Telehealth in the Amazon Region in Latin America: an Overview

  • Alaneir Fatima Santos MD, Professor, Coordinator of Telehealth Center. Medical School of the Federal University of Minas Gerais, Brazil
  • Claudio Souza Souza MD, Professor, Coordinator of Telehealth Center. Medical School of the Federal University of Minas Gerais, Brazil
  • Monica Pena Abreu Occupational therapist. Member of Telehealth Center. Medical School of the Federal University of Minas Gerais, Brazil.
  • Cleinaldo Almeida Costa MD, Professor, Coordinator of Telehealth Center, Dean of the Amazon State University (UEA).
  • Maria do Carmo Barros Melo MD. Professor. Telehealth Center of Medicine School of Federal University of Minas Gerais, Brazil
  • Rosalia Morais Torres MD, Professor, Member of Telehealth Center. Medical School of the Federal University of Minas Gerais, Brazil
  • Aline Costa Pereira Nurse. Member of Telehealth Center. Medical School of the Federal University of Minas Gerais, Brazil
  • Neuslene Rievrs Queiroz Member of Telehealth Center. Medical School of the Federal University of Minas Gerais, Brazil
  • Humberto José Alves Member of Telehealth Center. Medical School of the Federal University of Minas Gerais, Brazil
Keywords: Telemedicine, Amazonian Ecosystem, Public Health Policy, Blackwater fever.

Abstract

Purpose: This paper describes the current status of telehealth in the Latin American Amazon and displays the result of a distance course on malaria, focused on physicians and healthcare professionals from nine countries of the Amazon region. Methods: Data were collected on telehealth implementation and course participation for the following countries in the Amazon region: Brazil, Colombia, Ecuador, Peru, Venezuela and Bolivia. Results: There are 808 Municipalities in the Amazon region. Over half (51.9%) of the Municipalities have implemented or are implementing telehealth projects in the region. Among these 6 countries, Brazil has the highest percentage of municipalities with telehealth projects implemented (498 of 808, 61,6%;), Venezuela  (38 of 91, 41.7%) and  following by Bolívia  (5 of 39; 12,8%). Participation in the distance course on malaria has included 868 students: Brazil, 291 participants (33.5%); Bolivia, 28 (3.2%); Colombia, 104 (12.0%); Ecuador, 52 (6.0%); Guyana, 2 (0.2%); Paraguay 1 (0.1%), 270 Peru (31,1%); 102 Venezuela (11.8%) and others (2.1%). Nearly all (99.1%) of learners would recommend the course to colleagues. Conclusion: Shared action between countries is an important framework that can lead to incorporation of telehealth resources and training for a common, remote setting, as exemplified by international activities in the Amazon region.

Author Biographies

Alaneir Fatima Santos, MD, Professor, Coordinator of Telehealth Center. Medical School of the Federal University of Minas Gerais, Brazil
Coordinator of Telehealth Center. Medical School of the Federal University of Minas Gerais, Brazil
Claudio Souza Souza, MD, Professor, Coordinator of Telehealth Center. Medical School of the Federal University of Minas Gerais, Brazil

Coordinator of Telehealth Center. Medical School of the Federal University of Minas Gerais, Brazil

Monica Pena Abreu, Occupational therapist. Member of Telehealth Center. Medical School of the Federal University of Minas Gerais, Brazil.

Occupational therapist. Member of Telehealth Center. Medical School of the Federal University of Minas Gerais, Brazil.

Cleinaldo Almeida Costa, MD, Professor, Coordinator of Telehealth Center, Dean of the Amazon State University (UEA).

Coordinator of Telehealth Center,  Dean of the Amazon State University (UEA).

Maria do Carmo Barros Melo, MD. Professor. Telehealth Center of Medicine School of Federal University of Minas Gerais, Brazil
Telehealth Center
Rosalia Morais Torres, MD, Professor, Member of Telehealth Center. Medical School of the Federal University of Minas Gerais, Brazil

Member of Telehealth Center. Medical School of the Federal University of Minas Gerais, Brazil

Aline Costa Pereira, Nurse. Member of Telehealth Center. Medical School of the Federal University of Minas Gerais, Brazil

Member of Telehealth Center. Medical School of the Federal University of Minas Gerais, Brazil

Neuslene Rievrs Queiroz, Member of Telehealth Center. Medical School of the Federal University of Minas Gerais, Brazil

Member of Telehealth Center. Medical School of the Federal University of Minas Gerais, Brazil

Humberto José Alves, Member of Telehealth Center. Medical School of the Federal University of Minas Gerais, Brazil

Member of Telehealth Center. Medical School of the Federal University of Minas Gerais, Brazil

References

Organizacióndel Tratado de Cooperación Amazónica (OTCA). (2011). La Amazonía, unapresentación. Available at: http://otca.info/portal/docs/Livreto_3_idiomas.pdf accessed 17 October 2015.

Organização Pan-Americana da Saúde. Estrategia y plan de acción sobre eHealth. Washington: OPAS. (2011). Available at: http://www.paho.org/hq/index.php?option=com_content&view=article&id=1245&Itemid=1497 accessed 14February 2016.

Fernandez A, Oviedo E. Salud eletrônica em America latina y el Caribe: avances y desafios. Naciones Unidas, Cepal, 2010.

Inter American Development Bank (IDB). Technical Report. Project Regional Protocols of Public Telehealth Policies. UFMG Medical School, 2012.

Programa Regional para La Cohesión Social en América Latina. Documento técnico sobre TIC y atención primaria de salud: uma análisis sistematizado de modelos ye xperiencias clave em La América Latina y Europa. Belo Horizonte: EUROsociAL 2007. Available at: https://ec.europa.eu/europeaid/regions/latin-america/eurosocial_en accessed 14 February 2016.

Fernandez A. El programa @lis en Cepal: contribuciones al desarrollo de la salud eletronica en la region. Lat Am J Telehealth 2010;2(2):252-261.

Community Research Development Information Service (CORDIS). The 7th Framework Programme funded European Research and Technological Development from 2007 until 2013. Available at: http://cordis.europa.eu/fp7/home_en.html accessed 14 May 2014.

Campos EC, Haddad AE, Wen CL, Alkmim MBM, Cury PM. The National Telehealth Program in Brazil: an instrument of support for primary health care. Lat Am J Telehealth 2009;1(1):29-52.

Gertrudiz N. Salud-e: el caso de Mexico. Lat Am J Telehealth 2010;2(2):1-17.

Mejia SEG. Programa Nacional de Telemedicina y Telesalud Del Colombia. Santos AF, Fernandez A. Desarollo de latelesalud em America Latina — aspectos conceptuales y estado actual. Santiago: CEPAL 2013:599–610. Available at: http://www.cepal.org/id.asp?id=51222 accessed 12 May 2014.

Martínez A, Villarroel V, Puig-Junoy J, Seoane J, del Pozo F. An economic analysis of the EHAS telemedicine system in Alto Amazonas. J Telemed Telecare 2007;13(1):7-14.

Martínez A, Villarroel V, Seonae J, del Pozo F. A study of a rural telemedicine system in the Amazon region of Peru. J Telemed Telecare 2004;10:219-225.

Sachpazidis, IA, Ohl R, Polanczyk CA, et al. Applying telemedicine to remote and rural underserved regions in brazil using eMedical Consulting tool. Engineering in Medicine and Biology Society, 2005. IEEE-EMBS 2005. 27th Annual International Conference. 2191-2195.

Curioso WH, Espinoza-Portilla E. Marco conceptual para El fortalecimiento de los Sistemas de Información em Salud em El Perú. Rev Peru Med Exp Salud Publica 2015; 32(2):343-351.

Costa CA, Souza PE, Wen CL, Böhm GM, Mota ME. Telehealth in the Amazon: development, results and perspectives. Lat Am J Telehealth 2009;1(2):170-183.

Machado FSN, Carvalho MAP, Mataresi A, et al. Use of telemedicine technology as a strategy to promote health care of riverside communities in the Amazon: experience with interdisciplinary work, integrating NHS guidelines. Ciên Saúde Coletiva 2010;15(1):247-254.

Mello AN, Hira AY, Faria RRA, Zuffo MK, Odone Filho V. Development of a pilot telemedicine network for paediatric oncology in Brazil. J Telemed Telecare 2005;11(Supp2):16-18.

Latifi R, Stanonik ML, Merrell RC, Weinstein RS. Telemedicine in extreme conditions: supporting the Martin Strel Amazon Swim Expedition. Telemed J E Health 2009;15(1):93-100.

López C, ValenzuelaJI, Calderón JE, Velasco FA, Fajardo R A . A telephone survey of patient satisfaction with realtime telemedicine in a rural community in Colombia. J Telemed Telecare 2011;17(2):83-87.

Wootton R. Telemedicine support for the developing world. J Telemed Telecare 2008;14(3):109-114.

Wootton R, Bonnardot L. In what circumstances is telemedicine appropriate in the developing world? JRSM Short Reports 2010;1(5):37.

Khoja S, Durrani H, Scott RE, Sajwani A, Piryani U. Conceptual framework for development of comprehensive e-health evaluation tool. Telemed EHealth 2013;19(1):48–53.

Azcárate JCG, Cellier AF, La Escalera DR.Manual de Salud Electrónica para directivos de servicios y sistemas de salud. Volumen II. Aplicaciones de las TIC a La atención primaria de salud.LC/L.3626. 2014. Available: http://repositorio.cepal.org/handle/11362/37058 accessed 14 October 2015.

WHO - Global Observatory for eHealth series, volume 2, 2010. 94p. Available at: http://www.euro.who.int/en/publications accessed 12 June 2014.

Costa CA, Petrucio WS, Rodrigues PMA, Lages RO, Wen CL. Efetividade das práticas de Teleducação por Webconferência no combate à dengue no Estado do Amazonas, Brasil. J Health Inform2014;6(1):15-18.

Tineo VJC. Programa Nacional de Telemedicina y Telesalud Del Perú. In: Santos AF, Fernandez A. Desarollo de La telesalud em America Latina — aspectos conceptuales y estado actual. Santiago: CEPAL; 2013;599–610. Available at: http://www.cepal.org/id.asp?id=51222 accessed 18 October 2015.

Hoyos LB, Serma LF. Desenvolvimento de ações de telessaúde na Colômbia. Lat Am J Telehealth 2010;2(20):223-35.

Wooton R. The future use of telehealth in the developing world. In: Wooton R, Patil NG, Scott RE, Ho K. Telehealth in the developing world. London/Ottawa: The Royal Society of Medicine Press/International development research centre (IDRC); 2009;299–308.

Wen CL, Miranda DJ. Tecnologías de Telemedicina Aplicadas a La Educación. In: Santos AF, Fernandez A. Desarollo de La telesalud em America Latina. Santiago (Chile): CEPAL;2013;278-287. Available at: http://www.cepal.org/id.asp?id=51222 accessed 18 October 2015.

Abreu MP, Torres RM, Penna G, Souza C, Santos AF. E-Learning for management of Malaria: report of an experience involving all the Amazon border countries. Congresso Brasileiro de Telemedicina e Telessaúde (CBTMS) 2015.

Published
2016-02-09
How to Cite
Santos, A., Souza, C., Abreu, M., Costa, C., Melo, M. do C., Torres, R., Pereira, A., Queiroz, N., & Alves, H. (2016). Telehealth in the Amazon Region in Latin America: an Overview. Journal of the International Society for Telemedicine and EHealth, 4, e12 (1-7). Retrieved from https://journals.ukzn.ac.za/index.php/JISfTeH/article/view/149
Section
Special Theme: Telehealth in Brazil