Hello Mauri Niemi, at the moment i sample all this information to forward it to the WHO contact persons and to put it to the United Nations ITC task force. The last meeting in Berlin was about to build up fonds and to clear the finance situation. Your problem of satellite communication was recognized in inside the workshops. But no one there is realy interested for healthcare directly. I told this in an earlier mail, that i construct the next Care2x Knoppix cd with including some ideas for internet telephone.
The OTRS ticket system Elpidio integrated into care2x for me in a early stage of developement was put out to be integrated by his plugin concept again. The first version of the Care2x Knoppix was only a proof of concept for a demo. To forward it needs specialists and help, because it can be not done allone. Anyways. Since month i integrated in CARE2x.de a consultancies and References section. Everyone is allowed to describe their projekt there, but anyone also can describe the partial problems the have. So at least i hope to come at a later point to a summary. Important for me and others is that there is a complete contact adress including phone line... this is neccessary to verify the input there. I am happy that Elpidio integrate it slowly in the news section. My problem is if i forward your quite helpful mail to the UN ITC or WHO, 2 days later another will come with also a good input. The people inside the organisations get bored if they everytime get small parts of info by mail. As CARE2x.de is not integrate in the major information of care2x network by some concerns from Elpidio it gives me and others to try a little different way of input to the project. I am shure, that all is integrated back at a later point, but i think this point is not come now. There is also the possibility that if i and this way fails it can damage the whole project. This is not my interest! I am shure at a later point we come together again. My sugestion is to register at care2x.de, give a reference and to give information of the consultancies. You are free to change or delete content. So a review is much more easy and can be put into organisations like the UN-ICT task force. Recognize that there are not much meetings for the world summit. What is not noticed there can not to be integrated. Regards Wilfried > In developing countries (developed also but there it may be easier) the HIS > systems stand or fall on how we organize the support to users. > In our project in East Africa the only reliable way to communicate district > hospitals is via satellite in most cases. I do not think our users are able > to solve many problems themselves, nor with the help of email or advice by > phone. Phonelines are not reliable enough to make remote administration > possible. > All internet connections in this area are through satellite (until we get the > sea cable) and even after it most district hospital will get it through > satellite. There are VSAT stations in most bigger towns, but most of our > hospitals are not in bigger towns. We got funding to install expencive C-band > hardware for our hospitals. The iDirect system we are using is giving good > bandwidth control per site (minimum up and down guaranteed and flexible to > change when needed) even though most hospitals are buying bandwidth > comparable to phoneline. The hospitals share the common pool and can burst to > free band from others. Also the same system gives priority to voice when used > to quarantee quality. > The system will give enough reliable bandwidth for remote administration and > using Skype with voice and chat (to clarify things) will give good > possibilities for support. We have also local staff who will be installing > and training the staff during implementation. They can go to the site also > later if remot help is not enough. > Mauri Niemi >> So I talked to the ICT task >> > force chairman, a WHO IT Manager and several other people about >> > open-source software and healthcare. Generally there is a demand in >> > that, but it is not only the software that matters for most people but >> > the support, which in that case not only means to support online or via >> > mailinglist, but real support by phone or by actually be at the >> > hospital. Whether to use open-source software in this area is not >> > basically a question about money, but really about the support as >> > outlined above. So perhaps the project should consider to address this >> > problem. > MD, Information Officer > ELCT Helth > DepartmentHW�j)b��h��+y��N�L��v�-�y�v'z�\jwbv����,�xn���v� !3�ۜ���j�j[�z���(����'!�� ��l����X�z�m��^�*^J֫���v)���!�����v�-��z+fjv�z�#���jW(�����g^��h��왨��x%��Bj���M�z������X���(�� ~��zw���i����l���q���z���l�X��)ߣ�����g^��h���
