Presentation on theme: "University of the Philippines Manila National Telehealth Center"— Presentation transcript:
1University of the Philippines Manila National Telehealth Center mHealth in thePhilippinesAlvin B. Marcelo, MD
2Goals for this Presentation Provide examples of how we use mobile phones for health in the PhilippinesPresent results of our research on using mHealth for delivering care to remote underserved areas
3State of (ill-) health: Why? Philippines90 million peopleGrowing at 2 million per year7,107 islandsMaldistribution of doctors and nurses to urban areas and few/none in rural areas
4Opportunity for mHealth PhilippinesThree wireless providers75% penetration rate (with several having more than one line)“the texting capital of the world with 2 BILLION text messages exchanged everyday”
5OneHEALTH Program eMedicine (Telemedicine) eLearning for Health eRecords (CHITS)
6Telemedicine in the Philippines 6 years of experience andcollaborations with DOH-DTTBswith research support from DOSTRESEARCHSERVICEDOST, 2008CICT2004Our experience with IT started in 2004 when UP Manila and DOH received a grant from CICT to design and implement telemedicine services through the BuddyWorks Project.Over the next 6 years, with additional support from various funders such as DOST, IDRC, USAID, and UNDP, we are now ready to translate our research into service and to align information technology within the Aquino Health Agenda.DTTBs
7How do we do Telemedicine? We train health workers how to use the cellphone to effectively collaborate with doctors, specialists, and other health workers in their region.
8TELEMEDICINE How it Works InternalMedicineDoctor-to-the-BarrioPediatricsRadiologyNTSPCentral4th, 5th, 6th class LGUsDermatologyDoctor-lesssiteThe transaction starts when a health worker encounters a case beyond his or her capacity to manage.Using text or , the health worker describes the situation and sends it to NTSP Central where a triage nurse relays it to the appropriate domain expert.The domain expert may opt to respond by text, or voice call as is necessary.This exchange can occur once or as frequent as is needed until a case is deemed resolved.And all transactions are recorded at NTSP Central for documentation purposes.Ophtha*** Ethical, legal, and social frameworkfor the practice of telemedicineOthersPGH and DOH regional hospitals
9TELEMEDICINE How it Works We built a network of doctors.We defined guidelines and protocols.We trained the network.We use SMS, MMS, voice and .The transaction starts when a health worker encounters a case beyond his or her capacity to manage.Using text or , the health worker describes the situation and sends it to NTSP Central where a triage nurse relays it to the appropriate domain expert.The domain expert may opt to respond by text, or voice call as is necessary.This exchange can occur once or as frequent as is needed until a case is deemed resolved.And all transactions are recorded at NTSP Central for documentation purposes.PGH and DOH regional hospitals
11Skin Diseases among Tribesmen A young doctor with a cellphone saw a unique skin problem among the tribesmenUsing his cellphone camera (with patient consent), he referred the case to ManilaDermatologist recognizes the problem as a rare skin disease and asks for more examinationsYoung doctor complies and sends confirmatory imagesPatients got treated appropriately and in a timely manner
17ResultsTelemedicine is possible in geographically isolated and disadvantaged areas (GIDA)Telemedicine is fraught with ethical, social, and legal challenges (read: should only be done by trained health professionals and certified personnel). Protocols are important.Telemedicine is expensive for few sites, but costs go down with more sites
18NTSP National Telehealth Service Program We are now in the process of finalizing a grant from the Government to offer the services on a national scale.