INASP-Health: Annual Report 2003
INASP-Health thanks the following organisations for
their financial support in 2003:
BMJ Publishing Group, Exchange, International
Institute for Communication and Development, Wellcome Trust.
© 2004 International Network for the Availability of Scientific Publications (INASP)
All rights reserved.
Parts of this publication may be reproduced for educational purposes as long as it is not for commercial use. The material remains copyright under Copyright, Designs and Patents Act, 1988, or in the case of reprographic reproduction in accordance with the terms of licenses issued by the Copyright Licensing Agency. Enquiries concerning reproduction outside these terms should be addressed to INASP at the address below or to the authors of the individual articles as appropriate.
INASP-Health was launched in 1996 to promote increased access to information for healthcare providers and researchers in developing and emerging countries.
Its specific remit is to support multidisciplinary cooperation, analysis and advocacy across the ‘health information development community’, north and south: healthcare providers, researchers, librarians, information specialists, publishers, educators, development workers, policy makers, social scientists, technologists, and others. The programme brings together the full range of stakeholders involved in the flow of health information, from senior executives to frontline health workers.
In line with its original vision, and in response to demand, INASP-Health has developed an integrated package of services for the health information development community (see figure 1). This comprises three communication tools (inner circle) and two reference tools (outer circle).
Over the past 2 years, INASP-Health has also played an increasingly active and specific role in capacity development at regional and country levels.
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Figure 1: INASP-Health: Three communication tools and two reference tools
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INASP-Health Advisory and Liaison Service (provides a global focal point, expertise and brokerage for health information development activities - launched in 1996).
Health Information Forum (thematic workshops on key issues relating to access to information in developing countries - launched in 1998).
HIF-net at WHO (a global email discussion forum on issues relating to health information development - launched in 2000 in cooperation with WHO).
INASP-Health Directory (a directory of international programmes in health information development - published 1996, 1999, 2003, and continuously updated online).
INASP Health Links (an Internet gateway to 600 websites of special relevance to health professionals in developing countries - launched in 2002).
Two smaller reference tools were added during 2003:
Library Partnerships Database (a database of medical library twinning partnerships worldwide - in collaboration with Partnerships in Health Information and the University of Florida).
Examples of Impact (an international collection of stories that illustrate the importance of access to information for health professionals in developing countries - launched in 2003).
An external evaluation of INASP-Health is currently being completed. The results of this evaluation will be used to help inform strategic directions for 2004-7.
INASP-Health is an important advocacy group that is making great strides to make health information access happen in places like Kijabe. Bruce Dahlman, Kijabe Hospital, Kenya
INASP-Health takes full advantage of the revolutionary networking and collaboration capacity of new ICTs, both for information access advocacy and for knowledge networking and generation within the health and development community. Christine Porter, communications researcher, USA
This service is a focal point, expertise and brokerage for health information development activities worldwide.
By its very nature, the day-to-day activities of the advisory and liaison service are determined largely by external requests. In addition, INASP-Health was interested to explore the following:
collaboration with the Johns Hopkins University Center for Communications Program ‘INFO’ project;
potential for a fundraising advisory service; and
mapping international donor priorities in health information.
Johns Hopkins University, Center for Communications Program ‘INFO’ project: We are now working together on the programme of Health Information Forum meetings in 2004, and exploring ways to enhance capacities of regional and national players to create and exchange reproductive health information.
Fundraising advisory service: INASP-Health continues to deal with an increasing number of requests for information on sources of funding. A model for joint funding of specialist advisory expertise was discussed with partners, but not pursued.
Mapping international donor priorities in health information: A joint proposal was submitted with the Association for Health Information and Libraries in Africa, and Exchange, but funding was not secured.
Figure 2 shows incoming communications requesting
advice and/or information on health information development.
Typical enquiries from developing countries included: requests for information on training opportunities, requests for information on sources of low-cost and free publications, requests for financial support, requests for information on sources of funding, requests for profiles and contact details of support programmes, requests for INASP publications, and requests for information on job opportunities.
Typical enquiries from developed countries included: requests for info on other organisations and programmes, requests for recommendations of names and organisations for networking, collaboration, specialised advice, speakers at conferences and meetings, requests for advice and opinion on health information issues, requests for advice on research opportunities in health information, requests for advice on funding sources for health information activities, and requests for information on job opportunities
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Figure 2: Advisory and referral service: Geographical breakdown
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These data exclude an increasing number of requests
that are handled by assisting the person to submit their request directly to
the HIF-net at WHO email discussion forum. This approach increases the
efficiency of the INASP-Health secretariat while promoting the involvement of
the wider development community in sharing of experience and problem-solving.
The Health Information Forum (HIF) is a series of thematic workshops on key issues relating to access to information in developing countries. HIF was originally conceived to enhance cooperation and sharing of experience among UK-based organisations. The meetings have served as a means of networking; as a space for sharing of experience, learning, critical thinking, and mutual support; and as a catalyst for individual partnerships and joint projects between and among participants.
Input to, and reach of, the Forum has become increasingly internationalised and similar groups are now emerging in other countries, including USA, Senegal and Kenya.
Hold bi-monthly meetings, with speakers from developing countries.
Organise three HIF Study Visits for colleagues from developing countries.
Liaise with other UK-based organisations so as to share resources and costs, and add value to all visits by international colleagues.
Six HIF meetings were held in 2003, bringing the total number to 32 since HIF was first launched in 1998. Each meeting was evaluated, and results indicate a consistently high level of approval, as well as suggestions that have enabled continuous quality improvement and experimentation with new formats and technologies.
HIF meetings continue to be recognised for continuing professional development by the Royal Colleges. Each meeting is preceded by international debate and discussion around the topic, on the email forum HIF-net at WHO, and during 2003 these email discussions have been increasingly dynamic and contributed substantially to the content of the meetings themselves. Proceedings are distributed on HIF-net at WHO and are available at www.inasp.info/health/forum.html. The following meetings were held in 2003:
Health information and Continuing Medical Education in developing countries, Royal College of Physicians, London, 14 January, 2003.
Reliability of information for healthcare in developing countries, UCL International Health and Medical Education Centre, London, 18 March 2003.
The impact of information on healthcare in developing countries, Royal College of Nursing, London, 20 May 2003.
Co-operative networking for health information in Africa, British Medical Association, London, 15 July 2003.
Health information for nurses and midwives in developing countries, Royal College of Nursing, London, 23 September 2003.
The role of CD-ROMs for healthcare in developing countries, Wellcome Trust, London, 25 November 2003. Included an International CD-ROM Exhibition.
The HIF meetings are popular, with an average of 47 people at each meeting (compared with 32 in 2002). In 2003, HIF attracted 14 international speakers from 9 countries (Ghana, Kenya, Netherlands, Nigeria, Senegal, Sierra Leone, Switzerland, Uganda, USA).
“Such meetings should if possible be organised worldwide especially in the developing countries.” HIF participant
HIF study visits were originally introduced in 2002 as a way to increase the proportion of speakers from developing countries (in response to demand from HIF participants). During 2003, we were fortunate to be able to engage several outstanding speakers from developing countries in other ways, with costs being met largely by partner organisations in the UK and USA. A contribution was made, in co-sponsorship with the British Council (Senegal), to the costs of a one-month study visit at the London School of Hygiene and Tropical Medicine, by Ibrahima Bob, president of the Association for Health Information and Libraries in Africa. This enabled Ibrahima to give the lead presentation at the July 2003 meeting, and to contribute to discussions on the review and way forward for HIF meetings.
HIF’s ‘Evaluation and Monitoring’ action group (EVAG) started in 1999 and has now merged with the LEAP-Impact Group, a global forum for evaluation and monitoring of information development activities. This brings the field of health information impact onto a higher profile with greater sustainability: LEAP-Impact is supported by the Technical Centre for Agricultural and Rural Co-operation (CTA), International Institute for Communication and Development (IICD), Bellanet (Canada), German Agency for Technical Cooperation (GTZ), Association for Appropriate Technologies (FAKT), and the Royal Tropical Institute (KIT).
During 2004, INASP will explore options for long-term management of HIF meetings, in consultation with participants and UK-based organisations, including Healthlink Worldwide. On the basis of feedback from HIF participants, HIF meetings will adopt an increasingly learning-centred approach, with more emphasis on small group discussion and action plans.
We plan to hold 5 meetings in London, while exploring possibilities to support meetings elsewhere, especially in developing countries. The programme so far is as follows:
Getting research into practice, Royal College of Physicians, London, 27 January 2004.
Leapfrog technologies: the potential of handheld computers, mobile phones and other wonderful gadgets, British Medical Association, London, 27 April 2004.
Information for effective healthcare in developing countries: launching a global review of progress and ways forward, 15 July 2004.
Sharing knowledge on reproductive health, 28 September 2004.
Learning from developing countries: Videoconference with emerging ‘HIFs’ in developing countries (e.g. Kenya, Senegal), 30 November 2004.
The meeting on 15 July 2004 will be the launchpad for a collaborative review of health information access in developing and emerging countries, drawing from and providing input into a series of conferences planned for 2004-2005: Association for Health Information and Libraries in Africa (Malawi, October 2004), Global Forum for Health Research (Mexico, November 2004), Medical Library Association (USA, April 2005), and International Congress of Medical Librarians (Brazil, September 2005).
The email discussion forum HIF-net at WHO was launched in July 2000 in cooperation with the World Health Organisation. Its remit is to provide a forum for international discussion and debate on issues relating to health information, and as a means to keep informed of new publications and services, and identify new contacts and potential partners. (Potential partners include the Association for Health Information and Libraries in Africa (Malawi, October 2004), the Forum for African Medical Editors, the Global Forum for Health Research (Mexico, November 2004), the Medical Library Association (USA, April 2005), and International Congress of Medical Librarians (Brazil, September 2005))
Maintain and expand the list.
Introduce a Web-based archive.
Introduce an online resource on health information needs and lessons learned, based around the Web archive.
From December 2002 until December 2003, the number of subscribers increased by 39% from 933 to 1301 (see Figure 4).
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Figure 4: Growth of HIF-net at WHO
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All subscribers continue to provide a ‘personal profile’, which includes name, location, organisation, and professional interests. This allows detailed analysis of the subscriber base.
The proportion of subscribers from developing countries continues to increase, and is now approximately 55% (see Figure 5).
HIF-net at WHO subscribers are affiliated with the full range of stakeholders. There is, however, a relative lack of representation from funding agencies. There are also relatively few middle-level health workers (e.g. nurses, clinical officers) from developing countries, as compared with more senior health workers (e.g. doctors, health managers). It is expected that the number of middle-level health workers will continue to increase as email becomes more available.
The subscriber base includes development workers, information and communication specialists, librarians, publishers, and producers of health learning materials - as well as healthcare providers and biomedical researchers. A high proportion of subscribers are senior-level, leading professionals in their field.
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Figure 5: Professional interest of subscribers on HIF-net at WHO.
(Note: In Europe/USA/Canada, health professional subscribers are mainly
non-clinical (e.g. public health), whereas in Africa/SEA/LAC/EM/WP they are
mainly healthcare providers. |
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Figure
6: Geography of HIF-net at WHO subscribers
1 East Africa, 38%; West
Africa, 35%; Southern Africa, 22%; Central Africa, 2.5%; Horn of Africa,
2.3%. 2 The
geographical criteria changed in January 2003 to fit with WHO regions.
For example, South East Asia previously included Pakistan, but now
Pakistan is included in Eastern Mediterranean figures, in line with WHO
country categories 3 Eastern Mediterranean,
26%; Latin America & Caribbean, 37%; Newly Independent States, 12%; Western
Pacific, 25% |
581 messages were sent during 2003 (approximately 1.6
per day) of which half were from developing countries. This compares to a total
of 450 messages during 2002, or 1.2 per day.
About 50% of the messages involved discussion and debate around various topics. Major discussion threads during 2003 included:
brain drain
continuing medical education
impact of information on healthcare
information technologies for primary care
support for medical libraries in developing countries
access to information for nurses and midwives
the role of CD-ROM technology
Some of the discussions emerged spontaneously. Others
were catalysed by an article, item, or discussion piece forwarded by the
moderator, who now scans around 30 lists on health and development, for news
and ideas of special relevance to HIF-net at WHO subscribers.
Other messages related to new products and services, events, requests for information, and identification of contacts and partners. In addition, Health Information Forum notices and reports are circulated on HIF-net at WHO, and provide a basis for thematic discussion around various health information issues.
An increasing number of messages in French and Spanish are received and posted in the original language plus English translation.
Discussions continued with the World Health Organization (WHO) about the introduction of a Web archive facility. This will now be introduced in early 2004. Summaries of HIF-net at WHO threads are posted on the list and on the INASP website (http://www.inasp.info/health/hif-net.html). These are maintained as ‘living summaries’ by volunteer experts from the HIF-net subscriber base.
An unexpected impact of HIF-net at WHO is its recognition beyond the health information development community, as an example of effective dialogue in international development. Indeed, HIF-net at WHO was the central focus of a Masters thesis carried out by Christine Porter, Community of Science, USA.
In it, the author says:
“The moderator ... and the WHO advisory team have created a forum that demonstrates and, in the case of profiles, has invented best practice in several areas:
Active, pre-emptive moderation – ensuring only clear, relevant messages with indicative subjects and working URLs.
Off-line solicitation of messages – increasing diversity of contributions and representative participation from LDCs.
Member profile attached to every message – identifying the location, in several senses of that word, of the contributor, while aiding community building.
Personal communication from the moderator – creating a warmer and more welcoming atmosphere through personal welcomes, goodbyes and off-line email conversations.
Email translation from French and Spanish submissions – allowing those who can read English but do not feel comfortable expressing themselves in it to contribute to the discussion.”
HIF-net is the best list that deals with health information... Now, once again I confirm reconfirm and affirm what I said three years ago. This list is the best in many ways. It seems to me that its membership is of very high quality, serious people, active people, people who seem to have a mission in delivery of health information. Najeeb Al-Shorbaji, WHO Eastern Mediterranean Regional Office, Egypt
I have been an ardent reader and, sometimes user too, of the HIF-net since 2000. It has opened up a new source for information for public health and other professionals globally, particularly in the developing world. Sadia D Parveen, NGO Service Delivery Program, Dhaka, Bangladesh
As a user in a developing country this list has been very useful in identifying new sources of information on various levels. The information is useful for reviewing current essential drugs lists, training sources and prompting new proposals based on other successful projects. Mark Blackett, Marie Stopes Uganda
Through being a HIF-net member I have access to many resources I would not otherwise have encountered and have also been able to provide some assistance to others requiring information/resources. The list supports my work in developing efficient and effective district health systems through distance learning. Jawaya Small, Child Health Unit, South Africa
The information that I have received from this resource has been crucial to my academic and professional survival in Ghana. Victor Doku, Psychiatrist and Epidemiologist, Kintampo Health Research Centre, Kintampo, Ghana
This has been the most fascinating, very educative net discussion I have come across. Gertrude A Wafula, Kisumu, Kenya
I find this probably the most useful email discussion forum to which I belong. There are a large number of correspondents and most have something very concrete and practical to say. I have made several useful contacts through HIF-net. Paul R Saunderson, American Leprosy Missions
There are few, if any, other discussions groups comparable to HIF-net at WHO. I find it particularly valuable for providing contacts, links and information about products and services available to our user group here in Bangladesh. Peter Thorpe, Centre for Health and Population Research, Bangladesh
The success of our programme to date could not possibly have been achieved without the assistance of HIF-net at WHO. Graham Icke, Malaria On-Line Project, Australia
When HIF-net at WHO was originally launched, it had not been expected that it would become so popular, given that it is first and foremost a platform for debate and discussion on how to increase access to information in developing countries, rather than a communication channel of health information per se.
Further to continuing demands from subscribers, and further discussion with WHO, we are introducing a Web-based archive in early 2004. Further summaries will be posted of HIF-net at WHO discussions.
Every subscriber on HIF-net at WHO has their own personal profile, which is used as a signature on all HIF-net at WHO messages. More than 1500 profiles have now been collated. Subject to permission from individual subscribers, these profiles have the potential to be made publicly available as a reference and networking tool for those working in health information development.
INASP-Health is currently exploring possibilities for cooperation with the Global Forum for Health Research. The GFHR has a broadly similar, interdisciplinary approach to INASP-Health, in a related area of interest: addressing the 10/90 gap in health research, whereby only 10% of global biomedical research funding is used for research into 90% of the world’s health problems. One option that is being looked at is to develop a ‘sister’ email list on the 10/90 gap, with close links to HIF-net at WHO.
The International Institute for Communication and Development (Netherlands) and Wellcome Trust have helped to support HIF-net at WHO during 2003, but in both cases this was specifically offered as a one-off support for 2003 only. New funding sources are being sought for 2004.
Since 1996, INASP has published a bi-annual directory of international programmes in health information development. Available on paper, this is also continuously updated online.
Publish new edition (book, CD-ROM, online) by February 2003
The INASP-Health Directory 2003/2004 was published in July 2003 and is now available as a book and CD-ROM, and online. The Directory has been expanded to include more than 240 international programmes in information, book and library development. The listing of INASP Health Links has been included with both the printed and CD-ROM versions of the Directory. The Directory and INASP Health Links are also included on the e-TALC Health Development CD-ROM, of which over 34,500 were distributed to 91 countries worldwide
I must commend your effort in putting up the INASP-Health Directory. You have always demonstrated sterling leadership prowess especially in elevating the status of the information work profession in this millennium. Ayo Onatola, Librarian, Lagos State University College of Medicine, Ikeja-Lagos, Nigeria
This web gateway to health information for health professionals in developing countries was launched in January 2002.
Expand INASP Health Advisory group to include representation from South Asia, Latin America/Caribbean, and the Newly Independent States.
Make available INASP Health Links on CD-ROM, for adaptation for regional and national use in developing countries, including francophone regional gateway for West Africa
During 2003, CD-ROM and printed versions were developed and launched in a package with the INASP-Health Directory 2003/2004. Both resources have also been widely distributed as part of the e-TALC Health Development CD-ROM. Printed and CD-ROM versions enable pre-connection browsing for users in developing countries.
All websites recommended on INASP Health Links are evaluated using criteria adapted from the OMNI guidelines (Organizing Medical Networked Information), selecting only the best sites relevant to developing countries. The overall focus is on quality rather than quantity; nevertheless the resource continues to expand and currently has 50 sections with a total of more than 600 entries. The integrity of all links is checked every 6 weeks. Sites that become non-functional or less useful (for whatever reason) are removed regularly.
INASP Health Links is accredited by the Health on the Net Foundation. In order to maintain and enhance quality and sustainability, INASP Health Links recently invited volunteer specialist colleagues to advise on individual parts of the site. This has been successfully introduced for Dermatology, Tropical Medicine, Eye Health, Gateways Latin America, Mental Health and Psychiatry and will be expanded on other pages.
Priority has been given to identification of non-English websites, which have been under-represented. For ease of use, all sites that contain non-English content are now clearly flagged.
The INASP Health Links Advisory Group was launched in November 2002 under the leadership of Christine Kanyengo, medical librarian at the University of Zambia Medical School. The group includes several leading members of the African health information community from all parts of the continent. The group remains pan-African, but plans are currently under way to expand the group to include representation from South Asia, Latin America/Caribbean, and the Newly Independent States.
The INASP Health Links gateway is now available for customisation by libraries and NGOs in developing countries, with technical support from the University of Florida, USA.
In 2004 INASP Health Links will be the focus for PhD research at the University of Central Florida. The research will look at the availability of health information in developing countries and the role of internet gateways.
INASP Health Links was originally launched as a short-term, low-cost contribution to help address the increasing demand in developing and transitional countries for easy access to relevant, reliable health information on the Internet.
In the longer term, collaborative efforts are required to facilitate access to relevant information for health professionals in resource-poor settings. INASP will explore options for collaboration with related initiatives (e.g. OMNI, WHO A-Z Health Topics, Healthlink Worldwide, Source International), so that long-term solutions can be identified, implemented, evaluated, and improved. It is hoped that the University of Central Florida research mentioned above will help to identify ways forward.
Special thanks to Lenny Rhine, University of Florida (compiler, INASP Health Links) and Christine Kanyengo (co-ordinator, INASP Health Links advisory group).
There has been demand from people in some countries to set up something similar to the INASP-Health at a country level. Obviously, substantial adaptation would be needed. Our approach has been to work with local stakeholders to investigate how local ‘HIF-like groups’ could be supported in a country.
Explore the potential for local health information forums in developing countries for (1) interdisciplinary networking and (2) practical training.
In response to increasing expressions of need for better multi-stakeholder co-ordination at country level, and thanks to support from the BMJ for a ‘Local HIF programme’, INASP-Health has had wide consultations with several partners internationally and in developing countries about the potential for developing national networking and learning programmes in health information development. Specific explorations are currently in progress in Kenya.
There is increasing interest, internationally and nationally, in the potential of INASP-Health to enhance regional and national capacities for communication and knowledge sharing.
Following a visit to Nairobi by the INASP-Health Programme Manager in July 2003, there is now an encouraging potential to support multistakeholder cooperative networking in Kenya, in collaboration with AMREF (African Medical Research Foundation), KEMRI (Kenya Medical Research Institute) and University of Nairobi Medical School. A concept paper has been developed in consultation with colleagues from Kenya, and there is interest from colleagues representing a wide range of international and regional organisations (AHILA, Bellanet, Council on Health Research for Development, Global Forum for Health Research, International Institute for Communication and Development, WHO).
The approach is to support local ‘HIF-like groups’ that would bring together professionals with a common interest (publishers, librarians, health professionals...) to explore priorities and ways forward to improve access to information at a national level, with a view to sharing and comparing perspectives across the international health information community. Extra value will be added to such meetings by working with local and international partners to provide practical training workshops, especially around networking and communication skills, and also in specific health information skills as required (e.g. medical editing and writing; publishing management; online publishing; internet skills). Such events would therefore provide participants with strategic networking opportunities and demand-led training.
INASP-Health is exploring possibilities for collaboration with HIPNET, the Health Information and Publications Network, USA. HIPNET is a group of US-based organisations who work with the Global Health Center of USAID. Its purpose is to encourage cooperation among organisations, eliminate duplication of materials and promote the dissemination and utilisation of each organisation’s materials.
In the first half of the year, INASP-Health worked with the International Institute for Communication and Development in exploring ways in which local content is created, adapted and communicated in the health sector. INASP-Health has been closely involved in the planning, implementation and follow-up of a range of consultative activities among health information professionals in Kenya, Uganda, Tanzania, Zambia, and Malawi, including two national workshops in Tanzania (March 2003) and a regional workshop in Nairobi (July 2003).
Together with IICD, Cordaid, Exchange and Africa Health, INASP-Health contributed to several regional workshops in East Africa looking into ways of using ICTs to enhance access to information and continuing medical education in East Africa. INASP-Health assisted the Uganda Medical Association and East Africa Community in report writing on CME cooperation. INASP-Health assisted AfriAfya and AMREF with a national meeting on ICTs and CME in Kenya.
A ‘Health Information’ educational module has been developed for health services personnel from ministries of health and NGOs in Africa, Asia and Latin America. This module was run, for the second year running, at Keele University in February 2003 and is now an integrated part of Keele University’s postgraduate training in health systems.
INASP-Health aims to respond to the increasing demand
for national and regional ‘Health Information Forum-like’ meetings and
conferences within developing countries, in response to requests received. In
collaboration with others, INASP-Health expects to add extra value to such
meetings by inclusion of practical training workshops run in cooperation
with local and/or international partners as appropriate. Such events would
therefore provide participants with strategic networking opportunities and
demand-led training.
February 2003 issue with health articles from Vikram Patel (Royal College of Psychiatry), David Morley (e-TALC), Sarah Hammond (Healthlink Worldwide), Steve Allen (Oxford e-Learning for Global Health), Isabel Carter (TearFund).
June 2003 issue with health articles from Sarah Hammond (Healthlink Worldwide), Andres Martinez (Peru), and Evelyn Kortum (WHO Geneva)
November 2003 issue with a health article from Irene Lorete (Asian Harm Reduction Network).
Internet resources for health professionals. Africa Health 2003.
Multistakeholder networking: lessons learned. In: Issues in Health Sector Reform 2003/2004, published by Commonwealth Business Council and Commonwealth Secretariat, London.
INASP-Health. Internet Health 2003;2:2.
“Getting research into practice: the role of inclusive multi-stakeholder networking.” Presentation at Global Forum for Health Research, Geneva. 4 December 2003.
“Networking for health information development: how can we promote synergistic communication and collaboration at international, regional, country, and community level?” Presentation at ‘Transforming and sustaining inclusive development communities’, Amsterdam, 19 September 2003.
“Multi-stakeholder networking and INASP-Health”. DFID Consultation on Research Communication, 8 August 2003.
“ICTs for CME in Kenya” - Presentation at AMREF, 22 July 2003.
“INASP and latest developments in CME in East Africa” Presentation, Global E-Learning Programme in Public Health, University of Oxford, 13 May 2003.
“Strengthening the local creation, adaptation, and exchange of health information in Tanzania.” Presentation at Commission on Science and Technology, Dar es Salaam, Tanzania, 8 April 2003.
“The Internet and Access to information for healthcare providers in developing countries.” Presentation at London School of Hygiene and Tropical Medicine, 10 January 2003.
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INCOME AND EXPENDITURE FOR 12 MONTHS ENDING 31ST DECEMBER 2003 (in £) |
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INCOME |
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Brought forward from 2002 |
28,660 |
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Wellcome Trust |
6,350 |
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BMJ Publishing |
12,000 |
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IICD |
17,560 |
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Exchange |
38,500 |
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Other |
4,700 |
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Total Income |
103,210 |
103,210 |
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EXPENDITURE |
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CME in Africa (IICD) |
1,450 |
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E-Learning |
250 |
|
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HIF |
9,320 |
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HIF-net at WHO |
7,390 |
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Local Content (IICD) |
13,650 |
|
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Local HIF Programme |
1,640 |
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Subtotal |
33,700 |
33,700 |
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Books and journals |
100 |
|
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Communications |
960 |
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Co-ordination |
18,740 |
|
|
Evaluation |
8,190 |
|
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Information Dissemination |
12,970 |
|
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Overheads |
5,670 |
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Travel |
1,020 |
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Miscellaneous |
430 |
|
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Subtotal |
48,080 |
48,080 |
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Total Expenses |
81,780 |
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Carried forward to 2004 |
25,990 |
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Dr. Neil Pakenham-Walsh,
Senior Programme Manager
INASP-Health
+44 (0)1865 248124