ICT Tools implemented by the Ukraine-Swiss MCH Programme

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ICT Tools implemented by the Ukraine-Swiss MCH Programme

  1. 1. ICT Tools implemented as part of the Ukrainian-Swiss Mother and Child Health Programme Ukrainian-Swiss Mother and Child Health Programme Grigory NAUMOVETS ICT Coordinator Programme Implementation Office Kyiv, Ukraine CURRENT ISSUES IN DISTANCE LEARNING AND TELEMEDICINE Kyiv – Zaporizhya Videoconference October 2012
  2. 2. Ukrainian-Swiss Mother and Child Health Programme Ukrainian-Swiss Mother and Child Health Programme Implemented in four regions: Vinnytsia, Volyn, Ivano-Frankivsk, Crimea 2
  3. 3. ICT Tools implemented in Ukraine by the MCH Programme: iPath: Ukrainian-Swiss Mother and Child Health Programme a Telemedicine platform openMEDIS: medical equipment inventory software Perinatal registry: database of information related to pregnancy and childbirths 3
  4. 4. All these tools are: Developed at the University of Basel and Swiss TPH Institute Ukrainian-Swiss Mother and Child Health Programme 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 4
  5. 5. iPath Telemedicine Platform Designed for asynchronous (store-and- forward) telemedicine Ukrainian-Swiss Mother and Child Health Programme 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. 5
  6. 6. iPath: implementation in Ukraine Started in 2003 as part of the Ukraine-Swiss perinatal health project Ukrainian-Swiss Mother and Child Health Programme 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 6
  7. 7. iPath Ukraine (telemed-ipath.org.ua) Ukrainian-Swiss Mother and Child Health Programme Ukrainian iPath server in Donetsk: > 1,000 users, > 10 groups, > 1,000 cases posted 7
  8. 8. openMEDIS: a simple and flexible tool for medical equipment inventory Helps health care managers to keep track of the equipment and make appropriate administrative Ukrainian-Swiss Mother and Child Health Programme 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 8
  9. 9. openMEDIS: evaluate the status of your equipment Ukrainian-Swiss Mother and Child Health Programme 9
  10. 10. openMEDIS: Implementation in Ukraine At the first stage, was introduced in 22 oblast- and rayon-level partner institutions; Ukrainian-Swiss Mother and Child Health Programme >8,000 items were entered in the database; Currently is being introduced in >50 partner institutions in 4 regions of Ukraine. 10
  11. 11. Perinatal registry Software tool that supports health care providers in managing high risk pregnant women. Ukrainian-Swiss Mother and Child Health Programme 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.) 11
  12. 12. Perinatal registry Ukrainian-Swiss Mother and Child Health Programme • Using electronic keys + login/password to prevent unauthorised access • Limited permissions for most users 12
  13. 13. Perinatal registry:implementationin Ukraine Pilot stage: tested in two partner institutions in Ukrainian-Swiss Mother and Child Health Programme 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. 13
  14. 14. ICT Tools: Experience of implementation Are viable and effective in low resource settings Ukrainian-Swiss Mother and Child Health Programme 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. 14
  15. 15. Fruitful collaboration with NMAPO in the field of medical ICT Videoconferencing (MS Lync) Development of e-Learning modules (new modules are under preparation now) Ukrainian-Swiss Mother and Child Health Programme 15
  16. 16. Web resources Swiss TPH eHealth Toolbox http://www.swisstph.ch/services/ehealth/ehealth-toolb Ukrainian-Swiss Mother and Child Health Programme Ukrainian iPath Telemedicine server: http://telemed-ipath.org.ua Ukrainian-Swiss Mother and Child Health Programme http://motherandchild.org.ua 16
  17. 17. Contacts Ukrainian-Swiss Mother and Child Health Programmehttp://motherandchild.org.ua/ukr/contacts 17

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