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Telemedicine for Africa: remote
consulting to support the fight
against HIV/AIDS in Swaziland
Department of Computer Scien...
Introduction
● Project HARP settings
● ESTHER Alliance
L. Sacco Hospital (Milan)
Good Shepherd Hospital - Siteki (Swazilan...
Good Shepherd Hospital – Siteki (Swaziland)
Health and social issues
● AIDS and Malnutrition
● Life expectancy lowest in the world (32)
● The highest rate of deaths f...
HIV in Swaziland
Telemedicine
● Interactive Healthcare
● Uses
● Real-Time care
● Outpatient consultation
● Store and Forward (asynchronous)...
A model of telemedicine for Africa
Design: collection of the health needs
● Analysis of Medical and Health requirements
● Type of user
● E-Learning
● Finding...
Design: technologies
● CMS – Content Management System
● Creating, updating and managing Web Sites
quickly and easy
● Drup...
Design: technologies
● LMS – Learning Management System
● Software Package for Teaching and the
students Resources Managem...
Design: Wordpress
● The choice of WordPress:
● embedded database MySQL
● Plug-in for many extensions
● Intuitive for the u...
HARP sitemap
● HARP sitemap
● ACTIVITY
● ARTICLES
● CONSULTS
● COURSES
● WHITEBOARD
● REPORTS
● CONTACTS
● DOCTORS
Website installation
● Installation on Server
● L. Sacco Hospital (IIS6 and Microsoft Server
2003)
● Compatibility of Word...
Development tools
WordPress3 plug-ins:
● SearchEverything
● Scholar Press Courseware (LMS)(course
management)
● Buddy Pres...
Development tools
● Whiteboard: Vyew platform, integrated using an
iframe
● Help (help in any page, in the sidebar)
● An i...
HARP (Health Assistance Remote Platform)
● Home page
HARP (Health Assistance Remote Platform)
● Articles
● Consults
HARP (Health Assistance Remote Platform)
● Courses
HARP (Health Assistance Remote Platform)
● Reports and Whiteboard
Future Developments
● Increasing and extending the use of HARP
● Facilitating the interaction among doctors
by improving t...
Future Developments
● Data transmission from the Ministry database
● Data analysis
● ISF (Informatics experts without Fron...
Telemedicine for Africa: remote consulting to support the fight against HIV/AIDS in Swaziland
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Telemedicine for Africa: remote consulting to support the fight against HIV/AIDS in Swaziland

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A telemedicine web-based system to support health operators working in remote countries with poor health resources: the case of Swaziland and the fight against AIDS.

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Telemedicine for Africa: remote consulting to support the fight against HIV/AIDS in Swaziland

  1. 1. Telemedicine for Africa: remote consulting to support the fight against HIV/AIDS in Swaziland Department of Computer Science - University of Milan - ITALY Institute of Infectious Diseases and Tropical Medicine, L. Sacco Hospital - University of Milan - ITALY
  2. 2. Introduction ● Project HARP settings ● ESTHER Alliance L. Sacco Hospital (Milan) Good Shepherd Hospital - Siteki (Swaziland) ● Goals: Platform for e-learning, clinical data exchange, consultations and online collaboration
  3. 3. Good Shepherd Hospital – Siteki (Swaziland)
  4. 4. Health and social issues ● AIDS and Malnutrition ● Life expectancy lowest in the world (32) ● The highest rate of deaths from HIV (64%) ● Health emergency ● Connected with AIDS HIV > Malaria, Dysentery, … > Malnutrition ● Digital Divide / Digital Apartheid ● Unequal access to information
  5. 5. HIV in Swaziland
  6. 6. Telemedicine ● Interactive Healthcare ● Uses ● Real-Time care ● Outpatient consultation ● Store and Forward (asynchronous) ● Home Care ● Top level consulting facilities
  7. 7. A model of telemedicine for Africa
  8. 8. Design: collection of the health needs ● Analysis of Medical and Health requirements ● Type of user ● E-Learning ● Finding attached files ● Synchronous and asynchronous communication, request of consultations, Articles, Whiteboard ● Public and private messaging ● Integration with SQL Reporting Service ● Privacy ● Localization (English)
  9. 9. Design: technologies ● CMS – Content Management System ● Creating, updating and managing Web Sites quickly and easy ● Drupal, Joomla and WordPress (OpenSource CMS) ● Usability, active Community, Safety requirements
  10. 10. Design: technologies ● LMS – Learning Management System ● Software Package for Teaching and the students Resources Management ● Moodle (Opensource LMS) ● XHTML-compatible, flexible and accessible ● Layered management of the roles ● Tracking the students activities ● Software aevelopment faster than alternatives
  11. 11. Design: Wordpress ● The choice of WordPress: ● embedded database MySQL ● Plug-in for many extensions ● Intuitive for the user and for the Medical Staff ● Very active community, extensive documentation ● Simple roles management ● Quick installation and configuration
  12. 12. HARP sitemap ● HARP sitemap ● ACTIVITY ● ARTICLES ● CONSULTS ● COURSES ● WHITEBOARD ● REPORTS ● CONTACTS ● DOCTORS
  13. 13. Website installation ● Installation on Server ● L. Sacco Hospital (IIS6 and Microsoft Server 2003) ● Compatibility of WordPress3 with IIS6: ● Developed for Apache server, Wordpress has been installed on Microsoft Internet Information Server Services IIS6 ● The ISAPI plug-in (HeliconTech) gives IIS the ability to manage WordPress ● Permalinks problem (mod_rewrite Apache) ● Solution with plug-in ISAPI_ReWrite3 Problem solving between ISAPI_ReWrite3 and Reports
  14. 14. Development tools WordPress3 plug-ins: ● SearchEverything ● Scholar Press Courseware (LMS)(course management) ● Buddy Press (interactive posting management, synchronous and asynchronous) ● WordPress Form Manager (forms for consulting requests and answers)
  15. 15. Development tools ● Whiteboard: Vyew platform, integrated using an iframe ● Help (help in any page, in the sidebar) ● An iframe links the report service of the local SQL server (SQL Reporting Services)
  16. 16. HARP (Health Assistance Remote Platform) ● Home page
  17. 17. HARP (Health Assistance Remote Platform) ● Articles
  18. 18. ● Consults
  19. 19. HARP (Health Assistance Remote Platform) ● Courses
  20. 20. HARP (Health Assistance Remote Platform) ● Reports and Whiteboard
  21. 21. Future Developments ● Increasing and extending the use of HARP ● Facilitating the interaction among doctors by improving the interfaces for data transmission and the posting system ● Improving the platform security using a VPN
  22. 22. Future Developments ● Data transmission from the Ministry database ● Data analysis ● ISF (Informatics experts without Frontiers) to extend to other African hospitals ● Other missions in Swaziland ● Checking DB Swazi integrity ● Extending the telemedicine network to other Internet locations

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