Executive Summary

During Q4 2017, 1954 teleconsultations were conducted across all sites in South-Central Asia, as compared to 2040 teleconsultations in Q4 2016, depicting a 4% decrease in activities. An increase in the uptake of services in Kyrgyz Republic was seen due to expansion of the services to At-Bashy Territorial Hospital, however, reduced activity was experienced in Afghanistan and Pakistan due to various reasons.

There was a 24% increase in the number of health care professionals trained through eLearning sessions across all the sites - from 621 in Q4 2016 to 772 in Q4 2017. The number of participants attending eLearning sessions increased notably in Pakistan as a result of awareness raising activities conducted to motivate staff to avail eLearning opportunities. Similarly, in Tajikistan, the number of eLearning participants increased by 90% as compared to Q4 2016. eLearning activities in Kyrgyz Republic and Afghanistan experienced a moderate decrease.

Afghanistan

1117

Live
Teleconsultations

400

Store-and-Forward
Teleconsultations

23

eLearning
Sessions


 
221

eLearning
Participants

Teleconsultations


Live Teleconsultations

The French Medical Institute for Children (FMIC) provides live teleconsultations to Bamyan Provincial Hospital (BPH) and Faizabad Provincial Hospital (FPH). FMIC also receives live teleconsultations from Aga Khan University Hospital, Karachi (AKUH, K) in Pakistan and La Chaine de l’Espoir in France.

Bashore, Ishkashim and Nusai Comprehensive Health Centres (CHCs) also receives live teleconsultation services from FPH and Khorog Oblast General Hospital (KOGH) in Tajikistan. Similarly, FPH conducts teleconsultations with Bharak District Hospital (BDH) and Kisham District Hospital (KDH).

During Q4 2017, 1117 live teleconsultations were conducted across all eHealth sites in Afghanistan compared to 891 teleconsultations in Q4 2016.

FMIC conducted 415 teleconsultations with BPH and 418 teleconsultations with FPH. Bashore, Ishkashim and Nusai (CHCs) conducted 53 teleconsultations with FPH. FPH also conducted 20 teleconsultations with KDH and 65 teleconsultations with BDH.

FMIC conducted 42 teleconsultations with AKUH, K and 104 teleconsultations with La Chaîne de l'Espoir in France.

The graph given below displays the comparison with Q4 2016.

Store-and-Forward Teleconsultations

During Q4 2017, 400 store-and-forward cases were referred across all eHealth sites in Afghanistan compared with 697 cases in Q4 2016.
FMIC offers teleradiology services to BPH and FPH. FMIC also sends teleradiology cases to AKUH, K for second opinions. Likewise, Bashore, Ishkashim and Nusai CHCs, BDH and KDH receive teleradiology services from FPH. In Q4 2017, 369 cases were resolved.

Telepathology cases are also referred for second opinion from BPH and FPH to FMIC. Also, BDH and KDH refer cases to FPH. In Q4 2017, 30 telepathology cases were referred for second opinion.

Teleopthalmology services are connected from FMIC to AKUH, K. One case was referred from FMIC to AKUH, K for second opinion

The graph given below displays the comparison of store-and-forward teleconsultations with Q4 2016.

Dr Omid Faizi, Neonatologist, French Medical Institute for Children, conducts a live teleconsultation with Faizabad Provincial Hospital.

Live Teleconsultations

Store-and-Forward Teleconsultations

*Note: Radiology cases were not referred to the consultant radiologist, since FMIC hired a radiologist in Q2 2017

eLEARNING


FMIC offers eLearning sessions to BPH, FPH, Mirwais Regional Hospital (MRH) in Afghanistan and to KOGH in Tajikistan. Likewise, FPH also delivers eLearning sessions to Bashore, Ishkashim and Nusai CHCs, BDH and KDH. AKU also delivers eLearning sessions to FMIC, BPH and FPH.

In Q4 2017, 221 health care professionals were trained through 23 eLearning sessions, delivered across Afghanistan as compared to 246 participants trained through 25 sessions in Q4 2016.

FMIC trained 130 health care professionals at BPH and FPH. No sessions were offered to MRH. FPH trained 76 participants at Bashore, Ishkashim and Nusai CHCs and district hospitals. AKU also trained 15 health care professionals at BPH. No eLearning sessions were delivered to FMIC and FPH from AKU.

The graph below displays the comparison with Q4 2016.


eLearning Participants

*Note: Planned eLearning courses were offered for the Learning research project implemented through the CAHSS Project.

Gulbarg Safari, Nursing Instructor, FMIC, conducting an eLearning session with Faizabad and Bamyan provincial hospitals.


 

Kyrgyz Republic

37

Live
Teleconsultations

12

eLearning
Sessions


 
132

eLearning
Participants

Teleconsultations


Live Teleconsultations

The National Centre of Maternity and Childhood Care (NCMCC), National Surgery Centre and the Republican Centre for Infectious Diseases in Bishkek are connected to Naryn Oblast Merged Hospital (NOMH) as hub-sites for live teleconsultation services. Furthermore, with the support from the Medical Education Reforms Project, the Geneva University Hospitals (HUG), Switzerland offers live teleconsultation to patients at the NOMH.

Moreover, during Q4 2017, At-Bashy Territorial Hospital was connected to NCMCC; National Hospital KG (NHKG);and Republican Clinical Infectious Diseases Hospital through live teleconsultations while HUG initiated live teleconsultation services for At-Bashy Territorial Hospital in January 2017.

In Q4 2017, 37 teleconsultations were conducted across all eHealth sites in Kyrgyz Republic as compared to 34 teleconsultations in Q4 2016. NCMCC conducted 28 teleconsultations and two teleconsultations with NOMH and At-Bashy Territorial Hospital, respectively. HUG, NOMH and NHKG conducted four, one and two teleconsultations with At-Bashy Territorial Hospital, respectively.

The graph given below displays the comparison of teleconsultations with Q4 2016.

 

Live Teleconsultations

*Note: Live Teleconsultation services did not exist between the sites; hence a comparison is not available.

Dr Erkin Zhumalieva, Chair of the Department of Paediatrics, Naryn Oblast Merged Hospital, conducts a live teleconsultation with Dr Aynura Artikbaeva, Paediatric Pulmonologist, National Centre of Maternity and Childhood Care.


eLEARNING

NCMCC; Kyrgyz State of Medical Academy (KSMA); and Kyrgyz State Medical Institute of Continuing Education (KSMICE) offer eLearning sessions to Naryn Oblast Family Medicine Centre (NOFMC); NOMH; and At-Bashy Territorial Hospital. However, National Surgery Centre, Bishkek offers eLearning sessions to NOMH and At- Bashy Territorial Hospital.

During Q4 2017, 12 eLearning sessions were delivered to 132 health care professionals as compared with 10 eLearning sessions delivered to 208 participants in Q4 2016.
Seventy-seven participants at NOFMC; 30 participants at NOMH; and 25 participants at At-Bashy Territorial Hospital were trained through eLearning sessions.

The graph below displays the comparison with Q4 2016.

eLearning Participants

*Note: eLearning services were not offered at the site; hence a comparison is not available.

Clinical residents at the Naryn Oblast Family Medicine Centre, receiving an eLearning session on pneumonia from the National Hospital of the Ministry of Health, Kyrgyz Republic.

 

Pakistan

141

Live
Teleconsultations

0

Store-and-Forward
Teleconsultations

14

eLearning
Sessions


 
110

eLearning
Participants

Teleconsultations


Live Teleconsultations

Aga Khan University Hospital, Karachi (AKUH, K) provides live teleconsultations to Aga Khan Medical Centre, Gilgit (AKMC, G) and Aga Khan Medical Centre, Booni (AKMC, B). Likewise, AKMC, G provides live teleconsultation services to Aga Khan Family Health Centre, Chatorkhand (AKFHC, C); Comprehensive Health Centre, Aliabad (CHC, A); Singal Medical Centre (SMC); Aga Khan Family Health Centre, Soust (AKFHC, S); and Garam Chasma Tehsil Hospital (GCTH). GMC has also initiated live teleconsultation services for AKMC, B from October 2017.

During Q4 2017, 141 live teleconsultations were conducted across all sites in Pakistan as compared to 161 teleconsultations in Q4 2016.

AKUH, K provided 29 teleconsultations to GMC and 55 teleconsultations to AKMC, B. GMC conducted 12 teleconsultations with AKFHC, C; eight with CHC, A; one with SMC; seven with AKFHC, S; and 19 with GCTH. GMC also conducted 10 teleconsultations with AKMC, B.

The graph below displays the comparison with Q4 2016.

Store-and-Forward Teleconsultations

During Q4 2017, no store-and-forward teleconsultations services were conducted in Pakistan as patients prefer to avail live teleconsultation services as compared to store-and-forward teleconsultations services.

Live Teleconsultations

*Note: Live teleconsultation services did not exist between the sites in Q4 2016.

A telepsychiatry consultation being conducted between Aga Khan University Hospital, Karachi and Aga Khan Medical Centre, Booni.

eLEARNING


The Aga Khan University (AKU) provides eLearning services to AKMC, G; AKMC, B; SMC; CHC, A; AKFHC, C; and AKFHC, S. Similarly, AKMC, G provides eLearning courses to nurses at AKMC, B; AKFMC, S; CHC, A; SMC; and AKFHC, C. eLearning services have been extended to GCTH in Q4 2017.

During Q4 2017, Grand Rounds and Continuing Medical Education (CME) eLearning sessions were offered by AKU and AKMC, G, which were attended by 110 health care professionals and nurses at various eHealth sites in Pakistan, as compared to 11 eLearning sessions delivered by AKU, attended by four health care professionals at AKMC, G in Q4 2016. The number of participants trained increased considerably. This was mainly due to the efforts made by AKDN eHRC team members to motivate health care workers to attend sessions during multiple monitoring and evaluation visits made in 2017.

Twenty-six health care professionals were trained through Grand Round and CME eLearning sessions offered by AKU. Of these, 14 participants were from AKMC, G; five participants from AKMC, B; five participants from SMC; and two participants from CHC, A. No participants attended from Chatorkhand and Garamchasma.

AKMC, G also trained 84 nurses from different eHealth sites in Pakistan. From these, 37 nurses were from AKMC, B; 18 from CHC, A; six from SMC; six from GCTH; nine from AKFHC, S; and eight from AKFHC, C.

The graph below displays a comparison with Q4 2016.

eLearning Participants

An eLearning session being conducted between Aga Khan University and Aga Khan Medical Centre, Gilgit.

 

 

Tajikistan

138

Live
Teleconsultations

121

Store-and-Forward
Teleconsultations

23

eLearning
Sessions


 
263

eLearning
Participants

Teleconsultations


Live Teleconsultations

Khorog Oblast General Hospital (KOGH) provides live teleconsultations to three district hospitals in Tajikistan, Darwaz District Hospital (DDH); Ishkashim District Hospital (IDH); and Roshan District Hospital (RDH). Likewise, KOGH receives teleconsultation services from National Medical Centre (NMC), Dushanbe; Dushanbe Medical and Diagnostic Centre (DMDC); and the French Medical Institute for Children (FMIC) in Afghanistan.

During Q4 2017, 138 teleconsultations were conducted across all eHealth sites in Tajikistan as compared to 171 teleconsultations in Q4 2016. KOGH conducted 113 teleconsultations with three district hospitals – 38 teleconsultations with DDH, 37 teleconsultations with IDH and 38 teleconsultations with RDH. Twenty-five teleconsultations were conducted between KOGH and NMC, while no teleconsultations were conducted from FMIC and DMDC to KOGH.

The graph below depicts the comparison from Q4 2016.

Store-and-Forward Teleconsultations

KOGH offers teleradiology services to DDH, IDH and RDH. Similarly, KOGH receives teleradiology services from Aga Khan Health Board (AKHB), USA and NMC.

During Q4 2017, 121 store-and-forward cases were referred across all eHealth sites in Tajikistan as compared with 86 cases in Q4 2016. The number for store-and-forward cases has increased as compared with Q4 2016 as the CT scan machine was out of order during Q4 2016.

KOGH referred 82 cases to NMC and three cases to AKHB, USA. Thirty-six cases were referred to KOGH from the three district hospitals - 18 cases from RDH, 15 cases from DDH and three cases from IDH.

The graph below depicts the comparison with Q4 2016.

Khorog Oblast General Hospital offers a live teleconsultation for a trauma case at the Nusai Comprehensive Health Centre in Afghanistan.

Live Teleconsultation

Store-and-Forward Teleconsultations

*Note: Teleradiology services did not exist between the sites, hence a comparison is not available.

eLEARNING


KOGH receives eLearning services from the Post-Graduate Medical Institute (PGMI) and FMIC in Afghanistan. Likewise, the three district hospitals - DDH, IDH and RDH - receive eLearning services from KOGH. During Q3 2017, PGMI initiated eLearning services for RDH and for DDH and IDH for Q4 2017.

During Q4 2017, 26 eLearning sessions were provided to 309 participants as compared to seven sessions delivered to 63 participants in Q4 2016. KOGH offered 13 eLearning sessions to 163 participants, of which 42 were from DDH; 75 from IDH; and 46 from RDH. Sixty-five participants were trained from KOGH. PGMI did not offer any eLearning sessions in Q4 2017. Moreover, no courses were offered from FMIC to KOGH.

The graph below depicts the comparison from Q4 2016.

eLearning Participants

Note: *eLearning services did not exist in Q3 2016, hence a comparison is not available.

Khorog Oblast General Hospital conducts an eLearning session for nurses at the Roshan District Hospital.


 

Get in Touch

Aga Khan University Hospital,
Karachi, Pakistan

ehrc@akdn.org

(+92 21) 99244230