World Health Organization - Journal of Postgraduate MedicineHINARI HIN Access to Research Initiative...

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Bridging the digital divide in health United Nations Millennium Action Plan World Health Organization

Transcript of World Health Organization - Journal of Postgraduate MedicineHINARI HIN Access to Research Initiative...

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Bridging the digital divide in health

United Nations Millennium Action PlanWorld Health Organization

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Digital divide

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Developed 30 47 77 124 180 232

Developing 3 7 13 25 51 83

1995 1996 1997 1998 1999 2000

28%

Source: WHO presentation quoting ITU

Internet Penetration (million user)

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Internet Penetration (% of population)

284Developed Countries

1.60.1Developing Countries

20001995

Source: WHO presentation quoting ITU

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Immense potential and interest in community

Internet access with doctors only 12 % in a backward district

Five times as many respondents had internet access at home as compared to those having access in office

Source: HIN survey March 2001, in seven districts covering 600 respondents:

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Health InterNetwork: Goals

Use internet technologies to strengthen public health services by:

l Better access to high quality informationl Easier consultation among decision makersl Faster data collection and deeper analysis

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Health InterNetwork: Cornerstones

l Relevant and authentic content via Internet

l Build Capacity of institutions that process information

l Connectivity

l Training to access and use information

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Pilot sites

National Institutions- Control, treatment and research in TB

States: Karnataka; Orissa

Districts: Bangalore Rural, Deogarh

Sub District: Six CHC/ PHC in each pilot district

Libraries: NML ; Burla; Cuttack; RGUHS

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New Processes for publishing and access to research

Providing authentic content:l National Health Information Collaborationl E-publishing of researchl Full text publishing of Medical Journalsl Consortia Initiatives for resource sharing

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National Health Information Collaboration (NHIC): (www.nhicindia.org)

Serve as a one Point source for authentic and relevant information

- collaborative model- content being uploaded by several institutions

authorized and personnel trained for the purpose- quality checks through content selection criteria- Keywords from MeSH- Records bear content providers stamp- Freeware for non-profit organizations

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NHIC- Content Categories:

28 Content Sub-Categories grouped in following 7 categories:

l Scientific Publicationsl Information Collections l Health IT Applications l Projects and Fundingl Education and Trainingl Statistical Datal Directories

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Content Publishing (Scientific Articles)

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Form

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Content Viewing (Information Collections)

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Resource Sharing - potential

INSDOC (Now NISCAIR)- 10,000 documents delivered in the best year

British Library Document Supply Center (part of BCL) supplied 37 lakhs documents in 2001-02

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Consortium for Enhanced Access to Research (CEAR)Enhance access to full text of international medical journals

by collaborating libraries using web technology.

TB: CEAR- four leading TB related research institutions has increased access by about 150% (from an average of 45 to 128 journals) (http://www.jccc-tbcear.informindia.co.in )

RGUHS: CEAR- 28 Medical Colleges have increased access from Average 80 to 650 Journals

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Access to Dissertations

l System and template for digitised submission of dissertations/thesis

l Web enabled index of theses

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e-journal consortium

Facilitated first consortium for subscription to e-journal with RGUHS (http://www.rguhs.ac.in/ )

Consortium being expanded to 108 medical colleges

Developed tools for e-journals consortia formation and use:l Guidelines for consortia formationl WEB based freeware for formation of Union Catalogue

of periodicalsl Self learning tool (freeware) for searching bio-medical

information on the WEB, with a huge repository of free resources on hte internet. (www.medinfoguide.org )

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Consortium value and costs

INDEST 5,000 e-journals 120 institutions – MHRD funded

HELINET 400 journals for 6-8 lakhs per college / 800 journals/ 200 books for Rs. 1000 – 2000 per student per year

Hellinet use- 2003 highest month -2000 downloads

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Health Organizer-research to the periphery

Knowledge management tool for use by the public health functionaries and institutions in the periphery

Easily customizable and user-friendly front-end desktop for sharing, organizing and accessing relevant information

Highly appreciated by doctors in the primary health center

Freeware( http://www.westgodavari.org/health/ )

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HINARI

HIN Access to Research Initiative (HINARI)

50 publishers providing 2,400 journals and other full text resources to 113 countries

Currently not available to India, Pakistan etc.

Working to get the coverage enlarged in 2005 at-least for public health institutions

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HINARI – Participation and use

1043 Institutions registered from 100 countries (eligible 113)

Income < USD 1000, 56 countries no subscriptions, 21 only 2 journals

Usage level depends more on connectivity than economic strength of country

Biggest users: Ethiopia(13), Nepal (42)

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HINARI – USEDown-loads from 112 Blackwell titles

131% Increase

113% Increase

170,636 articles

Jan – June ‘04

73,734 articles

July- December ‘03

34,680 articles

Jan – June ‘03

Total 2500 titles - Projected > 1,000,000 articles in 2003

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Conclusion –Challenges and Opportunities

- Opportunities in collaboration and convergence for access

- Better evaluation of investments - Re-view investment priorities - Factors to increase demand and use of available

resources- Emphasis on access and training - Provide locally relevant content- Thesaurus – AYUSH

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Thank You

Ranjan [email protected]

www.hin.org.in+91-9810505068