2007

AKDN eHealth Programme commences

-Afghanistan
July

An eHealth connection between the French Medical Institute for Children (FMIC) in Afghanistan and the Aga Khan University Hospital, Karachi (AKUH, K) in Pakistan marks the start of the AKDN eHealth Programme, allowing doctors at FMIC to share CT scans, mammograms and x-rays with radiologists at AKUH, K for second opinion and diagnosis.

2008

Bamyan Provincial Hospital is connected to the French Medical Institute for Children for teleradiology services

-Afghanistan
October
2009

eHealth services initiate in Northern Pakistan

-Pakistan
December

The Aga Khan Health Service, Pakistan health centres in Aliabad, Gulmit, Gupis, Immit, Singal, Soust and Thoi are connected to the Gilgit Medical Centre for store-and-forward teleconsultations in various specialities.

2010

eLearning initiates in Afghanistan

-Afghanistan
April

The French Medical Institute for Children begins broadcasting eLearning courses to health care providers at Bamyan Provincial Hospital. eLearning builds professional capacity and reduces isolation, often created by living and working in remote areas.

Telepathology services initiate between Bamyan Provincial Hospital and the French Medical Institute for Children

-Afghanistan
June

Responding in a crisis situation

-Pakistan
July

In the wake of the landslide at Attabad, Hunza, that resulted in casualties and displaced many, teleconsultations in Psychiatry are offered from Ayub Medical College, Abbottabad to Karimabad Health Centre, Hunza, to provide disaster management assistance to affectees. AKDN eHRC provides the eHealth platform needed to conduct the teleconsultations.

First live teleconsultation in Afghanistan

-Afghanistan
December

Video conferencing technology connects patients at Bamyan Provincial Hospital in real-time to specialists at the French Medical Institute for Children for timely diagnosis and treatment.

2011

eHealth connection established between Faizabad and Kabul

-Afghanistan
March

Faizabad Provincial Hospital is connected to the French Medical Institute for Children for live and store-and-forward teleconsultations. eLearning services initiate later as well. By December 2015, over 5000 teleconsultations have been provided. And over 1000 health care providers have been trained through eLearning sessions.

The AKDN eHealth Resource Centre is established to act as a hub for all AKDN eHealth activities

-Pakistan
July

Over the next four years, AKDN eHRC would go on to become an indispensible resource, helping to expand the AKDN eHealth Programme across South and Central Asia and East Africa and connecting multiple sites for eHealth services.

2012

Tajikistan is added to the eHealth network

-Afghanistan
October

Efforts to create an integrated eHealth network in South and Central Asia result in Khorog Oblast General Hospital (KOGH) in Tajikistan being connected to the French Medical Institute for Children in Afghanistan. Patients coming to KOGH for live teleconsultations save 41 hours of travel time otherwise spent travelling to the next nearest facility for the same service.

2013

eHealth activities in East Africa

-Tanzania
March

AKDN eHRC provides technical assistance to the Ministry of Health and Social Welfare, Tanzania and Aga Khan Health Service, Tanzania, with implementing eHealth activities under the Joining Hands Initiative. The programme focuses on improving maternal, newborn and child health services in five target regions in Tanzania.

Mirwais Regional Hospital is connected to the French Medical Institute for Children for eLearning sessions

-Afghanistan
June

Mirwais Regional Hospital becomes the first government-owned facility in Central Asia to be connected to the AKDN eHealth network.

The programme in Tajikistan expands as Khorog Oblast General Hospital is connected to National Medical Centre for live teleconsultations

-Tajikistan
September

Mirwais Regional Hospital becomes the first government-owned facility in Central Asia to be connected to the AKDN eHealth network.

Cross-border connections

-Afghanistan
November

Bashore, Ishkashim and Nusai Comprehensive Health Centres are connected to Khorog Oblast General Hospital in Tajikistan and to Faizabad Provincial Hospital in Afghanistan for live teleconsultations.

2014

AKDN eHRC develops VirtualDoc

-Pakistan
February

The online portal manages physician-patient and physician-physician teleconsultations, and allows physicians to record, access and analyze patient data with utmost privacy and confidentiality. Modules are also developed for cancer (breast, cervical, oral and prostate) screening and cataract surgery.

BBC covers the AKDN eHealth Programme in Afghanistan in its programme, ‘Click’

-Afghanistan
March

BBC Persian Network’s "Medical Development in Afghanistan" highlights how communities in Afghanistan are benefitting from the AKDN eHealth Programme.

AKDN eHRC hosts first capacity building workshop for regional eHealth coordinators

-Pakistan
March

Participants from Afghanistan, Pakistan and Tajikistan are trained on the use of innovative eHealth technologies to provide quality health care services to patients in remote communities.

First live teleconsultation in Pakistan

-Pakistan
April

The eHealth Programme responds to a need for Psychiatry services from communities in Gilgit-Baltistan and connects Gilgit Medical Centre to the Aga Khan University Hospital, Karachi for live teleconsultations in Psychiatry. This connection would later go on to provide teledermatology consultations as well.

Teleradiology services commence in Tajikistan

-Tajikistan
May

Khorog Oblast General Hospital refers teleradiology cases to the National Medical Centre and later to the Aga Khan Health Board, USA, so radiologists at the two sites can provide second opinion and diagnosis on complicated cases.

Aga Khan Health Service, Tajikistan initiates breast cancer screening programme in Khorog

-Tajikistan
August

The programme focuses on screening target population, collecting clinical and demographic data to better understand the prevalence of breast cancer; training local health care providers on breast cancer care; and promoting on-going women’s health programmes for the early detection and treatment of breast cancer. The Aga Khan Health Board, USA provides clinical and technical support, sending volunteers from USA. AKDN eHRC assists with patient registration and case management through VirtualDoc.

AKDN eHRC establishes Innovation Lab

-Pakistan
September

Engineers and developers at AKDN eHRC conduct cutting-edge research to ideate, design, develop and test high-impact, cost-effective innovative devices that respond to health care delivery challenges in low-resource settings.

Cancer screening camps in East Africa collect data using VirtualDoc

-Kenya & Tanzania
October

A community-wide Breast Cancer Screening Camp is organised in Mombasa, Kenya in October, and another one in Dar es Salaam, Tanzania in November. Both projects use the breast cancer screening module of the VirtualDoc platform developed by AKDN eHRC for patient registration and case management. These activities are a collaborative effort between Aga Khan Hospital, Mombasa; Aga Khan University Hospital, Nairobi; Aga Khan Hospital, Dar es Salaam; the Ismaili Health Professional Association, USA; AKDN eHRC; and countless volunteers and health care professionals, among others.

Live telepsychiatry services initiate at the Aga Khan Booni Medical Centre, connecting patients in Chitral to specialists at the Aga Khan University Hospital, Karachi

-Pakistan
November

A community-wide Breast Cancer Screening Camp is organised in Mombasa, Kenya in October, and another one in Dar es Salaam, Tanzania in November. Both projects use the breast cancer screening module of the VirtualDoc platform developed by AKDN eHRC for patient registration and case management. These activities are a collaborative effort between Aga Khan Hospital, Mombasa; Aga Khan University Hospital, Nairobi; Aga Khan Hospital, Dar es Salaam; the Ismaili Health Professional Association, USA; AKDN eHRC; and countless volunteers and health care professionals, among others.

The AKDN eHealth Programme wins Manthan Award for eHealth

December

The award recognises the best use of Information and Communication Technologies and digital tools to create holistic and comprehensive impact on people in South Asia and Asia Pacific.

2015

AKDN eHRC offers second eHealth workshop to regional eHealth coordinators

-Pakistan
February

Participants receive advanced training on managing ICT related issues during eHealth service delivery; monitoring and evaluating eHealth activities; and effectively communicating eHealth progress to stakeholders.

AKDN eHRC develops online course in eHealth

March

The certificate course is designed to help health professionals understand eHealth concepts, address challenges around eHealth service delivery and implement effective eHealth programmes in low- and-middle income countries. The course has opened to a global audience in 2016. Learn more and apply at: courses.akdnehrc.com

eLearning initiates in Pakistan

-Pakistan
April

Health care providers at Aga Khan Booni Medical Centre, Gilgit Medical Centre and Singal Medical Centre receive eLearning sessions from the Aga Khan University. Participants no longer have to travel long distances and spend time and money to avail professional development services.

Live teleconsultations initiate between French Medical Institute for Children and Aga Khan University Hospital, Karachi

-Afghanistan
April

Patients at the French Medical Institute for Children benefit from live teleconsultations in ENT and Adult and Paediatric Neurology. This connection between the two sites was the eHealth Programme’s first, established in 2007 for teleradiology services.

AKDN eHRC promotes the eHealth Programme at the GCC Healthcare Innovation Congress in Dubai

May

Live teleconsultations in Dermatology initiate at Gilgit Medical Centre

-Pakistan
October

This is the second speciality offered from the Aga Khan University Hospital, Karachi to patients at Gilgit after telepsychiatry was introduced in 2014.

Kyrgyz Republic becomes latest country to be added to the AKDN eHealth network

-Kyrgyz Republic
November

The Republican Children’s Clinical Hospital in Bishkek is connected to the Naryn Oblast Hospital for live teleconsultations in Paediatrics and to the Naryn Oblast Family Medicine Centre in Naryn for eLearning services in Family Medicine. This development marks the first time purely government-owned and managed facilities have been connected under the Programme.

8 Year Progress

December
2016

The AKDN eHealth Programme in Afghanistan receives coverage in BBC's Voice of America show, Karwan.

-Afghanistan
February

Karwan features interviews of doctors and patients at French Medical Institute for Children (FMIC) and Faizabad Provincial Hospital. It also covers eLearning sessions delivered from FMIC to health care professionals at Mirwais Regional Hospital, Kandahar.

AKDN eHRC Presents at the World Development Report 2016

-Canada
March

Saleem Sayani, Director, AKDN eHRC, speaks about AKDN’s role in leveraging technology to provide improved access to health care services and help build capacity of health care providers in low-resource settings at the global launch event of the World Development Report 2016. The event is co-hosted by Aga Khan Foundation Canada, the International Development Research Centre and Global Affairs Canada.

The World Health Organization (WHO) covers the AKDN eHealth Programme in its report, From innovation to implementation – eHealth in the WHO European Region (2016).

March

The AKDN eHealth Programme receives media coverage in the WHO report, From innovation to implementation – eHealth in the WHO European Region (2016). The Programme is featured as a case study in the eLearning in Health section.

The eHealth network in Tajikistan grew with the addition of a new hub site, Dushanbe Medical and Diagnostic Centre.

-Tajikistan
March

The Dushanbe Medical and Diagnostic Centre is added as a hub site, offering teleconsultation services for patients and eLearning services for physicians at the Khorog Oblast General Hospital.

Post Graduate Medical Institute is added as a new site to the Tajikistan network.

-Tajikistan
March

Post Graduate Medical Institute is added to the AKDN eHealth Programme network in Tajikistan and initiates eLearning services for health care professionals at the Khorog Oblast General Hospital.

AKDN eHRC opens up its Online Course in eHealth to a global audience.

April

After being launched as a pilot to AKDN personnel in 2015, AKDN eHRC's Online Course in eHealth opens up to the global audience. The course was developed with an aim to help build the eHealth capacity of health care professionals around the globe.

AKDN eHRC conducts meetings for expansion and sustainability in Tajikistan.

-Tajikistan
April

In an effort to expand and sustain the eHealth Programme in Tajikistan, AKDN eHRC holds meetings with various stakeholders and conducts awareness sessions in communities in Tajikistan.

eLearning courses initiate for the eLearning impact evaluation study conducted under the Central Asia Health Systems Strengthening project.

-Afghanistan, Tajikistan
April

Under the on-going Central Asia Health Systems Strengthening eLearning research project, eLearning sessions on Maternal, Neonatal and Child Health topics initiate for health care professionals. Courses are offered from the Aga Khan School of Nursing and Midwifery in Karachi, Pakistan to the Bamyan and Faizabad provincial hospitals and Mirwais Regional Hospital, Kandahar in Afghanistan and to the Khorog Oblast General Hospital in Tajikistan.

Live teleconsultation services initiate at health centres in Gilgit-Baltistan and Chitral.

-Pakistan
April

In addition to store-and-forward teleconsultation services, live teleconsultation services initiate between Chatorkhand Health Centre and Singal Medical Centre and between Aga Khan Family Health Centre, Soust and Aliabad Extended Family Medicine Centre in Gilgit-Baltistan and Chitral. Patients coming to the Chatorkhand and Soust health centres are able to benefit from live teleconsultation services.

Teeko receives coverage in BBC Urdu.

-Pakistan
May

Teeko, an mHealth app developed to boost routine immunization coverage and improve vaccinator tracking, was covered by BBC Urdu in an article and video.

The French Medical Institute for Children achieves a milestone of 20,000 teleconsultations.

-Afghanistan
June

The AKDN eHealth Programme at the French Medical Institute for Children (FMIC) achieves a milestone of 20,000 teleconsultations. The programme at FMIC initiated in 2007, when the FMIC was connected to the Aga Khan University Hospital in Karachi for teleradiology services.

AKDN eHRC presents Teeko at the 28th International Congress of Pediatrics.

-Canada
August

Saleem Sayani, Director, AKDN eHRC, presents Teeko at the 28th International Congress of Pediatrics in Canada. The conference theme for 2016 was ‘Community, Diversity, Vitality’.

AKDN eHRC presents at the 10th Health Sciences Research Assembly 2016.

-Pakistan
August

Researchers from AKDN eHRC present oral and poster presentations at the 10th Health Sciences Research Assembly 2016 held at the Aga Khan University (AKU), Karachi. The conference offered researchers an opportunity to disseminate and promote research-related work within the AKU community.

AKDN eHRC meets with government officials to discuss scaling up the mobile app, Teeko.

-Pakistan
August

AKDN eHRC meets with Dr Sikandar Mandharo, Sindh Health Minister and with other government health officials to discuss scaling up Teeko, the mobile app developed by AKDN eHRC for a research project conducted by the Aga Khan University and the Sindh government’s Expanded Programme on Immunization and funded by Gavi, the Vaccine Alliance. .

Live teleconsultations initiate at Garam Chashma Tehsil Headquarter Hospital.

-Pakistan
September

Live teleconsultations initiate at the Garam Chashma Tehsil Headquarter Hospital. The health care facility began offering patients access to psychiatrists at the Aga Khan Medical Centre, Gilgit.

New specialties for live teleconsultations are offered to patients in Naryn.

-Kyrgyz Republic
October

Under the AKDN eHealth Programme, the National Centre for Maternity and Childhood Care also initiates live teleconsultations in Obs/Gyn and Audiology to the Naryn Oblast Merged Hospital. Moreover, Geneva University Hospitals, Switzerland in collaboration with AKDN eHRC, begins offering live teleconsultations in Angiology and Cardiology to patients at the Naryn Oblast Merged Hospital. AKDN eHRC is collaborating with the hospital to provide comprehensive eHealth services to patients in Naryn.

AKDN eHRC visits Kyrgyz Republic to discuss the expansion and sustainability of the AKDN eHealth Programme in Kyrgyz Republic.

-Kyrgyz Republic
October

AKDN eHRC visited Kyrgyz Republic to provide trainings and meet with officials to discuss progress, expansion and sustainability of eHealth activities in the country. This would eventually pave way for expansion into telesurgery services.

AKDN eHRC presents at the ITU Regional Development Forum for Commonwealth Independent States and Georgia.

-Kyrgyz Republic
November

AKDN eHRC and the Aga Khan Foundation, Kyrgyz Republic present the AKDN eHealth Programme at the ITU Regional Development Forum for Commonwealth Independent States and Georgia. The presentation focused on eHealth initiatives specifically in Kyrgyz Republic and Tajikistan. The theme of the forum was ‘ICT for Sustainable Development.’

AKDN eHRC conducts trainings and assessment activities in Afghanistan.

-Afghanistan
November

AKDN eHRC visits the French Medical Institute for Children (FMIC) and the Bamyan Provincial Hospital in Afghanistan to conduct trainings and assessment activities. At FMIC, a refresher training on eHealth is provided to 30 physicians and eHealth staff. The team also visits seven teleconsultation clinics, inspects eHealth equipment and obtains feedback on eHealth operations.

The Aga Khan Development Network’s eLearning Programme is featured in WHO’s 3rd global eHealth survey.

December

The Aga Khan Development Network’s eLearning Programme in Afghanistan and Pakistan receives coverage in the World Health Organization’s 3rd global survey on eHealth, Global diffusion of eHealth: Making universal health coverage achievable.

Teeko is exhibited at the 2nd All Pakistan DICE Health Innovation Exhibition 2016 in Karachi, Pakistan.

-Pakistan
December

Team members from the Aga Khan University and AKDN eHRC participated in the 2nd All Pakistan DICE Health Innovation Exhibition to promote Teeko, a mobile application and web portal developed to assist with vaccinator and immunisation tracking and monitoring.

AKDN eHRC presents the Teeko at the Connected Health Conference in Washington D.C.

-USA
December

Saleem Sayani, Director, AKDN eHRC attended the Connected Health Conference in Washington D.C., USA to present Teeko, a mobile application and web portal developed for a research project implemented by the Aga Khan University and the Expanded Programme on Immunization and funded by Gavi, the Vaccine Alliance.

AKDN eHRC conducts a Rapid eHealth Needs Assessment at the National Surgery Centre in Naryn.

-Kyrgyz Republic
December

A Rapid eHealth Needs Assessment is conducted at the National Surgery Centre. This would eventually lead to the expansion into telesurgery services.

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