INFORMATION, EDUCATION &

COMMUNICATION
TELE-MEDICINE

Presented By: Pallavi Sharma

MSc (N) 1st Year
General Objective

At the end of the teaching, the class will be able to

know about IEC and Tele medicine.
 Specific Objectives
At the end of the teaching, the class will be able to:
 define IEC
 enlist purposes of IEC
 explain steps of IEC
 list down IEC materials
 define Tele medicine
 list down goals of Tele medicine
 enlist specialties of Tele medicine
 illustrate advantages and disadvantages of Tele medicine
INFORMATION,
EDUCATION &
COMMUNICATION
 INTRODUCTION

The words "information", "education", and

"communication" have individual meanings, when grouped
together as "IEC", they are familiar to many within the field
of health communication. IEC is the process of learning that
empowers people to make decisions, modify behaviors and
change social conditions.
 DEFINITION
Information, Education and Communication
(IEC) combines strategies, approaches and
methods that enable individuals, families,
groups, organizations and communities to play
active roles in achieving, protecting and
sustaining their own health.
An operational definition of “IEC” refers to a
public health approach aiming at changing or
reinforcing health-related behaviors in a target
audience, concerning a specific problem and
within a pre-defined period of time, through
communication methods and principles.

Information: The
word 'Information' in
Social Interaction, is used
in different ways. We
speak of useful, valuable,
factual, reliable, precise
true information and so
on. Information is about
something. It can be
about an object, people,
situation or events.
CONCEPT
Communication: It is
Education: Education is an integral and important
concerned with opening component of total
out the horizons to health programs.
choose his interests & Communication has
mode of living. It is a attained greater
process of continuous importance in health
interaction in which both promotion and
teachers taught and get development.
benefitted. It helps to Communication is back-
mould behavior pattern bone of Modern Society.
of man and to adjust
himself.
 PURPOSES
Increasing awareness.

Enhancing the role of communication.

Establishing population information centers

& networks.

Educating people about Population issues

& family planning.
 STRATEGIES OF IEC

Identifying the Training Training of Use of

Training of
communication Health Community Satisfied
Mothers
needs to plan Functionaries leaders/ adopters
IEC activities Volunteers
 CONT….

Adopting Follow-up Training

Effective
Involvement Social of the and
use of Mass
of NGO's Marketing programme working
Media
Technique . with TBA
APPROACHES TO DESIGN AN IEC STRATEGY
1. Identify the IEC goals for the programme or
the project, in order of priority
2. Select target audience groups in order of
priority.
3. Identifying changes expected from each
target group
4. Assessing and understanding contextual
factors and gaps

5. Determining combination of IEC activities

6. Outlining the focus of messages to be
communicated and message strategies

7. Identifying the most appropriate

combination of communication channels

8. Identifying organizational and managerial

strategies

9,10. Calculating the amount of resources

needed and identify a realistic time frame

11. Discuss the strategy, adjust it and get it

approved.
 IEC MATERIALS & ACTIVITIES

Innovative
Printed
ideas
materials

Mass Community
media Give awareness
away events
 IEC APPROACHES
Approaches 1. GROUP 2. INDIVIDUAL

Group Discussion Home visit

Demonstration Individual contact
Method
Role-play Counseling

Film Film Photo-folder

Photo-folder

Media Tape-recorder
Tape-recorder Booklets
Booklets
T.V. Leaflets
T.V. Leaflets
Kits
Video Video Kits Flashcards
Flashcard
Flashcard Flashcards
 Strategies to Improve both IEC Activities

Increase the reach of services.

Make supervision more oriented towards problem solving.
Link supervision with training at various levels.
Concentrate on local field problems.
Combine interpersonal communication strategy with mass media
approach.
Streamline supply systems to meet the local needs of health and
family welfare units.
Establish relationship between various levels and elements of the
system.
 Improve performance levels through continuous interaction with
village community volunteers.
 References
Park. Preventive and social medicine. 19th ed. Banarsidass bhanot publishers.
Jabalpur: Pp- 813-20.
A.H Suryakantha. Community medicine. 2nd ed. Jaypee brothers’ publishers: Pp
763-64.
Gulani k.k. Community health nursing principle and practices.1st
edition.2010.Published by Neelam Kumari.Pg:645
www.telemedicine.icucare
www.current nursing.com
TELE- MEDICINE
 Introduction

Telemedicine is essentially a product of 20th century

telecommunication and information technologies. It mainly
focused on providing support towards curing an illness.
Today we have expanded the scope of telemedicine to
include the preventive and promotive aspects of
healthcare. Telemedicine is a method that’s links primary
care physicians, providers, specialists and patients.
 Basics
The term ‘telemedicine ’has been derived from the Greek
word ‘tele’ meaning at a distance and ‘medicine ’which is
from the Latin word ‘mederi’ meaning healing.

Telemedicine is a process by which a patient is able to

communicate his problems to a doctor many miles away
and receive necessary and relevant medical advice.
 Definition

1) Perednia Andallen defines telemedicine as use of

telecommunication to provide medical information and
services.

2) Telemedicine has numerous definition ,it is a phrase first

coined by THOMOS BIRD IN 1970’s ,referring to health care
delivery where physician examine distant patients through use
of telecommunications technology.
Goals of telemedicine
Aims of telemedicine
To develop a customized telemedicine applications in the rural and
remote areas.
To establish seamless connectivity over diverse communication
environment in the nation.
To develop software interfaces with low cost medical diagnostic
equipment.
To introduce new software/hardware features in the existing
telemedicine technology for development not covered already.
 Types of telemedicine

Store and Remote Interactive

Forward Monitoring Services
 Applications of telemedicine

Rural Developing
Corrections
Health Countries

Mobile Schools
Health

Industrial
Disaster Shipping &
Health
Relief Transportation
 AREAS OF TELE- MEDICINE

Telenursing Telepharmacy Tele Teletrauma

rehabilitation
Need of Tele- medicine
Shortage of General
Practitioners
Shortage of Medical
Specialists
No Access to
Current Information
Limited
Transportation
 Specialties of telemedicine

Telecardiology Telepsychiatry Teleradiology

Teledentistry Teledermatology Telepathology

 Specialties Cont.….

Tele-audiology Video telephony

Tele surgery Health information

technology
Benefits of Telemedicine

Helps in Remote Areas

Teaching Tool

∆sis & Rx in Remote

Telemonitoring
Better Access
Reduced Stress level
 ADVANTAGES OF TELE MEDICINE

Better
Reduction Information
quality-
of cost procurement
faster Rx

Standardization IT
in Organization Competence

Availability of Continued
Shared digital
human development of
archieves
resources treatments
 ADVANTAGES OF TELE MEDICINE
1. For Patient
• Availability of Medical Facilities
• Reduction in travel.
• Reduction in cost of Medicare.
• Better diagnosis of diseases
• Increased and better
monitoring of chronic diseases.
• Telecounseling of psychiatric
patients
2. For the Group
• 24hrs advice of specialists
• Better diagnosis of disease
• Reduction in nosocomial
infections.
• Increased and better monitoring
of chronic diseases.
• Ability to discuss cases with
peers
 ADVANTAGES CONT…..

3. For the State 4. For the Corporate 5. For Hospital

Hospitals Administrator
Better monitoring of
disease pattern and  It means
Increased profit from
trends. extended reach,
increased virtual specialist
Reduction in diseases referrals. higher
due to increased OPD efficiency,
Increased utilization of
Early notification of greater patient
specialist
communicable disease satisfaction and
Reduce cost of Medicare. higher profits.
Reduce cost of Medicare
A positive public relation
Reduction in urban exercise.
migration from villages
Disadvantages of Telemedicine

Difficulty in training users

Cost of telecom infrastructure

Lack of standards

Patient confidentiality

Reliable vs. Unreliable information

Non interactive transmission

 Unavailability Resistance to
of resources responsibility Time required
to train
providers
Lack of
funding Barriers to
Distrust and
Telemedicine fear of new
technologies
Lack of
procedural
proficiency Lack of Tele
High
infrastructure communication
costs in rural area
Research Study
Singapore Tele-technology Aided Rehabilitation in Stroke (STARS) trial:
protocol of a randomized clinical trial on tele-rehabilitation for stroke
patients.
Background: Most acute stroke patients with disabilities do not receive
recommended rehabilitation following discharge to the community.
Functional and social barriers are common reasons for non-adherence to
post-discharge rehabilitation. Home rehabilitation is an alternative to
centre-based rehabilitation but is costlier. Tele-rehabilitation is a possible
solution, allowing for remote supervision of rehabilitation and eliminating
access barriers.
Objective: is to determine if a novel tele-rehabilitation intervention for the
first three months after stroke admission improves functional recovery
compared to usual care.
 The tele-rehabilitation intervention lasts for 3 months and includes exercise 5-days-a-
week using an iPad-based system that allows recording of daily exercise with video and
sensor data and weekly video-conferencing with tele-therapists after data review.
Those allocated to the control group will receive usual care.

 Intervention: The tele-rehabilitation intervention has three components: (a) the

hardware, (b) the software and (c) the progressive rehabilitative exercises. Prior to the
tele-rehabilitation intervention, the research assistant, who previously recruited the
participant, will train the participant and their caregiver on the usage of the devices
and sensors. The participant and their caregiver will learn how to wear the sensors,
operate the hardware and perform all the rehabilitation exercises with the hardware.
The training is usually done within 1–3 sessions, with each session being an hour long,
until the participant and caregiver are competent in its use. These sessions are done
before the discharge of participant and, if necessary, in their homes after discharge. To
ensure that the participant/caregiver is able to use the devices and sensors, the
participant/caregiver must pass a competency check list, such as switching on the iPad
and applying the sensors. Additionally, a baseline visit is scheduled for set-up of tele-
rehabilitation system in the participant’s house.
QUERIESSSS