equipment

o Implemented in 3 cities : Bamako, Segou and Timbuctu

o Hardware : servers and PC and connecting facilities (Wireless IEEE 802.11b)

o Software : web, mail and database servers, office 2000

o Operating systems : Linux and windows 98

Page 9: International Telecommunication Union Workshop on Standardization in E-health Geneva, 23-25 May 2003 Keneya blown : the telemedicine pilot project of Mali

923-25 May 2003 Workshop on Standardization in E-health

ITU-T

Geneva

Keneya Blown Network

= International

= Actualy

= Futur

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1023-25 May 2003 Workshop on Standardization in E-health

ITU-T

2 9

S c h é m a d u r é s e a uB a m a k o : H M E - H N P G S E G O U : H N F

T O M B O U C T O U : H R T

N œ u d I n t e r n e t S o t e l m a

L S 6 4 / 1 2 8 k o

L S 6 4 / 1 2 8 k o

L S 6 4 / 1 2 8 k o

L S 6 4 / 1 2 8 k o

P o i n t G

L u x e m b o u r g

L S 6 4 / 1 2 8 k o

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1123-25 May 2003 Workshop on Standardization in E-health

ITU-T

keneya blown activities

o Internet service provider for health services

o Medical portalo Virtual library and access to

bibliographic databaseso E-publishing : e-training, e-journals,

continuing education o Research : coordination and

synthesis of practical research workso Email : [email protected]

Page 12: International Telecommunication Union Workshop on Standardization in E-health Geneva, 23-25 May 2003 Keneya blown : the telemedicine pilot project of Mali

1223-25 May 2003 Workshop on Standardization in E-health

ITU-T

keneya blown activities

o Telemedicine applications : - transmission of medical datas and

image - Teleconsultaion - tele-expertiseo Distance learningo Training to computer and internet useo Visioconferences and online meetings

Page 13: International Telecommunication Union Workshop on Standardization in E-health Geneva, 23-25 May 2003 Keneya blown : the telemedicine pilot project of Mali

International Telecommunication Union

Workshop on Standardization in E-healthGeneva, 23-25 May 2003

Applications Applications ImplementingImplementing

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1423-25 May 2003 Workshop on Standardization in E-health

ITU-T

Keneya Blown distance learning

platformo It is developed by University of Geneva

( NTIC Team) o It is implementing by ( Division

d’Informatique Médicale HUGE - DIM and Keneya Technical team)

o User’s interfaces is very simple: you use just browser and real player

o It is used to do a teleconsultation between

Mali and Geneva

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1523-25 May 2003 Workshop on Standardization in E-health

ITU-T

Keneya Blown Distance learning platform

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1623-25 May 2003 Workshop on Standardization in E-health

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Page 17: International Telecommunication Union Workshop on Standardization in E-health Geneva, 23-25 May 2003 Keneya blown : the telemedicine pilot project of Mali

1723-25 May 2003 Workshop on Standardization in E-health

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Geneva Distance learning platform

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1823-25 May 2003 Workshop on Standardization in E-health

ITU-T

Geneva Bamako

MEDICAL DISTANCE LEARNING

between Geneva and Bamako

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1923-25 May 2003 Workshop on Standardization in E-health

ITU-T

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2023-25 May 2003 Workshop on Standardization in E-health

ITU-T

Training of health workers

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2123-25 May 2003 Workshop on Standardization in E-health

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Keneya blown as a portal

o For national health workers : - Access to medical databases - Listservs - Discussion groups - Distance learning - Online publishing

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2223-25 May 2003 Workshop on Standardization in E-health

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Keneya blown as a portal

o For general public: - Directory of health centers and

pharmacies - Health education - Weekly report on disease control

with a specialist - Different information

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2323-25 May 2003 Workshop on Standardization in E-health

ITU-T

Keneya blown first home page

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2423-25 May 2003 Workshop on Standardization in E-health

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Keneya blown now home page

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2523-25 May 2003 Workshop on Standardization in E-health

ITU-T

Importance of keneya.org.ml

o Post doctoral educationo Collaboration through health

workers and practitionerso Medical news o A communication tool between

ministry of health and its departments

o A communication tool for health workers associations

Page 26: International Telecommunication Union Workshop on Standardization in E-health Geneva, 23-25 May 2003 Keneya blown : the telemedicine pilot project of Mali

2623-25 May 2003 Workshop on Standardization in E-health

ITU-T

FMPOS database

o URL : http://www.keneya.org.ml/fmpos/bd/fmpos.htm

o Number of records : 1494o Type of documents : thesis presented at

the Faculty of Medicine of Bamako

o Database software: CDS/ISIS familyo Internet software's : web server, a CGI

program, html editor

o Operating system : Linuxo NB : all used software's are free and

available online

Page 27: International Telecommunication Union Workshop on Standardization in E-health Geneva, 23-25 May 2003 Keneya blown : the telemedicine pilot project of Mali

2723-25 May 2003 Workshop on Standardization in E-health

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FMPOS database

Page 28: International Telecommunication Union Workshop on Standardization in E-health Geneva, 23-25 May 2003 Keneya blown : the telemedicine pilot project of Mali

2823-25 May 2003 Workshop on Standardization in E-health

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FMPOS database interface

o Simple search formo Guided search formo Use of an indexo Help o Short displayo Long display with abstract

Page 29: International Telecommunication Union Workshop on Standardization in E-health Geneva, 23-25 May 2003 Keneya blown : the telemedicine pilot project of Mali

Simple query

Page 30: International Telecommunication Union Workshop on Standardization in E-health Geneva, 23-25 May 2003 Keneya blown : the telemedicine pilot project of Mali

Short display

Page 31: International Telecommunication Union Workshop on Standardization in E-health Geneva, 23-25 May 2003 Keneya blown : the telemedicine pilot project of Mali

Long display

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3223-25 May 2003 Workshop on Standardization in E-health

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Teleconsultation

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3323-25 May 2003 Workshop on Standardization in E-health

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Geneva Bamako

The First Malian IP Teleconsultation: It use Netmeeting

Page 34: International Telecommunication Union Workshop on Standardization in E-health Geneva, 23-25 May 2003 Keneya blown : the telemedicine pilot project of Mali

3423-25 May 2003 Workshop on Standardization in E-health

ITU-TBonjour Professeur,

… nous venons de recevoir un cliché de face du thorax d'un enfant de 8 ans environs. Comme renseignement clinique le praticien n'a indiqué qu'une splénomégalie et malheureusement l'enfant n'étant plus à Bamako nous ne pouvons pas l'examiner ou l'interroger.L'interprétation du cliché nous permet de relever un aspect convexe du ventricule gauche sans retentissement vasculaire pulmonaire. Mais la question à laquelle nous n'arrivons pas à répondre est de savoir si cet aspect est dû à une hypertrophie ou une dilatation du ventricule…

PS: en pièce jointe un copie du cliché réalisé.

Cher Confrère,

… nous avons étudié avec attention la radio que vous nous avez confiée. Elle est d'excellente qualité et permet tout à fait une interprétation radiologique.Concernant le diagnostic, nous sommes arrivés aux mêmes conclusions que vous ... Une échocardiographie serait l'examen de choix pour poser un tel diagnostic.…

TELERADIOLOGY

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3523-25 May 2003 Workshop on Standardization in E-health

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3623-25 May 2003 Workshop on Standardization in E-health

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3723-25 May 2003 Workshop on Standardization in E-health

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As a conclusion

o Differents activities - be a provider, trainer, web hosting service, ...

o Do not reinvent the wheel - use as background the work done by others

o Do not work alone - Necessary to cooperate in the national, regional and international scale

o Choose of adaptable technology - use of  free software and if available open source software

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Aw ni ceOn jaraama

Thanks you

Merci