Tele-Ophthalmology Eye-Health system deployment in Kolda, Senegal Jaume Benseny e-Health and...
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![Page 1: Tele-Ophthalmology Eye-Health system deployment in Kolda, Senegal Jaume Benseny e-Health and e-Dependence Department i2CAT, R+D Non Profit Foundation A.](https://reader036.fdocuments.us/reader036/viewer/2022062303/5514a08a550346d36e8b59c8/html5/thumbnails/1.jpg)
Tele-Ophthalmology Eye-Health system deployment in Kolda, Senegal
Jaume Bensenye-Health and e-Dependence Departmenti2CAT, R+D Non Profit Foundation
A. Carolina Rivas PrantteILO, Lleida Ophthalmologic Institute
From Eye-Health Project to Open Window to Senegal
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Eye Health Project Open Window to Senegal Project
Tele-Ophthalmology Eye-Health system deployment in Kolda, Senegal
![Page 3: Tele-Ophthalmology Eye-Health system deployment in Kolda, Senegal Jaume Benseny e-Health and e-Dependence Department i2CAT, R+D Non Profit Foundation A.](https://reader036.fdocuments.us/reader036/viewer/2022062303/5514a08a550346d36e8b59c8/html5/thumbnails/3.jpg)
• Main goal is to make specialized eye health available in rural zones as in the urban zones
• Born in 2006
• Cover unattended ophthalmologic demand in the remote villages of the Pyrenees mountain range
• Deployment of a tool to make the GPs (general physicians) able to cooperate with the ILO ophthalmologists
Eye-Health Project / Introduction
![Page 4: Tele-Ophthalmology Eye-Health system deployment in Kolda, Senegal Jaume Benseny e-Health and e-Dependence Department i2CAT, R+D Non Profit Foundation A.](https://reader036.fdocuments.us/reader036/viewer/2022062303/5514a08a550346d36e8b59c8/html5/thumbnails/4.jpg)
Eye-Health Project / Justification
Catalan High Pyrenees description area• High mountain range• Dispersed population• Difficult access• Big distances• Lack of ophthalmologist
Catalan Health Care stressing factors• Progressive population ageing • Chronic diseases • Sedentary lifestyle
2005
2020
The introduction of telemedicine is a cost-effective solution to help the health care unsustainable economic situation
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Ophthalmologic reality in KoldaAccording to the:Programme National de Lutte contre la cécité au Sénégal
Blindness prevalence = 1.4 %- 150 000 blind people - 450 000 people with serious visual disabilities
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ILO NGO (Ferreruela Sanfeliu Foundation)
Eye health field improvement trough specific actions :1. Cataract surgery2. Fight against Trachoma and Trichiasis3. Children Refraction Defect Detection Program4. Set up a cooperative optic shop cooperatively managed5. Deploy the Telemedicine system based on the Eye-
Health Open Window to Senegal
*In concordance with the
National Program Against the Blindness Minister de Santé, Conseil de la Region Medicale
![Page 7: Tele-Ophthalmology Eye-Health system deployment in Kolda, Senegal Jaume Benseny e-Health and e-Dependence Department i2CAT, R+D Non Profit Foundation A.](https://reader036.fdocuments.us/reader036/viewer/2022062303/5514a08a550346d36e8b59c8/html5/thumbnails/7.jpg)
Flow diagram
GP in the Village
GP takes eye fundus images
GP writes a reportILO Ophthalmologists
in the city
Specialist analize
Specialist diagnose remotely
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Eye-Health Project
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Eye-Health Project
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System components
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Technical Platform & Difficulties
1. Bandwidth problem
Different Health Care Systems• Public Health Care (GPs around little villages) • Private Health Care (ILO Ophthalmologists)
2. Interoperability problems
Translation Interface
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First stage (delayed until 2010)• Kolda Hospital visit to collect technical requeriments• Deployment of a Videoconference System based on
bandwith mesures [BCN - KOLDA]• Start of E-Learning process based in videoconference
Second stage • Full Eye-Health features deployed• Capacity to remotly diagnose Kolda cases from
Catalonia• Capacity to remotly diagnose Kolda countryside cases
from Kolda Hospital
Open Window to Senegal
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Senegal ICT OverviewICT Regulatory Entities• DERPT is the regulator of the telecommunication sector.• Open competitive market• SONATEL is the private operator owner of the main ICT
infrastructure.
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• People have Internet access in the TeleCenters• Main Hospital is connected trough SONATEL
network.• Iperf real bandwidth measurements [BCN –
KOLDA] to ensure videoconference requirements.
300 kbps TCP50000 kbps UDP
Kolda ICT Infrastructure
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Tele-Ophthalmology – Benefits
Ophthalmologic care AFTER Eye-Health Project
• GPs became the patient’s guide against an ocular affection• GPs are under e-learning process
(80% of GP diagnosis coincided with the ophthalmologist)
• Practical way for eye fundus- pathology screening and treatment
• Easy access to specialized medical attention• Ophthalmologic Electronic Record• Reduce Ophthalmologic waiting lists• Public Health Care global economic savings
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Conclusions
• New services and products based in the Information Society tools can improve basic services while reducing its costs.
• The Information Society and its benefits can not be applied everywhere due to the digital gap.
• The establishment of NRENs and permanent relationship between research groups increases its capacity to success in the objectives pursued.