<html><body style="word-wrap: break-word; -webkit-nbsp-mode: space; -webkit-line-break: after-white-space; "><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><font face="Helvetica" size="3" style="font: 12.0px Helvetica">Case Study:</font></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><br class="webkit-block-placeholder"></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><font face="Helvetica" size="3" style="font: 12.0px Helvetica">Example Health/Education hybrid project -</font></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; font: normal normal normal 12px/normal Helvetica; min-height: 14px; ">Extending OLPC an educational roll-out into the health field</div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; font: normal normal normal 12px/normal Helvetica; min-height: 14px; "><br></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><font face="Helvetica" size="3" style="font: 12.0px Helvetica">or</font></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; font: normal normal normal 12px/normal Helvetica; min-height: 14px; "><br></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><font face="Helvetica" size="3" style="font: 12.0px Helvetica">How I would use the XOs in a hypothetical dream project</font></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; font: normal normal normal 12px/normal Helvetica; min-height: 14px; "><br></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; font: normal normal normal 12px/normal Helvetica; min-height: 14px; "><br></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><font face="Helvetica" size="3" style="font: 12.0px Helvetica">The setting is las Comunidades Campsinas de Fernandez y Barrancos, located about a half-hour up the river valley from Mancora, on Peru's north coast. Spread out among dry, rolling hills are a number of families living in shacks, peasants and farmers, their dusty fields and goat pens. There is a two-room schoolhouse, a church, and a small outpost of the Ministry of Health. Water is collected from a communal spigot, or the river itself when its riverbed is not dry. There are no phone lines, electricity comes only to a water pumping station nearby, not to any homes in the village.</font></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><br class="webkit-block-placeholder"></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><br class="webkit-block-placeholder"></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><font face="Helvetica" size="3" style="font: 12.0px Helvetica">Distribution</font></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; font: normal normal normal 12px/normal Helvetica; min-height: 14px; "><br></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><font face="Helvetica" size="3" style="font: 12.0px Helvetica">The dream goes like this:</font></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; font: normal normal normal 12px/normal Helvetica; min-height: 14px; "><br></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><font face="Helvetica" size="3" style="font: 12.0px Helvetica">OLPC rolls out broad distribution of XOs to every school-aged child in the region. This is supported by supplementary XOs being distributed to local teachers and those required to tie them in to a larger educational and support network.</font></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; font: normal normal normal 12px/normal Helvetica; min-height: 14px; "><br></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><font face="Helvetica" size="3" style="font: 12.0px Helvetica">In the health project they are also distributed to those identified as potential Health Promoters: community health workers, moms, elders, healers, leaders within community institutions, those who may already be serving in informal health caring rolls, who want to participate in supporting the health of their community and who are attracted by the opportunity to learn more.</font></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; font: normal normal normal 12px/normal Helvetica; min-height: 14px; "><br></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><font face="Helvetica" size="3" style="font: 12.0px Helvetica">XOs also go to an interdisciplinary health team which is formed, consisting of paramedicals (more advanced First Aiders, Paramedics, nurses, midwives, etc...) along with a small team of regionally-based doctors and specialists (they get XOs too if they lack their own computer technology that's adequate enough to participate).</font></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><br class="webkit-block-placeholder"></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><br class="webkit-block-placeholder"></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><font face="Helvetica" size="3" style="font: 12.0px Helvetica">Training</font></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; font: normal normal normal 12px/normal Helvetica; min-height: 14px; "><br></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><font face="Helvetica" size="3" style="font: 12.0px Helvetica">A training program consisting of workshops, help sessions and ongoing training is developed specifically for the health team. They meet for didactic sessions but also work on a number of practice scenarios. Plans are made for Continuing Medical Education. Training topics include both the technical aspects of using the XO, as well as capacity building for Health Promoters & paramedicals.</font></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><font face="Helvetica" size="3" style="font: 12.0px Helvetica">[edit] Infrastructure</font></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; font: normal normal normal 12px/normal Helvetica; min-height: 14px; "><br></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><font face="Helvetica" size="3" style="font: 12.0px Helvetica">We put in the support infrastructure required to help the project survive and grow. These include institutional partnerships and commitments from community groups, our NGO as well as the Ministry of Health. They commit resources and personnel, agree to schedules, make themselves available on-call for the medical system as well as for overseeing Base Hospital certification programs.</font></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; font: normal normal normal 12px/normal Helvetica; min-height: 14px; "><br></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><font face="Helvetica" size="3" style="font: 12.0px Helvetica">The physical infrastructure to enable connectivity to the OLPC project is put in place, perhaps cheap repeaters on the hilltops or IP over power lines. These link us to our Base Hospital group in Mancora on the coast (located on the PanAmerican highway, and therefor accessible to Peru's network backbone).</font></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; font: normal normal normal 12px/normal Helvetica; min-height: 14px; "><br></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><font face="Helvetica" size="3" style="font: 12.0px Helvetica">Training & technical support structures are put in place, equipment is tested, backup equipment stocks maintained.</font></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><br class="webkit-block-placeholder"></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><br class="webkit-block-placeholder"></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><font face="Helvetica" size="3" style="font: 12.0px Helvetica">Activities</font></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; font: normal normal normal 12px/normal Helvetica; min-height: 14px; "><br class="webkit-block-placeholder"></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; font: normal normal normal 12px/normal Helvetica; min-height: 14px; ">Scenarios depicting the possibilities in a variety of areas:</div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><br class="webkit-block-placeholder"></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><font face="Helvetica" size="3" style="font: 12.0px Helvetica">Prevention</font></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; font: normal normal normal 12px/normal Helvetica; min-height: 14px; "><br></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><font face="Helvetica" size="3" style="font: 12.0px Helvetica">Materials are distributed via the network and worked into educational curriculum on important relevant topics such as sanitation & hygiene, dehydration, Dengue fever & mosquito control, etc...</font></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; font: normal normal normal 12px/normal Helvetica; min-height: 14px; "><br></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><font face="Helvetica" size="3" style="font: 12.0px Helvetica">Health Promoters are also able to circulate with patient education materials, working directly with families and community members teaching and discussing these topics.</font></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; font: normal normal normal 12px/normal Helvetica; min-height: 14px; "><br></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><font face="Helvetica" size="3" style="font: 12.0px Helvetica">Children and youth find materials on healthy living, diet, exercise, lifestyle choices, sexual health, etc..., perhaps materials that engage them in activities rather than simply presenting static information.</font></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><br class="webkit-block-placeholder"></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><font face="Helvetica" size="3" style="font: 12.0px Helvetica">Assessment</font></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; font: normal normal normal 12px/normal Helvetica; min-height: 14px; "><br></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><font face="Helvetica" size="3" style="font: 12.0px Helvetica">Juanita's little brother has developed a stomach ache and seems to have little appetite. She logs on to her XO, and though she looked through some of the self-diagnostic health materials, she's been taught to recognize times when medical assistance might be necessary. With her XO, she is able to identify and contact the current on-call Health Promoter, who this evening happens to be Snr. Caballo, primary school teacher. Via videoconference, she is able to explain what is going on, and to answer some questions about her brother's recent symptoms. Snr. Caballo is able to determine that her brother's symptoms aren't grave, and works through the Rehydration Fluid educational materials with Juanita and her mom. He tells them to call back if anything worsens, and stops by in the morning to check on them.</font></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; font: normal normal normal 12px/normal Helvetica; min-height: 14px; "><br></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><font face="Helvetica" size="3" style="font: 12.0px Helvetica">Pilar the obstetrician circulates to visit several expectant mothers in her area. She enters documentation about her home visits into her XO and works with the midwife so that she can be summoned when labour begins. She also uses the device for presenting healthy mom & new baby educational materials, and for reviewing childbirth standing orders with the midwife.</font></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; font: normal normal normal 12px/normal Helvetica; min-height: 14px; "><br></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><font face="Helvetica" size="3" style="font: 12.0px Helvetica">Chico and his mother have been caring for Chico's grandfather who is diabetic. One evening he gets back after trucking sacks of yucca out to the coast and seems especially lethargic. They decide to contact one of the town Health Promoters, who immediately notifies the on-call paramedic. They arrive at Chico's house and follow standing orders to test abuelito's blood sugar and provide symptom relief (cookies and juice). The leave behind a glucometry peripheral, teach monitoring, and point the family towards the diabetic patient education materials, which include signs & symptoms, diet & exercise info., and a blood-sugar logging activity (shared to the health network).</font></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><br class="webkit-block-placeholder"></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; ">Intervention</div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; font: normal normal normal 12px/normal Helvetica; min-height: 14px; "><br></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><font face="Helvetica" size="3" style="font: 12.0px Helvetica">Jorge buries a machete in his thigh while felling an algarroba tree. His eldest daughter, Maria Gracia, hears his cries from the campo next to their hut, and runs for her XO. She contacts Emergency Medical Dispatch, and within seconds is communicating with the on-call Paramedic. She is shown via videoconference how to control the bleeding, while a tuktuk cum ambulance is dispatched. The regional doctor is also brought online to assess the damage, but is able to determine that cleaning and a line of stitches are all that are required. The emergency team arrives and a nurse dresses the injury. They also order antibiotics through the medical network, which automatically notifies the pharmacy and tasks a health promoter with brining them by that evening.</font></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; font: normal normal normal 12px/normal Helvetica; min-height: 14px; "><br></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><font face="Helvetica" size="3" style="font: 12.0px Helvetica">While using the Distance activity to measure the rising water level in their flood plain / river valley, Jordano's friend Antony falls in swept from the edge. By the time he is pulled out he is not breathing. Jordano uses his XO to videoconference with the on-call Emergency Medical Dispatcher. While engaging First Responders, the EMD coaches Jordano in CPR, watching and encouraging his efforts, popping helpful graphics up on the screen when an instruction is not clear. Their efforts keep Antony viable until a health promoter can bring the town's Public Access Defibrillator over, and Antony is revived. Using Jordano's XO's GPS coordinates the response team rapidly finds them and begins transporting Antony out to the Ministry of Health Outpost on the coast, and, via teleconference while en-route, the on-call Doctor works with the emergency medical team, reading vital signs via telemetry and providing patch medical orders.</font></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><br class="webkit-block-placeholder"></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><font face="Helvetica" size="3" style="font: 12.0px Helvetica">Base hospital</font></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; font: normal normal normal 12px/normal Helvetica; min-height: 14px; "><br></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><font face="Helvetica" size="3" style="font: 12.0px Helvetica">Fernando participates in his family's annual check-up this year, and for once they don't have to spend a weeks wages transporting the family to the regional health outpost, and he's interested in being trained as a Health Promoter. The community's nurse helps assess the family while directed by the doctor, and enters their medical details in the secure database.</font></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; font: normal normal normal 12px/normal Helvetica; min-height: 14px; "><br></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><font face="Helvetica" size="3" style="font: 12.0px Helvetica">Community health volunteer Yolanda is completing her servicio rural during her medical school, and is doing home visits in the community. She provide relevant patient education materials and schedules consultations with her colleagues at the Base Hospital. While visiting the Lama family, some of the family member complain about nagging coughs. A family member has recently returned to the village after working in a poor neighborhood in the capital. The base hospital Doctors are able to assess the family using Yolanda's help and telemetry equipment. They schedule an appointment for teleconsultation with the local TB specialist, and order lab tests which a paramedical swings by to administer. A course of therapy is established, medication distributed and its consumption directly observed (DOTS-Plus) via videoconference.</font></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><br class="webkit-block-placeholder"></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><font face="Helvetica" size="3" style="font: 12.0px Helvetica">Public health</font></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; font: normal normal normal 12px/normal Helvetica; min-height: 14px; "><br></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><font face="Helvetica" size="3" style="font: 12.0px Helvetica">Edith circulates from house to house as part of the Ministry of Health's mosquito eradication and Dengue control program. She uses her XO to document what she finds including being able to photograph the state of water storage, basins and collective spigots. Presentations running on her XO and shared with the family's machines help her explain the goverment program, Dengue's vector and the need for larvicide packets and well-covered cisterns. She is also able to geotag her findings, localizing them despite an absence of landmarks, street names or numbers, and plot public health findings on a map. Later that summer when there is a Dengue outbreak, the data gathered reveals a cluster centered on an abandoned well, and the problem is quickly dealt with. </font></div>
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