Bismillahir Rahmanir Rahim. May The Almighty shower us all with His infinite blessings

25  Download (0)

Full text

(1)

Bismillahir Rahmanir Rahim

May The Almighty shower us all

May The Almighty shower us all

with His infinite blessings

(2)

Telemedicine in Bangladesh

Background, Implementation &

(3)

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

(4)

From Dhaka, Bangladesh

(5)

To Cochin,

(6)

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

(7)

„

„

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

(8)

„

„

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

(9)

„

„

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

(10)

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.

(11)

„

„

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

(12)

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

(13)

Bangladesh Telemedicine

Bangladesh Telemedicine

Association (BTA) is the “national

Association (BTA) is the “national

-

-member” of International Society

member” of International Society

for Telemedicine (

(14)
(15)

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.

(16)

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

(17)

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

(18)

„

„

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

(19)

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

(20)

The Problem

The Problem

s

s

Unavailability of data transfer

connectivity

High cost of band-width

Inexistence of government

initiative & policy

(21)

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)

(22)

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.

(23)

…Towards a new discipline:

(24)

Medical Knowledge &

Know-how should not be

constrained by geographical

borders

Let’s make GEOGRAPHY, a

HISTORY

in Medical Science

(25)

Thank you very much

Thank you very much

for your kind attention

Figure

Updating...

References

Related subjects :