Health Telematics (AIM) Final Report
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Updated: Feb 1, 97 

EPIAIM

Health, Epidemiology and Telematics European Co-operation with Latin America and Africa In Collaboration with WHO

Total costs: 50 KECU
Contract No:  45328
EC contribution:  50 KECU
No of partners:  10
No of countries:  9
Duration:  12 months
Contact:
Prof. Jeffrey Levett
President, Athens School of Public Health
196 Alexandras Av.,
GR-11521 Athens, Greece
Tel.: +30-1-643.39.80 / 364.25.78
Fax: +30-1-644.42.60 / 646.06.58

Overview

The EpiAim study objective was to explore prospects concerning the health sector and the use of telematics technologies, in Africa and Latin America. The knowledge resulting from the action contributed to achieve a better European understanding of prevailing situations and trends, an open up opportunities for further co-operation between the European Union and those regions. The study was carried out in collaboration with the World Health Organization.

Background, goals and objectives

The first experiences concerning co-operation with the developing world were initiated in 1992 by the participation of AIM representatives to the Ministerial World Conference on Malaria held in Amsterdam, and by encouraging the WHO MANTEAU project incepted at that time. This initiative provides a framework for the diffusion of knowledge and the gathering of epidemiological information, with respect to malaria and other tropical diseases, with the help of telematics and multimedia.

In March 1993 a joint AIM-WHO workshop on Telematics in Malaria and other Tropical Diseases, was held in Brussels, in support of MANTEAU, enabling an open exchange of information with organisations such as: UN Development Fund (UNDP), Tulane University (USA), Liverpool School of Tropical Medicine (UK), Institute Française de Recherche Scientifique pour le Dévelopment en Cooperation (ORSTOM), University of Bangkok (Thailand), Inter-country School of Public Health in Central Africa (CIESPAC, Congo), etc. Other Commission services were also represented: DG VIII (Development Policies), and DG XII (Scientific and Technical Co-operation with Developing Countries).

The EpiAim study acted as a "bridge" from previous initiatives leading towards more comprehensive international co-operation, by tackling three main objectives and activity tracks:

Objective 1
Track A
  •  
  • produce an "instant picture" or blueprint of the health conditions in both regions, using main epidemiological indicators.
    Objective 2
    Track B
  •  
  • depict a methodology to study the diffusion and utilisation of health telematics in the two regions (identification of health sector key players, industry and service providers, inventory of information sources, etc.).
    Objective 3
    Track C
  •  
  • provide key case-studies from both regions, as examples of the sort of prospects these countries are witnessing or anticipating.

    The study was co-ordinated by Prof. Jeffrey Levett, former president of the Association of Schools of Public Health in the European Region (ASPHER), and President of the Athens School of Public Health (Greece). Main contributions came from the expert-rapporteurs, that in each of the two regions carried out the elaboration and investigation of their respective realities. For Africa contributions came from Dr. Patrick Kadama, Head of the Health Planning Unit in the Ministry of Health of Uganda, and from Dr. Peter F. Beales, Division of Tropical Diseases, WHO. For Latin America the contribution came from Prof. Enrique Mazzáfero, Director of the School of Public Health of the University of Buenos Aires, Argentina, and former consultant to WHO. The study leader and the expert-rapporteurs were assisted by an ad-hoc Advisory Board, who's chairmanship was assumed by the Director/Advisor for Informatics of the World Health Organisation (Geneva), Dr. Salah Mandil. Other relevant experts and organisations were represented in this board (see list). The role of the Advisory Board was to inform the study on current activities in both regions, and contribute with their highly qualified technical and political, and/or policy viewpoints.

    Results

    The project encompassed two main events:

    1. Experts meeting. Brussels, 30-31 May 1994
    2. International Workshop on "Health telematics and the global information society: can Europe and developing countries work together?", Lisbon 5-6 December 1994.

    Latin American Case Studies analysed:

    African Case Studies analysed:

    Work carried out by the study team and many groups and contacts that joined forces led to the creation of new links of awareness and cooperation with fruitful results in setting up novel projects and networks (ETHIC/THIN consortium, INCO-DC ELCANO and INFOPHARMA projects, support to INDEHELA initiative, etc).

    The main conclusion is that Latin America and Africa have a great need to use telematics to improve their access to information on health, to support the duties of health workers, and to better mange their scarce resources, and that Europe should play an active role in supporting a transfer of appropriate technologies to help the developing countries join the information society.

    List of Deliverables

    List of Participants

    Prof. Jeffrey Levett
    President, Athens School of Public Health
    196 Alexandras Av.
    GR-11521 Athens, Greece
    Tel.: +30-1-643.39.80
    Fax: +30-1-644.42.60
    Prof. Enrique V. Mazzafero
    Chair, Dep. of Public Health
    University of Buenos Aires
    Juncal 2340 7B, Capital Federal
    Buenos Aires, Argentina
    Tel.: +54-1-961.94.56 / 826.46.16
    Fax: +54-1-313.90.94
    E-mail: postmaster@casapu.anmat.sld.ar
    Dr. Patrick Y. Kadama
    Head, Health Planning Unit
    Ministry of Health
    PO Box 8, Entebbe, Uganda
    Tel.: +256-42-204.90
    Fax: +256-42-209.96
    E-mail: moh@mukla.gn.apc.org
    Prof. Julian Hilton
    BIT Co-ordinator/TELOS Consulting
    Suite 38, Beaufort Court
    Admiral's Way, Waterside
    London E14 9SN, U.K.
    Tel.: +44-71-987.17.73
    Fax: +44-71-537.90.22
    Dr. Salah Mandil
    Director/Advisor for Informatics
    World Health Organisation
    CH-1211 Geneva 27, Switzerland
    Tel.: +41-22-791.24.26
    Fax: +41-22-791.07.46
    Dr. Julio Moreno
    Macarena University Hospital
    SAS (Andalusian Health Service)
    Av. Dr. Fedriani 3
    E-41007 Sevilla, Spain
    Tel.: +34-5-455.73.84
    Fax: +34-5-455.73.47
    Dr. Peter F. Beales
    Div. Control Trop. Diseases
    WHO - The MANTEAU Initiative
    CH-1211 Geneva 27, Switzerland
    Tel.: +41-22-791.38.28 / 29
    Fax: +41-22-791.07.46
    Mr. Pascal Renaud
    ORSTOM, Institut Français de Recherche Scientifique pour le Développement en Coopération
    Mission Informatique
    213 rue de La Fayette
    F-75010, Paris, France
    Tel.: +33-1-48.03.77.77 / 76.09 / 75.67
    Fax: +33-1-48.03.08.29 / 79.07
    E-mail: renaud@orstom.fr
    Prof. Teodoro Briz
    National School of Public Health
    Av. Padre Cruz, 1699 Lisbon Cedex
    P-Lisbon, Portugal
    Tel.: +351-1-757.55.99
    Fax: +351-1-758 27.54
    Prof. Otto Rienhoff
    IMIA President
    Georg-August-Universität Göttingen
    Zentrum Interdisziplinäre Einrichtungen
    des Fachbereichs Medizin
    Medizinische Informatik
    Robert-Koch-Str. 40
    D-37075 Göttingen, Germany
    Tel.: +49-551-39.34.32
    Fax: +49-551-39.82.34
    E-mail: haegar@mdv.gwdg.de

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