Khayelitsha, Western Cape, South Africa
Project identified by Savvas Andronikou MD and the South African Society of Pediatric Imaging (SASPI)
WFPI began tele-reading chest and other plain X-rays for Khayeltisha Hospital, Western Cape, South Africa, in July 2012. Starting with 5 South African readers, the team reached 50 volunteer tele-readers worldwide and has read over 500 X-rays to date. Radiographs are digital, converted to JPEG. Their quality is adequat for interpretation.
Image left: Dr Harlem Gongxeca, a SASPI member and practicing pediatric radiologist in South Africa who voluntarily tele-reads for Khayelitsha and the WFPI
Project roll-out: ups & downs!
The project wound down in early 2013 following the departure of the onsite technician (responsible for referring films to WFPI). It re-started in September 2013, with a transfer of tele-reading from WFPI to Stanford University Hospital, USA, as part of WFPI's drive to set up partnerships between facilities in lower resource and modern medical settings. Referrals come from the facility's clinicians as opposed to the technician team, resulting in a reduced flow of problem cases only: an excellent development which avoids WFPI substitution of basic imaging services and places us in a role of "provider of expert second opinions".
The activity flow has been through further stops and starts since. Each clinician needs internet access for tele-platform use, which has proven problematic.
The WFPI-Stanford tele-support role has been confirmed for the time being; the Red Cross Memorial Children's Hospital and WFPI will provide onsite lectures and training to strengthen pediatric imaging knowledge.
Project backround: click here
Savvas Andronikou delivered an on-site training session for non-radiologists in October 2012 and January 2013. The visits proved useful for exposing problems and re-orientating the WFPI’s work accordingly and reinforced the necessity to back up WFPI tele-reading with training and education. Some can be delivered online, but onsite visits are key to success.
Project reports: click here
AUDIT & EVALUATION
WFPI has published an audit and sustainability evaluation of its tele-reading for Khayelitsha in WFPI's mini-symposium, "Outreach in Developing Countries": click here.