Low-Bandwidth Collaboration for Health Workers and Their Communities - Patricia Abbott / Forum One Web Executive Seminar

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Patricia Abbott, Secretariat for the Global Alliance for Nursing and Midwifery and John Hopkins University School of Nursing, discusses her success in using the Internet to connect communities of …

Patricia Abbott, Secretariat for the Global Alliance for Nursing and Midwifery and John Hopkins University School of Nursing, discusses her success in using the Internet to connect communities of nurses, midwives and other folks in the developing countries with other health professionals around the world. Abbott spoke at Forum One Communication's Web Executive Seminar on November 13, 2007. Learn more at:
http://www.forumone.com/content/calendar/detail/2397. Contact: Suzanne Rainey / srainey@ForumOne.com .

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  • 1. Using Low Bandwidth Electronic Communication Systems for the Community and Public Health Workforce Patricia Abbott Co-Director of the PAHO/WHO Collaborating Center for Nursing Knowledge, Information Management and Sharing (KIMS) Supported by NLM Informatics Training Grant; Hopkins SOM
  • 2. Web Executive Seminars Global Health and the Internet: How Can We Save More Lives? November 13, 2007 National Press Club Washington, DC
  • 3. Healthcare Workforce Crises
    • World Health Report of 2006
      • Shortage of 2.5 M healthcare workers
      • 50-90% of most countries’ workforce is made up of non-physician providers.
      • 56 countries with severe shortages
        • 36 in Sub-Saharan Africa
    Distribution of health care providers (RN, MD,MW)
  • 4. The Message
    • The frontline of global healthcare is composed of diverse providers with diverse needs
    • Access to information is a basic tenet of a developing nation
    • Efforts to increase information technology, improve health, and decrease poverty are complementary, not competitive
  • 5. The Message
    • The frontline of global healthcare is composed of diverse providers with diverse needs
    • Access to information is a basic tenet of a developing nation
    • Efforts to increase information technology, improve health, and decrease poverty are complementary, not competitive
    • A MDG that cannot be measured cannot be met nor missed.
  • 6. Minimalist ICT
      • Community of Practice (CoP)
      • Electronic Communication System (ECS)
      • Implementing Best Practices (IBP)
      • Global Alliance for Nursing And Midwifery Communities of Practice (GANM)
  • 7. CoP & Electronic Communication System
    • Community of Practice (CoP) –
      • the process of social learning that occurs when people who have a common interest collaborate over an extended period to share ideas, find solutions , and build innovations
    • Electronic Communication System (ECS)
      • Uses very low bandwidth (adapted web technology to function through email)
    CoP ECS Electronic CoP (e-CoP) CoPs bridge the knowledge to practice gap
  • 8. IBP: Implementing Best Practices Bloomberg School of Public Health
  • 9. GANM: The Global Alliance for Nursing and Midwifery
    • Online Community of Practice (using the ECS)
      • Started September, 2006
      • Currently 1,356 have joined from 123 countries
      • Sub- communities
        • Making Pregnancy Safer
        • Information and Communication Technologies
        • Pandemic Prevention (H5N1, ARDS, SARS) for Community/Public Health Workers
        • HIV/AIDS
      • Elluminate Live!
        • Virtual Classroom
  • 10. Elluminate
    • An Internet-based tool for e-learning and collaboration
    • Designed for low-bandwidth
    • Runs over standard phone line or cellular
    • Supports “VoIP” – free internet telephony
    • Facilitates learning & meeting from a distance
  • 11. http://my.ibpinitiative.org/public/GANM
  • 12. We have a bad outbreak of measles in the Diyala Province of Iraq because we cannot get out to run the vaccination clinics. What should we do? They are killing all the doctors and nurses. We are afraid. Does anyone have ideas on how I can better work with the native Inuit’s to get them to come back to the clinic? Handwashing in the village is not just related to no water or soap. It is just not done. Any ideas on how to change this would be really appreciated. Can I make a mask that is effective out of T-shirt material to use in the community where ARDs is suspected? I need current information on Dengue fever. Does anyone have any articles or guidelines that they can share? Are there any classes that I can take? I live too far from any university to attend. How can we get the Ministry of Health to listen to our concerns? We are just nurses & midwives and they don’t seem to care. I call it poor care for poor people – why do we let this happen?
  • 13. GANM Action Examples
    • Online discussions for 2 weeks w/experts
      • Capacity building
    • Workforce Migration Online Mtg.
      • India, Jordan, Philippines, US, Scotland, Brazil, Kenya
      • 40 online – 210 downloads
    • Regional Collaborations
      • Ethical recruitment policy/WHO
      • Political awareness campaigns, etc.
      • Joint program efforts (Makerere & Madagascar, others)
  • 14. Current Efforts: Workforce
    • Public health & Community Healthcare on the front lines of Diyala, Iraq
      • “ Knowledge Drive for the providers of Diyala”
  • 15. Current Discussions
    • Task Shifting
    • Workforce Migration
    • Capacity Building/Scale-Up in Country
      • ICT & Distributed e-Learning
        • Kenyan MOH/AMREF/Accenture
      • The Ugandan “Comprehensive Nurse”
        • “Unemployable in Europe, Indispensable in Uganda”
  • 16. Conclusions
    • Diverse and Growing Community
    • Minimalist ICT success stories
      • Knowledge dissemination
      • Knowledge management/creation
      • “Reaching and Teaching”
      • Only PART of the solution to improving global health, reducing migration & capacity development
  • 17. Acknowledgements
    • Dr. Jean Yan, Chief Nurse Scientist, WHO
    • Maggie Usher-Patel, WHO
    • Lou Compernolle, WHO
    • The Knowledge Management & Sharing Department, WHO
    • National Library of Medicine, (post-doc fellowship; Johns Hopkins SOM)
  • 18. Thank You “ Information Into the Hands of Those Who Care”
  • 19. LEARN MORE: www.forumone.com/wes Web Executive Seminars