1. Tokyo, Japan, 4-5 February 2013 Potentiel use of e-health services in Algeria Pr Gamaz Bensaou Malika, Medical Oncologist, Pierre & Marie Curie Centre Algiers Mail: m_malika@yahoo.frm_malika@yahoo.fr Pr Gachi Bey Fatiha, Pediatric Oncologist Pierre & Marie Curie Centre Algiers Mail: fatihagachi@hotmail.com ITU Workshop on E-health services in low-resource settings: Requirements and ITU role (Tokyo, Japan, 4-5 February 2013)

2. Tokyo, Japan, 4-5 February 2013 2 GDP: $ 5-10,000 per capita (2010) Emerging countries NOT GDP: $ 5-10,000 per capita (2010) Emerging countries NOT Low Income Countries 125 Saint Pierre and Miquelon$7,000 126 Algeria$6,900 127 Bosnia and Herzegovina$6,500 128 Armenia$6,300 129 Namibia$6,300 130 El Salvador$6,200 131 Turkmenistan$6,200 132 Albania$6,000 133 China$6,000 134 Niue$5,800 135 Egypt$5,400 136 Guatemala$5,300 137 Kiribati$5,300 138 Bhutan$5,200 139 Jordan$5,100 140 Swaziland$5,100 141 Nauru$5,000 142 Syria$5,000 106 Dominica$9,900 107 Azerbaijan$9,500 108 Cuba$9,500 109 Cook Islands$9,100 110 Macedonia$9,100 111 Suriname$8,900 112 Angola$8,800 113 Anguilla$8,800 114 Colombia$8,800 115 Peru$8,500 116 Belize$8,400 117 Thailand$8,400 118 Dominican Republic$8,200 119 Palau$8,100 120 American Samoa$8,000 121 Tunisia$7,900 122 Ecuador$7,500 123 Jamaica$7,500 124 Ukraine$7,400

3. Tokyo, Japan, 4-5 February 2013 3 Algeria Population: 37,8 Million at January 1 st, 2013 Area = 2 381 740 Km² North-south distance = 2200 km

4. Tokyo, Japan, 4-5 February 2013 4 4 Number of doctors / 1000H = 1,207 (2009) Health spendings /capita = 178 $ (2010) Health spendings % GDP = 5,8 % (2009)

5. Tokyo, Japan, 4-5 February 2013 5 Introduction Algeria is a country, characterized by a large area, from which more than 70% is desert. The instauration of a public healthcare policy with high quality all around the country, requires the use of important technology means. Thus, hospital information management, opening up to disadvantaged areas through reliable and high quality means of telecommunication

6. Tokyo, Japan, 4-5 February 2013 6 Year 2006NumberNumber of beds Hospital structure23135 869 Teatching hospital1314 150 Specialized hospital 327 578 Public maternity3993 534 Private maternity77 Polyclinics520 Health centre1 248 Care rooms4 684 Social medical centre592 Pharmacy (public & private) % 7 706 6 689 86,78

7. Tokyo, Japan, 4-5 February 2013 7 INFRASTRUCTURE Infrastructure like "Private Network"Connecting two platforms: - Ministry of Health - ANDS: National Agency of Health documentation Connection of all institutions sector on the 2 platforms (fiber optic) By CDTA: centre for development of advanced technologies

8. Tokyo, Japan, 4-5 February 2013 8 Ministry of Health - Communication Platform - Date of service: September 2006. ANDS: National Agency of Health Documentation - Platform "Hosting, Content and Services" - Decentralization in Regional Platforms - Date of service : January 2, 1999. CDTA: Centre for Development of Advanced Technologies - Established IN 1982 - Member of ITU

9. Tokyo, Japan, 4-5 February 2013 9 Platform « HOSTING, CONTENT AND SERVICES" HOSTING Information Web Sites - Specialized Institutions - Hospitals - Health Directions - Scientific Societies - Associations of Patients - Platforms Projects (National and International)

10. Tokyo, Japan, 4-5 February 2013 10 Content: - Web site information / Institutions - Information in the News - Multidisciplinary Databases - Database Archival and Documentary - Medical databases (National and International) - Databases Partners - Directories, Programs and Events Calendars - Statistics and Results of National Investigations - National Health Programs Platform « HOSTING, CONTENT AND SERVICES"

11. Tokyo, Japan, 4-5 February 2013 11 Services : * Access Mail (@ sante.dz) * Navigation Web / Internet * Forums (moderation and animation) * Video Conference (Point to Point and Multipoint) Platform « HOSTING, CONTENT AND SERVICES"

12. Tokyo, Japan, 4-5 February 2013 12 2007 First project: "telemedicine service to remote regions in Algeria" which end up with the realization of a mini-telemedicine pilot network, linking : - Birtraria hospital located in Algiers, - Ouargla hospital (800km -south of Algiers-) - and Hadjira health centre (900km southeast of Algiers).

13. Tokyo, Japan, 4-5 February 2013 13 Second project: This project is part of the partnership agreement between: * the Ministry of Health, Population and Hospital Reform * and the Post Office and Information technology and communication. It is managed by the National Agency of technology parks (ANPT) and the National Agency for Healthcare Documentation (ANDS). 2011

14. Tokyo, Japan, 4-5 February 2013 14 5 Teatching hospitals and 12 public hospitals South have been selected for this project include improving the medical care of residents of the southern regions of the country, access to health care at a distance, in addition to the training and transfer of data. A prototype of the project Telemedicine Network Algeria (DZ-RT), connecting: - the University Hospital Centre (CHU) Lamine Debaghine Bab El Oued (Algiers), - and public hospital establishments (EPH) wilaya of Bechar Laghouat. 2011

15. Videoconferences Tokyo, Japan, 4-5 February 2013 15

16. Tokyo, Japan, 4-5 February 2013 16 Radiology Lamine Debaghine Hospital Algiers - Berlin - Athens - Tunis - Clermont Ferrand Consultation MulticastSecond Opinion Training

17. Tokyo, Japan, 4-5 February 2013 17 ConsultationMulticast, Training Algiers – Berlin-Tunis - Cyprus

18. Training Tokyo, Japan, 4-5 February 2013 18

19. Tokyo, Japan, 4-5 February 2013 19 Zemirli hospital – National library -Endoscopic surgery

20. Tokyo, Japan, 4-5 February 2013 20 Debate Operating Room Conference room Hôpital Zemirli El hamma Library Monitor

21. Tokyo, Japan, 4-5 February 2013 21 Second Opinion imaging + Communication 4D imaging Radiology department - CHU Bab-El-Oued Algiers Faculty of Medicine Casablanca CHU Berlin

22. Tokyo, Japan, 4-5 February 2013 22 Pierre & Marie Curie Centre experiences Medical oncology: 3 Web-conferences April 2011: Pr Thatcher from UK May 2011 : Pr Mark Vincent from Ontario May 2011: Dr Sunil Verna from Canada Dr Daiana Lonesco from Canada Pediatric oncology: - St jude hospital - Internet use, website: cure4kids.org - Pediatric neuro-oncology with Canada and Moroco: discussion of cases

23. Tokyo, Japan, 4-5 February 2013 23

24. Tokyo, Japan, 4-5 February 2013 24 Ongoing experience with Morocco (3 centres)

25. Tokyo, Japan, 4-5 February 2013 25 V I D E O - C O N F E R E N C E Other Experiences : * Ophthalmologist department CHU Mustapha Hospital and Biskra (1999) * Internal Medicine CHU Mustapha and Ghardaïa Hospital * Distance Learning - Algeria, Ghardaia, Constantine and Oran * winning CHU Bab-El-Oued -A.P.H.Marseille several experiences between Bab-El-Oued Hospital and Latimone Marseille (APHM) Organisation of twin meetings. * CHU Beni Messous ENT and paediatric Surgery

26. Tokyo, Japan, 4-5 February 2013 26 Conclusions and Recommendations E-health in Algeria is at the start, Development of Video Conference (Point to Point and Multipoint) Development of internet service Need to initiate an exchange of experiences and research results the field of telemedicine