Strengthening Health Systems through the application of Wireless Technology
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Presentación realizada por el Dr. Trishan Panch, de Harvard School of Public Health, el 20 de Septiembre en OPS Colombia, en el espacio de intercambio sobre e-health. El Dr. Panch, participa, con el auspicio de esta Representación, como conferencista en el IV Congreso Colombiano de Bioingeniería e Ingeniería Biomédica que se realizará en Barranquilla del 21 al 24 de septiembre del 2011.
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Strengthening Health Systems through the application of Wireless Technology
- 5. MIMIC II
- 13. eHealthpoints
- 18. Wellfra.me
- 19. Sana
- 27. Sana Technology
- 28. Sana Technology
- 38. Sana Colombia
- 41. Sana India
- 44. Sana India
- 54. Sana Greece
- 55. Health IT
Notas do Editor
- Sana was born with the goal of addressing these problems. It is a volunteer organization hosted by the Computer Science and Artificial Intelligence Laboratory at MIT and consists of doctors, informaticians, engineers, public health experts, business entrepreneurs and social scientists. We are brought together by a mission to improve quality of care in resource-poor settings using an open-source cellphone-based tele-health software.
- Sana was born with the goal of addressing these problems. It is a volunteer organization hosted by the Computer Science and Artificial Intelligence Laboratory at MIT and consists of doctors, informaticians, engineers, public health experts, business entrepreneurs and social scientists. We are brought together by a mission to improve quality of care in resource-poor settings using an open-source cellphone-based tele-health software.
- Sana was born with the goal of addressing these problems. It is a volunteer organization hosted by the Computer Science and Artificial Intelligence Laboratory at MIT and consists of doctors, informaticians, engineers, public health experts, business entrepreneurs and social scientists. We are brought together by a mission to improve quality of care in resource-poor settings using an open-source cellphone-based tele-health software.
- In summary, Sana uses an inter-disciplinary and collaborative model that enables (1.) technical innovation based on an open-source platform, (2.) business innovation based on models designed and tested with our partner organizations, and (3.) development of value-creating networks by building coalitions of local and international academic and provider organizations to pool resources and share best practice.
- Sana started as a product to address the problem of rural-urban divide in health care delivery, especially in resource-constrained settings. Doctors and specialists in these countries are scarce and often are only found in the cities. For people living in remote villages, travel to see these doctors and specialists might deprive them of a whole day’s income. As a result, diagnosis and treatment are often delayed and lead to worse outcomes and more costly care.
- Beyond this lies bigger systems problems. In these places, care provision is fragmented with health providers working independently. There is also a lack of process standardization, resulting in care that is very “ad hoc”. Finally, there exists a weak system for quality assurance and improvement.
- Our goal thus shifted from one that is technology-focused to one that is capacity-building. We help create and sustain collaborative ecosystems that incubate, implement and scale eHealth solutions. We advocate grassroot project support and accountability among our partners, and share with them what we learn at MIT and Harvard.
- The primary screening will be performed by health workers using the questionnaire hardcoded into the phones and visual inspection. Suspected cases are referred to the district dentist who validates the findings and obtains a photograph of the oral mucosa. The images are queued for review by the oral cancer specialists. Clinical impression is relayed to the health worker and the district dentist, and the patient with a suspicious lesion is scheduled to see the specialist, streamlining the referral process.
- In addition to data capture and transmission, the cellphone will also uploaded with an oral cancer prevention program. We believe that an education and targeted screening program will increase awareness of oral cancer risk factors among rural population.
- Thirty thousand patients have thus far been served in a pilot implementation and based on the success of this pilot, the National Rural Health Mission of the Indian Government has decided to fund and support adoption of the Sana cancer-screening program on a larger scale. Two hundred and fifty ASHA workers (government funded community health workers) will use Android phones enabled with Sana cancer screening algorithms to screen a population of about 1.5 million people over one year to detect early warning symptoms and signs of breast cancer and oral cancer. Screening will initially be focused on the Kolar district with plans to spread to the rest of Karnataka.
- MIT student Chris Moses conducting needs assessment.
- MIT student John Blakeney getting feedback about user experience.