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‐

AT

French Medical

Institute

For

Children

(FMIC)

AZIZ AHMAD JAN

Genera Director & CEO, FMIC

Date: January 23, 2010



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



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



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.



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).



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



Vision

Continuing Health

Medical

Education

Care

Delivery

Operationally

e‐

relevant

Development



TECHNOLOGY USED IN FUTURE



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



e-HEALTH USAGE AT FMIC

AKUH Karachi- On-line diagnosis of AKUH Karachi- Continuing Medical

CT Scans from FMIC Kabul Education from FMIC Kabul



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



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.



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.



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.



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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