Bismillahir Rahmanir Rahim
May The Almighty shower us all
May The Almighty shower us all
with His infinite blessings
Telemedicine in Bangladesh
Background, Implementation &
Dr. Kazi Saifuddin Bennoor
Dr. Kazi Saifuddin Bennoor
Assistant Professor (Respiratory Medicine)
Assistant Professor (Respiratory Medicine)
National Institute of Diseases of Chest & Hospital, Dhaka, National Institute of Diseases of Chest & Hospital, Dhaka,
Bangladesh Bangladesh
General Secretary General Secretary
Bangladesh Telemedicine Association Bangladesh Telemedicine Association
From Dhaka, Bangladesh
To Cochin,
Bangladesh
Bangladesh
Area 150,000
Area 150,000
sq
sq
-
-
kms
kms
population 145
population 145
million
million
M:F = 104:100
M:F = 104:100
below 15 years
below 15 years
>40%
>40%
Per Capita
Per Capita
GDP <300 US$
GDP <300 US$
Bay of Bengal INDIA INDIA INDIA M YA N M A R
mainly plane
mainly plane
lands
lands
extremely
extremely
networked by
networked by
numerous rivers
numerous rivers
heavy monsoon
heavy monsoon
and torrential
and torrential
flood
flood
Flood affected areas of Bangladesh, April 2004
qualified physicians
qualified physicians
<30,000.
<30,000.
10% of them hold a
10% of them hold a
specialist degree or
specialist degree or
diploma
diploma
Population per
Population per
physician is around
physician is around
5,000
5,000
Number of hospital
Number of hospital
beds is about 40,000
beds is about 40,000
population per bed 3750
population per bed 3750
(ideal figure 500)
(ideal figure 500)
spec ialis
distribution of
distribution of
specialists is lop
specialists is lop
-
-
sided
sided
more specialists in the
more specialists in the
capital city Dhaka
capital city Dhaka
tertiary care hospitals
tertiary care hospitals
are also concentrated in
are also concentrated in
Dhaka
Applicable Fields
of TM in Bangladesh
Emergency Medical Care.
Emergency Medical Care.
Physician to Physician Second Opinion
Physician to Physician Second Opinion
Teleconsultation.
Teleconsultation.
Follow
Follow
-
-
through medical consultation
through medical consultation
for patients receiving treatment
for patients receiving treatment
abroad.
abroad.
Rural Telehealth care.
Rural Telehealth care.
Post
Post
-
-
disaster (flood) medical
disaster (flood) medical
management.
management.
Home Tele
Home Tele
-
-
monitoring.
monitoring.
Healthcare Professional Training
Healthcare Professional Training
Program for remote isolated doctors
Program for remote isolated doctors
Medical Education, Continuing Medical
Medical Education, Continuing Medical
Education (CME) and Patient
Education (CME) and Patient
education.
education.
Military and Prison Healthcare System.
Military and Prison Healthcare System.
Applicable Fields
Current Status of
Current Status of
Telemedicine
Telemedicine
Telemedicine Associations:
Telemedicine Associations:
Bangladesh Telemedicine Association Bangladesh Telemedicine Association
Telemedicine Services:
Telemedicine Services:
Medinova
Medinova TelemedicineTelemedicine
Center for Rehabilitation of the Paralyzed Center for Rehabilitation of the Paralyzed
Bangladesh Institute for Research of Diabetic,
Bangladesh Institute for Research of Diabetic,
Endocrine & Metabolic disorders (BIRDEM)
Endocrine & Metabolic disorders (BIRDEM)
Bangladesh Telemedicine Services Bangladesh Telemedicine Services
DNS Telemedicine
Bangladesh Telemedicine
Bangladesh Telemedicine
Association (BTA) is the “national
Association (BTA) is the “national
-
-member” of International Society
member” of International Society
for Telemedicine (
Priorities of BTA
To Promote Development of Telemedicine To Promote Development of Telemedicine
Network in Bangladesh.
Network in Bangladesh.
Establishment of a Virtual Medical Library.Establishment of a Virtual Medical Library.
Computer Literacy Programs for Medical Computer Literacy Programs for Medical
Professionals.
Professionals.
To lobby for establishment of the regional To lobby for establishment of the regional
office of
office of ISfTeHISfTeH in Dhaka.in Dhaka.
To explore the possibilities of developing To explore the possibilities of developing
South Asian Association of Telehealth
South Asian Association of Telehealth
Initiatives (SAATHI) in collaboration with
Initiatives (SAATHI) in collaboration with
SAARC.
Medinova
Medinova
Telemedicine
Telemedicine
Bangladesh Telemedicine Services
Bangladesh Telemedicine Services
DNS Telemedicine
DNS Telemedicine
--
providing commercial services
providing commercial services
--
digital data store & forward
digital data store & forward
--
medical video
medical video
-
-
conferencing
conferencing
Center for Rehabilitation of the
Center for Rehabilitation of the
Paralyzed
Paralyzed
--
non
non
-
-
profit NGO providing second
profit NGO providing second
opinion services from British Navy
opinion services from British Navy
Bangladesh Institute for Research
Bangladesh Institute for Research
of Diabetic, Endocrine & Metabolic
of Diabetic, Endocrine & Metabolic
disorders (BIRDEM)
disorders (BIRDEM)
--
networked between central institute
networked between central institute
in Dhaka & peripheral center on a
in Dhaka & peripheral center on a
limited basis
Cost effective
Cost effective
Travel & accommodation Travel & accommodation
Investigation & Consultancy Investigation & Consultancy
Family care & environment retained
Family care & environment retained
for the patient
for the patient
Prompt specialized opinion served to
Prompt specialized opinion served to
the remote & isolated areas
the remote & isolated areas
Remote physician does not feel
Remote physician does not feel
helpless
helpless
Faculty development of the
Faculty development of the
physicians
physicians
Benefits Obtained
The Problem
The Problem
s
s
•
Security & Confidentiality of
information
•
Reliability issues of the patients
•
Lack of record keeping attitude &
facilities
•
Computer illiteracy, reluctance &
phobia
•
Scarcity of TM-supported
imaging equipments
The Problem
The Problem
s
s
•
Unavailability of data transfer
connectivity
•
High cost of band-width
•
Inexistence of government
initiative & policy
Future Programs
ServerServer--based telemedicine network based telemedicine network
connecting GPs of five divisional
connecting GPs of five divisional
districts with Dhaka.
districts with Dhaka.
CountryCountry--wide telewide tele--home monitoring of home monitoring of
Cardiac, Respiratory and Diabetic
Cardiac, Respiratory and Diabetic
patients.
patients.
24 hours / 7 days a week emergency 24 hours / 7 days a week emergency
call center. (Using Cell phones)
Future Programs
Interactive CME and training programs.Interactive CME and training programs.
Robotic telepathology network Robotic telepathology network
connecting different districts with
connecting different districts with
Pathologists in Dhaka.
Pathologists in Dhaka.
Expansion of International Expansion of International
Teleconsultation network for follow
Teleconsultation network for follow--up up of patients receiving treatment abroad
of patients receiving treatment abroad
& to countries needing specialized
& to countries needing specialized
medical support.
…Towards a new discipline:
Medical Knowledge &
Know-how should not be
constrained by geographical
borders
Let’s make GEOGRAPHY, a
HISTORY
in Medical Science
Thank you very much
Thank you very much
for your kind attention
