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sangha A community building communities

sangha A community building communities. संघ. संघ. Hina Sharma, M.D. April 25,2007 Internet2 South Asia Conference. Sangha. Nonprofit organization Dedicated to using technology and cutting edge ideas to improve access to healthcare, education and enterprise

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sangha A community building communities

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  1. sanghaA community building communities संघ संघ Hina Sharma, M.D. April 25,2007 Internet2 South Asia Conference

  2. Sangha • Nonprofit organization • Dedicated to using technology and cutting edge ideas to improve access to healthcare, education and enterprise • Partners: local government, Community Based Organizations • Partnered with Florida International University

  3. Key Points ●Rising burden of disease in developing world (demand for health) ●Decreased supply of Health Care Providers ●Telemedicine’s role in Primary Care ●Lessons learned: Andaman and Nicobar Islands

  4. Burden of Disease Andaman and Nicobar Islands__ Acute Respiratory Tract Infection. Pyrexia of unknown origin. Leptospirosis. Gastrointestinal Disorder. Nutritional Deficiency (Anemia & Vit. Def.) Malaria. Diabetes. Hypertension. Supply and Demands of Health

  5. Why Is Health Important? • Developing countries share disproportionate burden of avoidable disability, morbidity, and mortality • Preventable infectious diseases, malnutrition, complications of childbirth, and chronic disease

  6. Why Is Health Important? • Exponential health costs of a country’s poorest population effects GDP with parallel income loss may cause a dangerous recession causing decades of setback. • In the words of Nelson Mandela, “The imperative to act on this urgent, life and death matter can no longer be ignored. We must not fail to achieve the vision contained in the Universal Declaration of Human Rights.”

  7. Telemedicine “In terms of disease management, there is [a] 99% possibility that the person who is unwell does not require [an] operation. If you don't operate you don't need to touch the patient. And if you don't need to touch the patient, you don't need to be there. You can be anywhere, since the decision on healthcare management is based on history and interpretation of images and chemistry … so technically speaking, 99% of health-care problems can be managed by the doctors staying at a remote place—linked by telemedicine.” – Dr. Devi Prasad Shetty, prominent Cardiothoracic Surgeon, Philanthropist

  8. What Is Available • Specialty, Problem-Focused • Store and forward information • Port Blair, Andaman and Nicobar Islands Tele-ophthalmology Link • Shankar Nethralaya, Chennai

  9. BANGLADESH CALCUTTA VIZAG MYANMAR 1367 Km 1255 Km. 600 Km CHENNAI 1200 Km. THAILAND 450 Km 1130 Km. 1400 Km 700 Km. SRI LANKA 163 Km INDONESIA SINGAPORE LOCATION of A&N Islands

  10. Primary Care • How best to begin delivery of Primary Care? • Address gender inequality • Women’s health • Only pregnancy focused care available (Infant Mortality Rate 20%) • Address Special Health Care Needs • Disabled Children • Female Development

  11. Women’s Health Project • Championed by the Director of Health Services of Andaman and Nicobar Islands, Dr. Sadasivan • Local Gynecologists will see patients at the Sangha clinic twice a week ● Telemedicine - increase primary care knowledge - improve capacity to caring women and children

  12. Sustainability • True sustainability = effective physician-patient or physician-physician interface • Capacity building of local medical resources • Building Databases • Collaboration with local specialists • Avoid fragmentation • Broadband Access

  13. Technology to Make a Physician-Physician Interface

  14. Quality Assurance • Continual update of knowledge with ongoing bilateral feedback • Promotes international standardization of care • Marketing to local physicians is essential for success especially through demonstrations providing the highest quality interface between physicians and teaching continuing education and procedures

  15. Quality Assurance • Increasing awareness of South Asian physicians (mainland or other islands) about the true potential for telemedicine will provide the confidence that you can teach anything with telemedicine • See one, do one, teach one • Thus, rapid increase in demand for technology (Broadband Access, etc.)

  16. Rapid Deployment of Crisis Intervention • Tsunami • Pandemics • Disaster Management • Continued Specialty referral not otherwise available

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