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107 satellife

  1. 1. Providing Access to ScholarlyInformation in the Poorest Parts of theWorld – How Far Can We Reach? SATELLIFE June 2, 2005 Brief Introduction to SATELLIFE and our Services SATELLIFE’s Information ServicesPublications:• HealthNet News Discussion groups: •AfroNets• HealthNet News, AIDS •Essential Medicines• HealthNet News Community (English, Spanish, Health Russian)• HealthNet News Nursing •Indices •ProCaare •ProNut •ProCor •Hnn-chat •pdas4health 1
  2. 2. What Information Is Provided?• Public Health• Medical• Management HealthNet News Since 1992 Priorities – Tropical and Infectious Diseases • User Base Maternal and Child Health 20,000*(estimated) • 130 Countries • Libraries • Medical Schools • Ministries of Health • Clinics • NGO’s • Individuals Who Reads HealthNet News? • Physician 38 % • Program Administrator 16% • Student 11% • Educator/Librarian/Journalist 8% • Pharmacist 6% • Research/Scientist 6% • Nurse/Midwife 5% • Allied Health Practitioner 5% • Information Technologist 1% • Others 2% 2
  3. 3. Who Reads HealthNet News?Occupational Setting• Clinical health 40%• Public health 60%Gender• Male 63%• Female 37% Impact?In countries where we work – the average doctor patient ratio is 20,000 to 1 for specialist it could be as high as 1million to oneMost care is provided by enrolled nurses in rural clinics.We are reaching policy makers and providers who care for millions of patients every year in the most challenging environments, with the most challenging diseases and fewest tools to prevent, diagnose and treat those diseases. ===================================== Number 589 HEALTHNET NEWS Nov. 5, 2004 ===================================== This weekly bulletin is supported by generous charitable contributions from individuals and institutions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ COMMENTARY By Malcolm Bryant, MD, MPH TUBERCULOSIS 1. Why and how tuberculosis control should be included in health sector reviews DIABETES 2. Dysglycemia: A new cardiac risk factor? 3. Diagnosing foot infection in diabetes 4. Is diet-controlled diabetes really controlled? PRIMARY FRACTURE CARE 5. The role of the traditional bonesetter in primary fracture care in Nigeria 3
  4. 4. Contributing PublishersAlan Guttmacher Institute Kaiser FoundationThe American Academy of Pediatrics KluwerThe American College of Physicians Kenya Medical Association HouseThe American College of Surgeons Lippincott, Williams and WilkinsAmerican Public Health Association Makerere UniversityBlackwell Science Medical Association of TanzaniaBritish Medical Journal Publishing Group Maney PublishingBaywood Massachusetts Medical SocietyElsevier The Medical Association of South AfricaElsevier Science Oxford University PressEngenderhealth Public Library of ScienceEnvironmental Health Project UNAIDSEquinet University of California San FranciscoEthiopian Public Health The Royal Society of Medicine PressFamily Health International LimitedFrançois-Xavier Bagnoud Center-HSPH University of Chicago PressFamily Health International UN-AIDSIndian Academy of Gastroenterology WHOInternational Centre for Eye Health Womens Health and Action ResearchInternational Union Against Tuberculosis Centreand Lung Disease Publisher Relations• Publisher issues and concerns – Copyright – Unauthorized re- distribution in the North – Error in translation – Resale of content• How to balance – Specific use agreements – Subscriptions – Monitoring – Good faith Constraints and Concerns USERS: PUBLISHERS: • Access • Copyright • Voice • Open Access • Inclusion • Cost • Habit • Technology • Money • Scientific Integrity • Electricity • Quality • Prioritization • Prioritization • Philanthropic Mission 4
  5. 5. The Reality vs. The Vision• What ’s the reality in Tanzania and other low resource countries, and what should our vision be? – For Urgent Information? – For Professional Development and Continued Learning? Harvard Users: Login now to use licensed Textbooks resources! Indexes and Databases Quick Links Browse New Resources Find It @ Harvard (more info ) SEARCH/BROWSE BY SUBJECT MEDLINE ExploreWebResources PubMed with full text(more info ) BROWSE BY TYPE OF RESOURCE CLINICAL REFERENCE Clinical Trials Harrisons Online Data Analysis Tools Stat!Ref DataCollections Funding Information EBM Reviews ACP Journal Club Library Catalogs Cochrane Database of Systematic Reviews Statistical and Numeric Data Database of Abstracts of Reviews of Effects Metadirectories MY DIGITAL LIBRARY Newsmedia Select your most frequently used resources Practice Guidelines SEARCH/BROWSE BY TITLE Tutorials and Study Guides All Resources All Resource Types ... Journals The Problem of Information Access in Developing Countries • Access • Relevancy • Timeliness • Inclusion • Dissemination • Languages • Lack of full text • Technology and Infrastructure Most Front –Line Health Providers Have No Access to Information Resources at the Point of Care 5
  6. 6. There is need for information that is helpful, locally relevant. Urgent Information Needs email: "Rukia, 4 months old now, has congenital biliary atresia. ...for this little baby, a CT scan was being waited for and surgery was not done. Please advise!" Tanzania An Email Link to Help Email: "A week old child cannot breastfeed as her mother cannot produce milk...one month old now and feeding on dry coconut water. How do we deal with such a case?" Solomon Islands 6
  7. 7. Ongoing Provider Education and Professional Development Needs Lucian LeapeMedicine is Among the Most UnsafePractices/Professions 7
  8. 8. Healthworkers don’t make mistakesdeliberately.There are system errorsIncluding lack of access to information. Countway vs. My wayMedia is present at some medical school libraries butusually doesn’t meet demand of timeliness and relevancy • 3,500 Journals at Countway Library • Journals in Tanzania - < 50• How relevant is the information we are getting in Africa? – Africa is developing fast and sees need for timely relevant information• How much access to we have? – Inability to choose type of information due to costs and copyrights. – Need for full text articles which are relevant and timely. 8
  9. 9. Organizational Responses Health InterNetwork Access to Research• SATELLIFE Initiative• HINARI• NLM As the first phase of making vital health content available, the Health InterNetwork provides here a vast• WHO library of the latest and best information on public• INASP (HIF-Net) health: more than 2,000 scientific publications, one of• Health & the worlds largest collections of biomedical literature. Development Networks This collection is available through the efforts of WHO together with the 6 biggest biomedical publishers: Blackwell, Elsevier Science, the Harcourt Worldwide STM Group, Wolters Kluwer International Health & Science, Springer Verlag and John Wiley. It has been described by WHO Director-General Dr Gro Harlem Brundtland as "perhaps the biggest step ever taken towards reducing the health information gap between rich and poor countries.“ Reaching into Rural SettingsUganda Health Information Network The Vision • A world where health care providers and scientists have access to important information that will enable them to care for their patients and save lives. • A world where the South participates in a meaningful way in intellectual and scientific development and discovery. 9
  10. 10. What Can You Contribute?• Join as a content contributing partner• Provide financial support to keep our publications growing• Share our story with others• Support Fair Use and Open Access for those in the poorest parts of the world Our Collective ChallengeHow far can we reach? 10