Telemedicine for Rural Population in Bangladesh Prof Dr

Telemedicine for Rural Population in Bangladesh Prof. Dr. Jonaid Shafiq Pain Medicine Specialist Managing Director Japan Bangladesh Friendship Hospital 21. 10. 2015

Scope Inadequate accessibility of rural people to referral category of service in healthcare system of Bangladesh. eg: On time specialist doctors advise, Laboratory & other investigation service , right treatment. q Lack of awareness about the availability of timely required specialist care in metro cities. q Confidence in their ability to use services without compromising privacy q Economic and good quality of treatment within capacity. q

Method Specialist doctors located at Dhaka or HQ center to response patients located at distant service center. q Primary care & secondary care connected to tertiary care center. That is Metro institutions connected to district & Upazila level institution. q Patient independently or local health attendant assisted communication with doctors at center. q Internet connectivity q

Tele-Video Healthcare service for all by Japan Bangladesh Friendship Hospital(JBFH) Tele-Video Healthcare Service program : Journey started in August 2008 in association with Channel I. q Tele-Video Healthcare Service program based on CSR program of JBFH around the country: q. Krishaker Shasthya Sheba q. Jibon Kheya q. Prantic Manusher Shyasthya Sheba q. Emergency Medical Response Team(EMRT): Aila, Sidr, etc. q. ATN News Connecting Bangladesh q

Glimpses from CSR activities

Prantic Manusher Sheba Thank you

Vaccination

Shasthya mela

Krishaker Shasthya Sheba

Patient coverage q 38 remote villages attended by JBFH team q More than 30000 patients attended by specialist doctor q Blood test, Vaccination, First Aid program and free medicine supplied

Connectivity Centers q Tele-Video center room at JBFH q External center at 10 villages done. q Dedicated phone numbers for patients call q Short listed patients through screening in Krishaker Shathya Sheba & Jibon Kheya program

Specialist doctors coverage 15 segments of specialist doctors at JBFH center. q 200 patients attended from Dhaka center. q q 50 patients brought at JBFH for surgical intervention.

Glimpses from Tele-video medicine activities

Launching ceremony

Dhaka Center

Tele-video medicine: Village center

Tele-video medicine : Surgery at Dhaka center

Benefits Quality care received by patients at distant areas. q Proper treatment and required referral with due follow-up care at a economic cost. q Healthcare human resources at field level get exposure to current medical development. q Dissemination of knowledge to base level through specialist doctors q

Constraint Slow internet connectivity and interrupted transmission q Absence of X-ray scanner, USG report and Laboratory tests q Less number of skilled medical assistant for communicating medical language after the session. q Follow up treatment q

Future Plan q 7 divisional head quarters connected to the specific zone district and Upazila level q Center connected to divisional head quarters by video conference. q Fiber optic connectivity q Surgery at distant level through video command.

Thank you