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ICT Tools implemented as part of the Ukrainian-Swiss Mother and Child

Health Programme

Grigory NAUMOVETSICT Coordinator

Programme Implementation OfficeKyiv, Ukraine

CURRENT ISSUES IN DISTANCE LEARNING AND TELEMEDICINEKyiv – Zaporizhya Videoconference

October 2012

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Ukrainian-Swiss Mother and Child Health Programme

Implemented in four regions:

Vinnytsia, Volyn, Ivano-Frankivsk, Crimea

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ICT Tools implemented in Ukraineby the MCH Programme:

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iPath:a Telemedicine platform

openMEDIS:medical equipment inventory software

Perinatal registry:database of information related to pregnancy and childbirths

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All these tools are:

Developed at the University of Basel and Swiss TPH Institute

Open source software, no license fees required

Web-based tools (Apache/PHP/MySQL) accessible via web interface

Work for any operating system

Simple, user-friendly, multilingual

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iPath Telemedicine Platform

Designed for asynchronous (store-and-forward) telemedicine

Does not require simultaneous availability of all parties for real-time communication

Cases and comments can be posted by e-mail E-mail alerts about new cases and replies Standardized templates for case submission and

description Very low requirements to hardware and

bandwidth Can be used for distance education.

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iPath: implementation in Ukraine

Started in 2003 as part of the Ukraine-Swiss perinatal health project

Pilot institutions: Ivano-Frankivsk Oblast Children Hospital and Institute of Pediatrics, Obstetrics and Gynecology (Kyiv)

Since 2009, the Ukrainian iPath platform has been running on a server in Donetsk operated by Association for Ukrainian Telemedicine and eHealth Development

Used by more than 80 partner institutions in 4 regions – and by many other users in Ukraine and abroad

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iPath Ukraine (telemed-ipath.org.ua)

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Ukrainian iPath server in Donetsk:

> 1,000 users,

> 10 groups,

> 1,000 cases posted

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openMEDIS: a simple and flexible tool for medical equipment inventory

Helps health care managers to keep track of the equipment and make appropriate administrative decisions

Integration of UMDNS nomenclature, generic device lists, supplier database, etc.

Summary graphs for better visualization

Interfaces for data import, export, and merge

Can work over the Internet, in the Intranet, or on a local computer not connected to any network

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openMEDIS: evaluate the status of your equipment

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openMEDIS: Implementation in Ukraine

At the first stage, was introduced in 22 oblast- and rayon-level partner institutions; >8,000 items were entered in the database;

Currently is being introduced in >50 partner institutions in 4 regions of Ukraine.

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Perinatal registry

Software tool that supports health care providers in managing high risk pregnant women. 

Electronic database collecting and evaluating relevant information related to pregnancy and childbirth (obstetrical history, risk factors, test outcomes, etc.)

Information on patients and pregnancies, their visits to the facility, tests, medication prescribed, hospitalizations, on deliveries and newborns.

Helps making both medical and administrative decisions (e.g. can estimate number or visits or deliveries expected for specific days/weeks, etc.)

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Perinatal registry

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• Using electronic keys + login/password to prevent unauthorised access

• Limited permissions for most users

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Perinatal registry: implementation in Ukraine

Pilot stage: tested in two partner institutions in Volyn oblast, ~700 patients entered;

Updates and adaptations in collaboration with Ukrainian consultants and programmers;

Now – implementation in all other rayons of Volyn; a series of trainings in September – October 2012.

Testing in other regions.

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ICT Tools: Experience of implementation

Are viable and effective in low resource settings

Human issues may be more limiting than technical issues

Implementation should follow a properly planned procedure, and requires administrative support. Training – importance of ToT.

MCH Programme is working in close collaboration with Ukrainian institutions to endure long-term sustainability.

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Fruitful collaboration with NMAPO in the field of medical ICT

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Videoconferencing (MS Lync) Development of e-Learning modules (new

modules are under preparation now)

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Web resources

Swiss TPH eHealth Toolboxhttp://www.swisstph.ch/services/ehealth/ehealth-toolbox.html

Ukrainian iPath Telemedicine server:http://telemed-ipath.org.ua

Ukrainian-Swiss Mother and Child Health Programme http://motherandchild.org.ua

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Contacts

http://motherandchild.org.ua/ukr/contacts

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