Network model formation to support the delivery of public health care services in rural areas of Peru Paola Sanoni September 2011
Dec 09, 2014
Network model formation to support the delivery of public health care services in rural
areas of Peru
Paola Sanoni
September 2011
Quick review
How can ICTs support the primary health attention
processes?
Áreas de aplicación de las tecnologías: Areas of application of ICT’s for health
(1) Processes of continuous formation of health system personnel.
Procesos de formación contínua del personal de salud
(2) Epidemiologic surveillance processes and procedures Sistema de vigilancia epidemiológica
(3) Attention to medical emergencies Atención de emergencias médicas
(4) Distribution of medical and complementary supplies to the health assistance locations.Distribución de medicamentos y requerimientos logísticos de los locales de atención de salud
Main processes in health attention where ICT’s can be
easily implemented
Procesos principales de atención de la salud en los cuales las
TIC’s pueden ser implementadas fácilmente
5 Basic procedures of intervention
(1) Reference and dereference of patientsReferencia y contra-referencia de pacientes
(2) Inmediate second consultation procedures Segunda consulta inmediata entre los establecimientos de menor a mayor rango
(3) Coordinación para el traslado de pacientesCoordination for transfer of patients
(4) Supplies and logistics controlControl de inventarios de material médico.
(5) Epidemiologic surveillance statistics and controlCoordinación estadística para control y vigilancia epidemiológico
How these projects are organized and funded?
Cómo se organizan estos proyectos y como se proveen los
fondos?
Organization of the project
1. Idea: What do we want to do?–--Project posing
2. Location: Where we can do?---Area of intervention
3. Executive partners: Who can help us?
4. Study of diagnosis vs. Idea----Participative diagnosis Pertinence: our ideas are accurate with the community needs
5. Budget/ Financial resouces: How much it cost--- $$$
6. Sustainability: Long-wind partners
Research QuestionWhat is the role of Universities, organizations
from civil society and local governments to support the sustainability of ICT projects for
delivery of health care services?
How the role of these social agents contribute to the sustainability of e-health systems to improve the delivery of health services?
Master Thesis Purpose
• The aim of this work is to present a Model of Organizational Networking as a critical factor in Telehealth projects for rural populations in developing countries through a case of study in the Amazonian region.
• The study aims to examine the characteristics, patterns, strengths, weaknesses and limitations within the network and on its relationship with the environment. It also pretends to explain how these actors can work together and how their dynamics may contribute positively or not towards the improvement on delivery of health care services
MethodologyI am conducting a qualitative research
methodology including: • participant observation in Napo network where
empirical data has been collected back in 2009; • a revision of maintenance documentation
materials (technical and audit reports, technical manuals);
• in-depth interviews to engineers, physicians, technical personnel, maintenance staff and representatives of local and regional governments updated 2011.
Theorethical frameworkFor the analytic study, I propose a Model for Organizational
Networking (MON) based on:
• Triple Helix Model (Etzkowitz & Leydesdorff 1997, 2002) modified and adapted to consider civil society participation, external aid and beneficiaries;
• The model for entrepreneurial Universities and technological transfer (Bercovitz & Feldman 2006)
• Model of Sustainability adapted by Batchelor and Norrish (2003) and a further model proposed by Sunden & Wicander 2006) in their theories about ICTs for developing countries in the rural context.
• The Sustainability Action Plan (SAP) tailored by Bebea in 2010 for the EHAS-Napo case.
Triple Helix model (Etzkowitz & Leydesdorff 1997, 2002)
University
Industry Government
Model for regional economies where the multiplication of resources promotes entrepreneurial universities to use the
incubator facilities to generate spin off enterprises
The model for entrepreneurial Universities (Bercovitz & Feldman 2006)
University environment
Transactions
Sponsored research, licenses, spin off firms, etc
Characteristics of the industry
Researcher/ Groups
I+D/R+d
Policy Environment
Legal Framework
Market needs
Market offers
Industry needs
Research needs
Environment: Technological
transfer
Resources
Model of Sustainability adapted by Batchelor and Norrish (2003)
Model of Sustainability adapted by Sunden & Wicander
2006
Sustainability Action Plan for The EHAS-Napo project.
Bebea 2010
Case of Study: Project EHAS-Napo
Brief explanation
• The main objective of EHAS-Napo project in Peru is to provide wireless connectivity services for primary health attention of rural populations.
• The project connects 18 health facilities in the Amazonia, from the Regional Hospital (RH) in Iquitos up until Cabo Pantoja in the north east frontier between Peru and Ecuador.
EHAS-Napo Project
Loreto Region
Province of Maynas
EHAS-Napo Network
EHAS-Napo Network
EHAS-Napo Network
Model of Organizational Networking (MON)
Thank you