THE TELE-HEALTH REVOLUTION

Medical

I.C.T.

Construction

Incompetence? Negligence? or Un-professional?

ICT Adoption Trends

21.6 million internet users ~53.3% internet penetration (March 2014)

31.8million mobile phone subscribers~78.1% Drop in SMS use- adoption of more internet

instant messaging

Increase in social media consulting and information exchange

41% of medical professionals use mobile phones to seek information for clinical purposes

Source: CAK Statistics 2014, Utilization of ICTs for Accessing Health Information by Medical Professionals in Kenya: A Case Study of Kenyatta National Hospital -Journal of Health Informatics in Developing Countries, Dr. George M. Gatero

CPD in Healthcare -Trends

Common practice across all cadres i.e. physicians, dentists, nurses, clinical officers, pharmacists, medical lab techs

Includes both formal/structured and also informal & self directed.

Often regulated and accredited by their respective regulatory bodies (awards CPD points for monitoring).

One of the main factors considered during practice license renewal

Each respective regulatory body have their own CPD guidelines

Sources of Medical Information

Professional colleagues: consultation from colleagues and other medical specialists

Pharmaceutical representatives: research as relates to drugs.

Textbooks and journals: Pocket handbooks are common especially by registrars and interns e.g. BNF

Internet and e-journals: Internet and e-journals also serve as important sources of information for medical doctors.

- Medical meetings: valuable source of general medical information.

Source: Utilization of ICTs for Accessing Health Information by Medical Professionals in Kenya: A Case Study of Kenyatta National Hospital -Journal of Health Informatics in Developing Countries, Dr. George M. Gatero ,2010

HCP Distribution in Kenya (Doctors)

Uneven distribution of doctors in the former 8 provinces:

32% Nairobi (hosts only 8% of the national population),

18% - R.Valley, 14% -Central, 11% - Eastern, 9% - Nyanza, 8% - Coast, 6% - Western, 2% - North Eastern (hosts 6% of the national

population) 78.7% of Kenyans living in rural areas have access to

less than 21.3% of doctors. (AFHWO-HRH MoH IPPD Date 2009)

Ratio of Doctors to population served in Kenya(2013):21:100,000 ~ Approx.1: 4762 (WHO standard - 1:600)

KMA Daktari Online

e-learning platform for healthcare workers and the public in general on health issues.

Medical Practitioners and Dentists’ Board (MPDB) requirement for CPD of Medical doctors.

Legal prerequisite for retention in the MPDB register.

Background

Health workers are fundamental to ensuring equitable access to health services and achieving universal health coverage.

Kenya continues to experience a severe health workforce shortage resulting from lack of adequate training and migration (brain drain).

Background

57 countries face critical health workforce shortages

WHO estimates that 2.4 million healthcare workers are needed to meet the Millennium Development Goals(MGDs) set for 2015.

Background

57 countries face critical health workforce shortages

WHO estimates that 2.4 million healthcare workers are needed to meet the Millennium Development Goals(MGDs) set for 2015.

e-Learning

eLearning is used increasingly in health care to support the delivery of learning in outcome-based education.

Broadly speaking, eLearning is considered to be the application and integration of educational technology to the learning process.

eLearning approach is defined as learning with no face-to-face component that relies entirely on the use of eLearning technology and techniques for its delivery

Why Doctors Seek Information?

Backing up prescribing decision (drug administration & effects)

Support the roles and tasks related to teaching and research activities

Maintain their competence throughout their career

To meet the legal requirement for continuous licensing. To improve the management of patients

Provide better patient care service and keep up-to-date with the current trends in medicine

Effective diagnosis hence treatment

Limitations to Information Access

Lack of resource centers and hospital libraries

Lack/few of computers and internet facilities within workplaces

Relevance of internet information to the local context

Lack of local medical reference works in libraries

Lack of general awareness of available information

High costs of subscriptions to journals

Accessibility of information from locations outside the hospitals vis-a-vis their schedule of work

Objectives of Daktari Online

The main objective of Daktari Online is to fill the gap of the lack of a reliable and accessible Continuous Professional Development (CPD) tool within the medical fraternity.

Provide a platform for online consultation, reference and publishing of local research/cases

Provide a reliable, localized public online medical education platform

Capacity building of health workers to ensure improved quality of care to the public.

Daktari Online Services

Daktari Online (Public)

First Aid

Symptoms Checker/Drug Interaction

Disease Management

Patient Rights

Healthcare Facilities & Centers

Medical Financing Services

Medical Specialists Directory

Daktari Online Pro (HCPs)

CPD/CMEs

References

Publications

Events

Training

Awareness Campaign

Help improve understanding of medical conditions, diagnosis, disease, or disability.

Help improve understanding of methods and means to manage multiple aspects of medical condition.

Motivation to comply through effective communication and patient education

Patient Outcomes – Patients more likely to respond well to their treatment plan – fewer complications.

Daktari Online (Public)

Daktari Online (Public)

Help patients make informed Consent by providing the information they need.

Utilization – More effective use of medical services – fewer unnecessary phone calls and visits.

Satisfaction and referrals – Patients more likely to stay with your practice and refer other patients.

Risk Management – Lower risk of malpractice when patients have realistic expectations

Quality of Content

KMA CPD, Ethics and research committee

Daktari Online editorial board

Accreditation by the MPDB and other regulatory bodies

Platform development backed up with

over 3 years of research of Medical Education in Kenya

Our partnership with Kenya Medical Association with a membership of over 2000 doctors countrywide

Platform for doctors piloted for the 12 months

Daktari Online Status

Daktari Online Status

Over 1000 registered doctors from over 41 different counties representing over 48 different healthcare institutions

Accredited online platform by the medical board to offer online CPD activities

2.5million hits in December 2014 i.e. 71063 hits by day

Daktari Online Status

Opportunities For Partnership

Platform for sharing of CMES from different CME providers

Implementation of similar CPD program other HCP cadres

Content research and development for the Daktari Online wellness platform for the general public

Publishing opportunity with available peer review

Target HCW Categories

Daktari Online Pro (HCP)

Physicians (6000)

Dentists (700)

Nurses (65,000)

Clinical Officers (8600)

Pharmacists (2000)

Medical Lab Technologists

Paramedics

Homepage - Physicians

Post CME- Quiz

CME in PiP

Event Publications