Telemedicine - Distant Medical Treatment:

The mission of Information and Communication Technology and related services is one of the wealth generators for the National Ruler Health Mission The benefits of ICT must reach all parts of the country through telemedicine, Tele-education and e-governances. Honorable President of India Dr A P J Abdul Kalam.


The role of Telemedicine in the state of Tripura is journey towards e-governance was marked as potentially important way back in 2005 when the Department of Information Technology, Ministry of Communications and Information Technology, Government of India sponsored a pilot Telemedicine project for development and implementation in Tripura Government Hospitals. Proposed to be developed and run using the Leased Line communication network, WEBEL Electronic Communication Systems Ltd (Webel ECS Ltd.), a wholly owned subsidiary of West Bengal Electronics Industry Development Corporation Ltd., a Govt. of W.B. Undertaking, in collaboration with Indian Institute of Technology (IIT), Kharagpur, for development of technology, worked on the project.
In 2005, the first telemedicine network in Tripura was set up with the referral center at GB Pant Hospital and IGM Hospital, Agartala and five other nodal centers at the Amarpur SDH, Kanchanpur SDH, Gandacherra SDH, Chailengta SDH and Kathalia PHC. The network was inaugurated by Shri Tapan Chakraborty, the Honorable Health and Family Welfare Minister of the state on 9th June, 2005. The second and third Telemedicine projects on the development and application of Telemedicine for Tripura Government Hospitals using 512 kbps / 2 mbps leased lines from BSNL were also been sponsored by the Department of Information Technology, Ministry of Communication & Information Technology, Government of India. The projects have been implemented by WEBEL ECS Ltd. in collaboration with IIT Kharagpur. Over 106132 Patients were treated from June, 2009 up to 31st May, 2017.
The major disciplines covered under this service are medicine, radiology, orthopedics, pediatrics, gynecology, surgical, dermatology, etc. In the initial years, more than 50% of patient referrals were for cases of general medicine. But for last few years, there were significant increase in number consultations in radiology and orthopedics also. In 2010-2011, these three disciplines almost equally shared the load, which was around 75% of the total patient referrals. It is also heartening to see that every year the number of patients treated through telemedicine is increasing. Last year over 7000 patients got the benefit of this technology. The State Government is also proactive in the sustenance of the services. After the completion of the project period, the state government took special initiative for arranging funds from National Rural Health Mission (NRHM) for maintenance of the systems and supporting trained manpower to the telemedicine centers.

Telemedicine network has been established in the following hospitals:

Referral Centers
1. Govinda Ballav Pant Hospital, Agartala 2. Indira Gandhi Memorial Hospital, Agartala 3. Regional Cancer Center, Agartala

Nodal Centers

4. Amarpur SDH

5. Kanchanpur SDH, 6. Chailengta SDH 7. Gandacherra SDH
8. Kathalia PHC, 9. Belonia SDH 10.Kumarghat CHC 11.Sabroom SDH
12.Melaghar SDH 13.Kulai DH 14.Natunbazar PHC 15.Khowai SDH
16.Takarjala PHC 17.Ompinagar PHC 18.Hrishyamukh PHC 19.Dhamcharra PHC
20.Chawmanu PHC, 21.Dharmanagar SDH 22.Kamalpur SDH 23.Panisagar PHC
24.Teliamura PHC 25.Jampui PHC 26.Unakoti DH 27.Microsapara PHC
28.Manubankul CHC      

The concept of Telemedicine can be utilized for other purposes like: -
Distance Learning & Continuing Medical Education (CME)
Training for isolated or rural health practitioners.
Video Conferencing for administrative purpose.

Salient Features of the Telemedicine Software (TelemediK): -
Pear to pear applications
Different instruments such as ECG recorders, X- Ray scanners can be integrated with the system.
Bandwidth scalability POTS, ISDN, VSAT, etc.
Structure form based data entry module for different classes of diseases.
Internet browser based GUI for patients data access (text, graphics, audio, video, etc)
Visualisation and annotation of human profile and medical images (JPEG, BMP, GIF & DICOM)
HL7 messaging among participating sites.
Ensure confidentiality of patients personal information
Supports statistical report generation
Backup and restore utility
Back-end RDBMS support.
Inauguration of Telemedicine Unit in G. B. Pant Hospital, Agartala, Tripura by Hon ble H.E. President of India

Inauguration of Telemedicine Unit in G. B. Pant Hospital, Agartala, Tripura by Hon ble H.E. President of India

Hon ble Sri Tapan Chakraborty, Minister Health &FW, Govt. of Tripura inaugurating Telemedicine Project in Tripura on June 9, 2005
 Hon ble Sri Tapan Chakraborty, Minister Health &FW, Govt. of Tripura inaugurating Telemedicine Project in Tripura on June 9, 2005

Hon ble Sri Tapan Chakraborty, Minister Health & FW, Govt. of Tripura inaugurating Telemedicine Project in Tripura on August 29, 2007

Hon ble Sri Tapan Chakraborty, Minister Health & FW, Govt. of Tripura inaugurating Telemedicine Project in Tripura on August 29, 2007

PATIENT TREND:
Total No. of Patient Treated up to 31/05/2017: 106132 approx.


Total No. of Patient Treated

SOME REFERRED PATIENTS IMAGES
SOME REFERRED PATIENTS IMAGES

UTILITY OF SPECIALIZED SERVICES:
UTILITY OF SPECIALIZED SERVICES

“Telemedicine for Healthcare in Rural Areas of Tripura” In 4th eNorth East Award , 2013 Summit, organised by Dept. of IT, Govt. of Arunachal Pradesh and North East Development Foundation at Itanagar, Arunachal Pradesh on December 13, 2013 :
UTILITY OF SPECIALIZED SERVICES



TELEMEDICINE UNIT
AGMC & GBP HOSPITAL/IGM HOSPITAL & CANCER REGIONAL HOSPITAL
From 09/06/2005 to up to May 2017.

 
TELEMEDICINE CENTRES 2005-2006 2006-2007 2007-2008 2008-2009 2009-2010 2010-2011 2011-2012 2012-2013 2013-2014 2014-2015 2015-2016 2016-17 Upto May 2017 TOTAL
Kathalia PHC 0 65 317 421 135 296 345 451 640 429 434 1114 145 4792
Melaghar SDH 0 0 705 1183 1666 2374 1303 1717 1920 2025 2065 1899 248 17105
Takarjala CHC 0 0 0 0 0 0 73 303 554 841 911 1166 55 3903
Microsapara PHC 0 0 0 0 0 0 0 0 0 0 18 345 97 460
Khowai SDH 0 0 0 0 0 185 590 1133 2061 1168 1405 1913 738 9193
Teliamura PHC 0 0 0 0 0 0 0 0 0 264 307 944 118 1633
Amarpur SDH 145 149 457 450 299 124 350 295 575 287 769 1214 513 5627
Natun Bazar
CHC
0 0 0 11 12 167 384 430 523 408 734 1434 94 4197
Ompinagar CHC 0 0 0 0 0 66 366 222
326
241 502 1056 194 1973
Belonia SDH 0 0 741 727 358 515 375 891 1145 974 1009 1347 797 8879
Sabroom SDH 0 0 89 90 279 347 491 606 692 552 608 748 46 4548
Hrishyamukh CHC 0 0 0 0 0 0 0 212 489 447 439 1154 106 2847
Manubankul CHC                         6 6
Gandacharra SDH 84 210 298 559 541 787 397 700 1366 1230 1122 1279 177 8750
Chailengta SDH 78 121 102 93 0 0 0 167 727 385 912 1261 191 4037
Kulai DH 0 0 0 0 0 32 411 376 240 134 344 1169 336 3042
Chawmanu PHC 0 0 0 0 0 0 2 205 449 187 362 1055 72 2332
Kamalpur SDH 0 0 0 0 0 0 0 0 107 184 474 1345 334 2444
Kumarghat CHC 0 0 205 156 174 390 492 452 655 488 624 1001 226 4863
Unakoti DH 0 0 0 0 0 0 0 0 0 17 972 1603 615 3207
Kanchanpur
SDH
131 123 86 175 104 396 364 132 517 232 257 687 219 3423
Damchara PHC 0 0 0 0 0 0 0 312 510 475 384 751 34 2466

Dharmanagar SDH

0 0 0 0 0 0 0 0 234 100 917 1306 1254 3811

Panisagar PHC

0 0 0 0 0 0 0 0 2 0 266 1125 103 1496
Jampui PHC 0 0 0 0 0 0 0 0 0 0   16 82 0 98
Total NO.
of Patient
438 668 3000 3865 3568 5679 5943 8604 13732 11068 15851 26998 6718 106132