Healers Abroad Americans Responding to the Human Resource Crisis in HIV/AIDS (2005) / Chapter Skim
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Appendix F ICT Considerations to Support PEPFAR Activities
Appendix F ICT Considerations to Support PEPFAR Activities
Pages 214-224
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Health professionals not only can read many of the latest medical journals on-line, but they can also communicate directly with other professionals from anywhere in the world (Storey, 1999)
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APPENDIX F 215 Important Key Points to Consider: 1. Communication, not technology, should be the central concern.
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A U.S. Peace Corps project in Gambia found the process of ensuring sustainability was "more difficult and time consuming than bringing in the actual hardware." The lesson learned was that development "is done by building the human resource base, and ensuring that the community feels included every step of the way" (Chetley, 2001; Soh, 2001)
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APPENDIX F 217 gies around the Internet and to channel development assistance largely toward facilitating access to it. But cutting-edge applications are not always what people need most.
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218 HEALERS ABROAD most of the African countries) or wireless links, such as satellite, radio links, or Wi-Fi.
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It also helps to reduce the isolation of researchers and professionals working in the field by enabling them to be in constant contact with other professionals and exchange information and results faster. Judicious ICT implementation allows for swift data processing and assures that valuable and accurate information will be available to health professionals, so that they can make critical decisions in a timely fashion, especially those related to serious adverse events (Lima et al., 2004)
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. Stand Alone Databases · The Brazilian public health system currently delivers antiretroviral treatment to more than 148,000 patients -- by far the largest group in the developing world.
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APPENDIX F 221 called SIDATRAT that registers general patient data, clinical data, opportunistic infections, staging, viral load and CD4 cell count, treatment, side effects, drug resistance, and drug adherence. It includes the more than 5,000 people diagnosed with HIV in Cuba since 1986.
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" (Lima et al., 2000) to take into account the needs of the Brazilian Network of Public Health Laboratories, which carries out CD4+/CD8+ count and viral load exams in 94 health centers throughout the country.
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APPENDIX F 223 measures are taken due to the sensitive nature of the data and to ensure confidentiality of trial participants. More information about IAVI's work can be seen at www.iavi.org.
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. SISCEL: A Nationwide System for Managing CD4 and Viral Load Exams in the Brazilian Network of Public Health Labo ratories.
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