Final Report

FINAL REPORT

June, 2008

Pilot installation of e-Health and e-Education system connected from central hospital and university to rural community in Kandal Province, Cambodia distributed by Wireless LAN Network.

APT ICT development Programme for supporting ICT pilot Project in Rural Areas

MPTC, KDDI and Waseda University

Contents

I. Introduction ...... 1 1.1.Objective of projects ...... 2 1.2.Project implementation sites ...... 3 1.3.Partners and cooperation model ...... 4 1.3.1. Project member list ...... 4 1.3.2. Organization structure ...... 5 1.4.Project plan ...... 6 1.4.1. Project activities and work process ...... 6

II. Project implementation ...... 6 2.1.Site survey ...... 6 2.2.Tokyo meeting ...... 7 2.3.Installation phase I ...... 9 2.4.Installation phase II ...... 10 III. Network infrastructure ...... 12 3.1.Network design ...... 12 3.2.Network equipments and materials ...... 13

IV. Applications ...... 14 4.1.e-Health application ...... 14 4.1.1. Basic applications ...... 14 4.1.2. Web based health information form ...... 15 4.2.e-Education application ...... 18 4.2.1. Basic application ...... 19 4.2.2. My class application ...... 19

V. Workshop and training ...... 21 5.1.Workshop and training on e-Health ...... 21 5.2.Workshop and training on e-Education ...... 23

VI. Initial results from using wireless LAN network in Angk snoul district ...... 24 VII. Future development and sustainability ...... 25 7.1.Sustainability...... 25 7.1.1. Trouble shooting ...... 25 7.1.2. Operation and maintenance ...... 25 7.1.3. Deployment ...... 26 7.2.Recommendation for sustainability ...... 26

VIII. Conclusion ...... 27

Acknowledgment ...... 27

Attachments ...... 28

A- Minute of meeting- Site survey ...... 28 B- Minute of meeting- Tokyo meeting ...... 34 C- Items transfer list...... 40 D- System overview of pilot project ...... 44 E- Network designs ...... 46 F- Application parameters ...... 49 G- Internet and email parameters ...... 51 H- List of e-Health workshop participants ...... 53 I- Project photos ...... 55

I. Introduction

Ministry of Post and Telecommunications of Cambodia (MPTC) in cooperation with KDDI Corporation, JAPAN and Global Information and Telecommunication Studies (GITS)- Waseda University, JAPAN have embarked on the APT ICT Development Project which is sponsored by Asia-Pacific Telecommunity (APT). The main purpose of this APT project is to narrow the digital divide in the Asia-Pacific region by establishing pilot projects to ensure the access to ICT in rural areas of Cambodia and to promote ICT and Broadband development in the region.

KDDI Corp. and Waseda University have participated in this project since 2002 by addressing various major issues that the rural areas in Asia pacific countries are facing.

Here are the existing projects that have been implemented so far:

- 2002-2003: “ Experience in Rural areas using Wireless LAN system”, Malaysia - 2003-2004: “Telemedicine in Rural Area”, Hatihn, Vietnam

- 2004-2005: “Experiment with Wireless LAN and PLC in Education Environment”,

Lombok, Indonesia.

- 2005-2006: “ E-learning Application in the rural area through wireless LAN Technology”, Bantayan Islands, Cebu, the Philippines

- 2006-2007: “Distance E- learning and Information sharing by Geometrical Information System on Community Network in rural area through WiMAX Technology in Phu Tho province, Vietnam.

This year, the project was carried out in Cambodia with the goal: “Pilot installation of e- Health and e-Education system connected from central hospital and university to rural community in Kandal Province, Cambodia distributed by Wireless LAN Network.” .This project was implemented in Angk Snoul District which is one of the districts in Kandal Province.

1.1. Objective of project

The objective of our e-Health project is:

- To reduce digital divide between remote areas and urban ones by establishing ICT infrastructure so called Broadband Community Network from central hospitals to the rural hospital, schools and community. - To improve health care system in remote areas with the utilization of e-Health applications linking from central/foreign hospitals to the rural ones.

- To disseminate the health care information and awareness to rural people by providing online workshops or trainings from central/foreign hospitals and organizations. - To raise awareness and understanding of people for the great benefit of ICT for facilitating and solving the health issue.

The objective of our e-Education project is:

- To give students and teachers at remote schools an access to new teaching materials from urban university. - To improve the quality of education in remote schools by providing real-time, online teachings from urban university by university teachers. - To enable remote students, teacher as well as urban university teacher to have an access to the Internet in search of new learning materials, which are very beneficial to catch up with the rest of the world. - To be part of human resource development in Cambodia. - To improve more cooperation and communication between education in rural and in the city. - To create a model of sharing and contribution for other universities to follow so that they will be able to take part in providing e-education across the country.

Through this project, we definitely hope that it will help to bring the better health care and education system to the rural people in Cambodia.

1.2. Project implementation sites

Kandal is a province locates in south east Cambodia bordering Kampong Chnang province to the north, Vietnam south, Takeo province to the west and Svay Rieng province to the east and its capital provincial town is Ta Khmau which is located just 11 kms from Phnom Penh. According to 1995 population census, the population fo Kandal is 1,073,223 accounted for 205,985 households settled in Kandaal province. Geographically, Kandal is also a low land province. Majority of land is arable land and it is under Mekong water half of the year. According to Ministry of Interior statistics, Kandal province covers 3,563.80 km². The population density is 301.3 inh./km². The Province completely surrounds, but does not include, the national capital, Phnom Penh, which is its own separate municipality.

The province is subdivided into 11 districts, 147 communes and 1087 Villages

• Kandal Stueng District (23 communes, 154 Villages) • Kien Svay District (12 communes, 46 Villages) • Khsach Kandal District (18 communes, 93 Villages) • Koh Thum District (11 communes, 93 Villages • Leuk Daek District (7 communes, 24 Villages) • Lvea Aem District (15 communes, 43 Villages) • Mukh Kamphool District (9 communes, 47 Villages) • Angk Snuol District (16 communes, 307 Villages) • Ponhea Leu District (14 communes, 141 Villages) • S'ang District (16 communes, 119 Villages) • Ta Khmau District (6 communes, 20 Villages)

Angk Snoul district was selected as our project site implementation in rural area. Two schools and seven health centers were selected respectively as follow:

• #329 KEC School (Somrong Leu secondary school) • #313 School (Porng Teuk school) • Bek Chan Health Center • Kam Bol Health Center • Poeuk Health Center • Prey Puoch Health Center • Damnak Ampil Health Center

• Snor Health Center • Samrong Loeu Health Center

In addition, in the capital city of Phnom Penh, the following sites were chosen to be connected to the remote sites in Angk Snoul District:

• Ministry of Posts and Telecommunications of Cambodia (MPTC) • Sihanouk Hospital-Center of Hope (SHCH) • Royal University of Phnom Penh (RUPP) • Bayon Station (Telecommunication of Cambodia ) as relay station

Phnom Penh City Area

8 km Figure 1.1. Implementation sites

1.3. Partners and cooperation model 1.3.1. Project member list

The APT Cambodia 2006 Project Team is composed of different organizations from both Cambodia and Japan. Members came from different government institutions, academe, and telecommunications industry which were listed as below:

• KDDI Cooperation, JAPAN • Waseda University, GITS, JAPAN • Ministry of Posts and Telecommunications of Cambodia (MPTC) • Sihanouk Hospital-Center of Hope (SHCH) • Royal University of Phnom Penh (RUPP) • Japan Relief/American Relief for Cambodia (JRFC)

1.3.2. Organization structure

A working structure was developed for the successful implementation of the APT Cambodia Project. Each member organization was assigned with specific functions and responsibilities during the implementation as well as for the sustainability and maintenance of the project. However, all of the activities of the project were carried out cooperatively. The Cooperation model is illustrated in the following figure:

Figure 1.2. Organization structure of project

1.4. Project Plan 1.4.1. Project Activities and Work process(schedule)

Phase Date Place Activities

1 September, 2007 Japan/Cambodia Preparation and Proposal to APT

2 October, 2007 Japan/Cambodia Selection by APT

3 December, 2007 Cambodia Site Survey

4 January, 2008 Japan Tokyo meeting

5 March, 2008 Cambodia Phase 1 Installation of the system both network and application Seminar/Orientation/Workshop

6 May, 2008 Cambodia Phase 2 Installation completion and Follow-up Improvement of the system Seminar/Training

7 June, 2008 Japan/Cambodia Preparation and Submission of Final Report

II. Project implementation 2.1. Site Survey

Schedule: December 3, 2008 – December 7, 2008 Location: Phnom Penh, Angk Snoul Participants: Japan: Mr. Yosuke Uchiyama, KDDI Mr. Kong Marry, Waseda University Mr. Sun Socheat, Waseda University

Cambodia: H.E. Lar Narath, Secretary of State, Ministry of Posts and Telecommunication, Phnom Penh Cambodia

Mr. Ieng Sreng, Director of International Cooperation, Ministry of Posts and Telecommunication, Phnom Penh, Cambodia. Mr. Meng Dy, Senior Program officer, Japan Relief for Cambodia Organization, Cambodia

Mr. Lav Chhiv Eav, Rector of Royal Universtiy of Phnom Penh, Cambodia

Mr. Dan Liu, Executive Director, Sihanouk Hospital-Center of Hope, Phnom Penh, Cambodia

Objectives: • To identify the sites in Phnom Penh and Angk Snoul for the network design • To meet and discuss with Cambodian counterpart regarding the project Activities/Results: • Meeting with Mr. Ieng Sreng at MPTC for their support • Meeting with RUPP, and they fully supported e-Education • Meeting with SHCH, and they also expressed their tight cooperation in conducting e- Health from SHCH to remote areas in Angk snoul. • Meeting with all health centers staffs and checked all health care centers.

2.2. Tokyo Meeting

Schedule: January 17, 2008 – January 19, 2008 Location: Tokyo, Japan Participants: Japan: Mr. Yosuke Uchiyama, KDDI Mr. Yuki Umezawa, KDDI Professor, Yoshiyori Urano, Waseda University Ms Run Kunthy, Waseda University Mr. Sun Socheat, Waseda University

Cambodia: H.E. Lar Narath, Secretary of State, Ministry of Posts and Telecommunication, Phnom Penh Cambodia

Mr. Ieng Sreng, Director of International Cooperation, Ministry of Posts and Telecommunication, Phnom Penh, Cambodia

Mr. Tuy Lay Veasna, Manager of Network Regulation, MPTC, Cambodia

Mr. Chau Rithy, Director of Capacity Building and Telemedicine, Sihanouk Hospital- Center of Hope, Phnom Penh, Cambodia Mr. Meng Dy, Senior Program officer, Japan Relief for Cambodia Organization, Cambodia

Mr. Nguon Moi, Lecturer at Royal university of Phnom Penh

Objectives:

• To discuss about the change from original plan due to budget and term required by APT • To present and finalize the network design of the project • To discuss about the wireless LAN conditions to be deployed as a result of site survey and to make the final conclusion about how to install the wireless LAN equipments at each site. • To request radio license used in the wireless LAN system, which is handled by MPTC • To discuss about servers and PCs to be used in the project. • To discuss about how workshop and training would be held. • To discuss about applications to be developed

Activities/Results: • All members agreed on the final network design and on the selected network sites • Frequency: 5.765 - 5.785 GHz (20MHz BW) for Wireless LAN of the Project was decided and MPCT will be responsible for procedure to issue the radio license before the installation date. • Internet connection will be made available to the whole network with the data speed of 256kbps.

• MPTC offered two or three staffs to help install the network and provided any facility needed for implementation.

2.3. Installation Phase I

Schedule: March, 10, 2008 – March 30, 2008 Location: Cambodia Participants: Cambodia: Mr. Yosuke Uchiyama, KDDI Mr. Yuki Umezawa, KDDI Professor, Yoshiyori Urano, Waseda University Mr. Kong Marry, Waseda University Ms Run Kunthy, Waseda University Mr. Sun Socheat, Waseda University Cambodia: Mr. Ieng Sreng, Director of International Cooperation, Ministry of Posts and Telecommunication, Phnom Penh, Cambodia. Mr. Tuy Lay Veasna, Manager of Network Regulation, MPTC, Cambodia Mr. Chau Rithy, Director of Capacity Building and Telemedicine, Sihanouk Hospital- Center of Hope, Phnom Penh, Cambodia Mr. Peng Ty, officer, Japan Relief for Cambodia Organization, Cambodia

Objectives: • To implement the project plan • To install the necessary network infrastructure of the project • To test the network design and configuration of the project • To conduct workshop and trainings • To demonstrate to the project recipients and government official about the e-Health and e-Education in a inauguration ceremony

Activities/Results: • Procurement and delivery of equipment to sites • Resurvey of sites and inspection of towers

• Installation of antenna at each site • Installation of servers and PCs together with related applications • E-Health workshop and training were conducted at SHCH to make health staffs understand how to use the system. E-Education workshop and training were also conducted at RUPP remotely to remote selected schools. • Agreements to hand over the equipments to MPTC officially. • Inauguration ceremony was held at KEC School with participations from various organizations ranging from government staffs, Embassy of Japan, APT members to local people in Angk snoul. • Planning for the improvement of the system

2.4. Installation Phase II

Schedule: April 30, 2008 - May 11, 2008

* During coordination before approval of this project, this Installation Phase II was deleted due to constraint of budget and request. However, we should come up this phase II because of non-completion during phase I with some problems and workshop requested by local people. Therefore, KDDI owned travel expenses of expatriate personnel.

Location: Cambodia Participants: Japan: Mr. Yosuke Uchiyama, KDDI Ms Riyoko Kojima, KDDI

Cambodia: Mr. Ieng Sreng, Director of International Cooperation, Ministry of Posts and Telecommunication, Phnom Penh, Cambodia Mr. Tuy Lay Veasna, Manager of Network Regulation, MPTC, Cambodia

Mr. Chau Rithy, Director of Capacity Building and Telemedicine, Sihanouk Hospital- Center of Hope, Phnom Penh, Cambodia Mr. Peng Ty, officer, Japan Relief for Cambodia Organization, Cambodia Objectives: To improve the wireless LAN network connections and confirm the network connection at all sites. To configure the remaining settings on wireless LAN network To configure the parameters and set the Wi-Fi routers for in room access. To deliver the additional items at some sites and improve the performance. To improve electricity at KEC school as HUB station for local access. To follow-up on the hand-on training provided during the phase 1

Activities/Results:

Adjustment of antenna direction of Slave unit antenna at some sites to improve the signal strength level. Check the problems of wireless LAN connection at RUPP, release the problem and restore it. Add tower section in order to increase antenna height at KEC School (HUB Master Station). Delivery and set the additional items at some sites. Modified and improved Solar Panel electricity system at each site. Confirm parameters/setting items/memorandum. Provided additional workshop in half day Workshop/Seminar/Training to selected health workers at KEC school by on line.

III. Network infrastructure 3.1. Network Design

The main objective of the J3 Project under the Asia Pacific Telecommunity (APT) is to strengthen ICT Development Programme for supporting ICT Pilot Projects in Rural Areas. The main focus of the program is on the installation of infrastructure of ICT projects in rural areas. In APT Cambodia pilot project, we had the network design illustrated as below:

Figure 3. Network design of project

The network system is composed of 4 main links.

The first link is local wireless access in Phnom Penh area. Bayon station is the master link for RUPP, MPTC, and SHCH which are the slave. The link from Bayon to RUPP and SHCH is connected by wireless LAN system while the link from Bayon to MPTC is connecting using Fiber Optic. The second link is the Internet connection, which is ADSL, 256kbps, connected to the server room in MPTC. The Internet connection is then shared to the rest of the network. The third link is the Point-to-Point link between Bayon station to KEC school in Ang snoul. 12

It is a bridged link between the network in Phnom Penh and Angk Snoul area with the distance of 24km.The fourth connection is the local wireless access in Angk Snoul area. Antenna of KEC school also acts as a master for all the slave stations (7 health center and 2 schools). The slave station is connected to the network by wireless system. The benefit of this network design is that:

• We can install inexpensive equipment with good capacity due to the limited budget. • The installation process can be conducted easily. Poles and tower are easy to adjust the antennas. • It can cope with the environment problems on radio propagation such as heat, humidity, dust, trees and so on.

3.2. Network equipments and materials

The Wireless Network was provided with the following equipments and materials:

• Wireless LAN equipments: This include antenna IDU, ODU and other related equipments • Servers: Servers were placed at MPTC server room to support mail server, file server, e-Health and e-Education applications. • Workstation: Laptop computers were distributed to each station for the health staffs and teachers to use the systems and the applications. • Towers: One tower was installed at KEC school for Point-to-Point Communication and Multipoint communications. Poles were also installed at selected health centers and schools to mount the antennas. • Computers peripherals: there are some other items such as speakers, switches, routers, headsets, webcam and so on. For a more detailed listing of equipment and materials placed in the different sites please refer to attachment C (items transfer lists.)

IV. Applications

4.1. e-Health application

Our objective of e-Health application is to provide health workers in chosen health centers and hospital with more efficient communication and good management of patient information. We divide e-Health applications into two types so called basic application and Web based health information form.

4.1.1. Basic applications

We provide internet connection to all selected health centers so that they can send emails to communicate with other doctors beside our local Wireless LAN and they can also search for additional health information on website to improve their medical skills. Each health center was equipped with lap top, headset and microphone so that they can communicate with each other by using Skype talk at their most convenient time. Moreover, we also provide them with internal email service which enables them to send emails to each other locally without relying on internet. File sharing service was also provided to them which enable to drag and drop large size of files such as patient photos or other health documents and send to each other.

Figure 4.1. Outlook Express Email client

Figure 4.2. File sharing service

Figure 4.3. Skype talk

4.1.2. Web based health information form

Beside the basic application, we have discussed with selected health workers and doctors about how they want layout and design of e-Health application to be. We have agreed to build a simple, user friendly web based e-health application which has features and benefits as follow:

Technical Features of our web base information form:

• “Look” and “Feel”: Our application provides the users with a standard layout and design throughout the various pages that a user will use to review and/or utilize provided content. The layout and appearance was suggested and modified due to feedback from health center staff and doctors from Sihanouk Hospital-center of hope. It met the layout and design expectations as described by health center staff during the development process which makes the users of the system find it attractive and

appealing. Using cascading style sheets will facilitate both a standard look and feel and most importantly it will enable flexibilities of the features of the contents.

• Basic User Access and Data Manipulation: Our application provides the user with easy and clear way of presentation along with basic capabilities to add, edit, and remove records discussed with health center. Operator is able to review their log activities and be able to administrate features of the Website with their presetting privilege.

• Administrative Features: One of the most attractive features of the system is the ability of operator’s administration by using the system to manage data and features available to a particular operator. From the administrative environment the data for all general operators can be viewed and maintained. This will permit administrator to easily add new features/change capabilities and privilege of existing operators. The system will permit secure access to data and it automatically maintains a record of system utilization. The administrator will be able to track the utilization to determine whether the system is meeting expectations then identify those areas which are most used within the system.

• Database Capabilities: The system uses a relational database stored on MYSQL server. Health workers will be responsible for self data entry. Manipulation of Database or the ability to import/export data to or from this database will be included once the health center requests.

• Extensibility: The application will include a sophisticated report generation feature. This feature allows the system administrator to describe specific data manipulations along with other descriptive data. Based on these parameters, the operator can define textual and graphical (e.g. bar graph) reporting features to present the data such as most visited contents. Based on the report generation features there are no limits to the number of reports that can be used in the system. BBS can be implemented to ease the user’s communication. Ministry of Health can have further development on this system to track all medicine usages as well as materials at each health center.

APT project: Web based e-Health application

Figure 4.4. Visualization of our e-Health system

Functions of our e-Health system

- Each health worker can fill in the patient information in web-based form. They can keep track the patient’s disease and other health records. They can send the record of treatment of patients and other health documents by email to doctor in district level suggested for further treatment. They also can have a video conference or call to discuss about patient condition. If the doctors in district hospital level are not able to deal with patient disease, they will suggest patients to Sihanouk Hospital- Center of Hope. They can check the schedule of doctors in district level hospitals and Sihanouk Hospital - Center of Hope for their available time to meet with the patients.

- At the end of every three months, they can make some health reports and exchange with other related health centers that linked with them. With the result of the report, they can make some indicators to show about the types of diseases that patients usually have. It also can indicate the number of patients that have been treated in their health centers and the number of patients suggested to district level hospital or to Sihanouk Hospital- Center of Hope. Importantly, they can keep the record of ready-solved treatment to some specific diseases which can be the future suggestion to the latter patient’s case. They also can disseminate the health care information about how to prevent those diseases to students and to the local people in those areas.

Figure 4.5. Web based health information form

Benefits of our e-Health system - Users have a chance to expose to computer system, internet, interactive communication as well as getting support from central hospital. Health center is not only a service provider on health issue but also is information technology awareness player. This can help to reduce digital divide between people living in remote areas and city.

- Health center can strengthen their communication among other health centers and doctor/nurse in the urban hospital without extra payment .This can facilitate health centers with additional services, for example, they can take care more kind of diseases as they have support from the others.

- Health center will pay more attention on their services as there are many players involved such as ministry of health, ministry of post and telecommunication and villagers.

4.2. e-Education application

Beside e-Health application which is the main application of our system, we also deployed e- Education system that is linked from Royal university of Phnom Penh to some remote 18

schools in Angk Snoul district. The access of local students to the new study materials, distance learning with subjects such as English, Maths, and basic computer literacy and so on can be made possible from RUPP to KEC school and Porng Teuk Primary school.

4.2.1. Basic applications

Lectures at Royal university of Phnom Penh can provide online learning systems via live video conference to students in KEC school with the use of Skype Talk accompanied with the equipments such as overhead projector, headsets, webcams, speakers and so on. Teachers and students can ask questions and answers simultaneously. With the internet connection provided, they can search for some learning material online that can improve their teaching and learning. They also can communicate with each other by using emails and share learning materials with the use of our file sharing service.

4.2.2. My class application

My class application is web based e-learning management system that was developed by student at Royal university of Phnom Penh. The system was chosen to deploy with our Wireless LAN infrastructure. With My class application, students and teachers in those remotes schools can register to their favorite class and learn their favorite subjects online. It benefits both to students and teacher as follow:

For teachers:

• Lesson: Teachers can upload lessons regarding to their own class in different file types such as word document, power point and pdf files. • Study plan: Teachers can post the duration to complete each course which including the started date and ending date. • Score: It enables teachers to evaluate student’s task that their students submitted. • Discussion: Teachers and students in their class can have discussion related to the lesson or the doubtful points that students do not understand. • Tasks: Teachers can post some tasks for students with assigned dateline • Short message: Teachers can send message to other students that are using this system. • Chat: Teachers can have a chat to their students to exchange information simultaneously. 19

• Student Management: Teachers can view their students’ profile and they can delete students who violate the rules out from their classes. • Register: Teachers can have the rights to decide which students are allowed to register in their classes.

Figure 4. 6. My class-View new students’ information panel

For students:

Before student can have access to their class, first they must register their name in the system and after that they can choose their favorite class to register. They must wait for the approval on their class registration from the teacher of that class. With my class application, students can get the following benefits:

• Students can receive lessons, tasks and give the answer back to the questions that their teachers posted. • They can have discussion with their teachers • They can write and send the short message to other classmates as well as their teachers regarding some points that they do not understand in the lesson. • They can view the information of their class and their lesson • They can view their score • They can see profile of their classmates and their teachers

Figure 4.7. My class- chat room panel

V. Workshop and training

5.1. Workshop and training on e-Health

We conducted e-Health workshops and training for three days with the wish to provide trainees to get the knowledge of e-Health concept, basic computer skills and also the usage of our web based health information form. Our workshop and training were conducted in Sihanouk Hospital – center of hope (SHCH) which is located in Phnom Penh city. We invited official staffs from ministry of health, ministry of post and telecommunications and other related guests to join the workshop. Basically, 14 health workers from selected 7 health centers were mainly invited to join this training because they are the main users of our system. The trainers include Waseda university teams as well as Mr. Chau Rithy who is director for capacity building and telemedicine in SHCH and Mr. Peng Sovann who is telemedicine nurse at SHCH.

Figure 5.1. All trainees from health centers

Below is the agenda for our workshop and training:

First day: Tuesday, March 25, 2008: We provided 4 modules of trainings.

Module 1: Fundamentals of Telehealth, by Mr. Rithy Chau , SHCH Director for Capacity Building and Telemedicine

Module 2: Telemedicine: SHCH Experiences in Remote Settings of Cambodia presented by Mr. Rithy Chau

Module 3: Nursing Assessment and Documentation, presented by Peng Sovann, SHCH Telemedicine Nurse

Module 4: Basic IT Concepts: Part 1, presented by Waseda University Team

Second day: Wednesday, March 26, 2008: We provided other 4 modules

Module 5: Basic IT Concepts: Part 2, presented by Waseda University Team

Module 6: Patient Education in Telemedicine, presented by Rithy Chau

Module 7: Internet & E-mail, presented by Waseda University Team

Module 8: E-mail and File Sharing Applications, presented by Waseda University Team

Third day: Thursday, March 27, 2008: We provided training basically on how to use Health information form with real case simulation followed by live video teleconferencing demonstration

Module 9: Health Information Form (HIF) and Its Applications, presented by Telehealth Team

Module 10: Case Simulation Using HIF, presented by Telehealth Team

Module 11: Live Video Teleconferencing Demonstration, presented by Telehealth Team

Providing workshop and training within three days might not be enough for them to absorb this kind of new technology but more or less they can learn something from our workshop. To assist them for their learning, we also provide them with hard copy of learning materials,

clear instruction manual in Cambodian language so that they can practice more by themselves. At the end of work shop’s day, we let the trainees to give their feedback and evaluation on our workshop and training. They said they felt happy to learn this new technology that they have never thought before that this new technology can help them with a lot of things. They promised to try their best to keep up learning. At the end of session, we also provided them the certificate of participants in the workshop.

Figure 5.2. Practicing health information form

5.2. Workshop and training on e-Education

We also conducted one day e-Education workshop and training to teachers and students in remote school .The training was conducted online from Royal university of Phnom Penh to KEC School via our Wireless LAN system. Several teachers and 20 students who are studying in grade 7 were invited to join our training. Subjects regarding English and basic computer skills were taught online by RUPP lecturers to those remote students. Moreover, the training of e-learning management system so-called My class application was also provided to both remote students and teachers in order to make them get familiar with the system and be able to use it.

Below is the agenda of our e-Education workshop

Tuesday, 27 March 2008

Module 1: How to use e-Learning application to teachers by Mr. Heng Sokchea Module 2: How to use e-Learning application to students by Mr. Heng Sokchea Module 3: Remote teaching about English Language taught by RUPP lecturer. Module 4: Remote teaching about Basic IT concept taught by RUPP lecturer.

With good teaching methodology delivered by lecturers at RUPP along with the good learning content remotely displayed by the big screen of overhead projector, students find it very interesting and pay more attention on the whole learning process. Moreover, it also provides interactive learning style that students and teachers can ask and answer questions simultaneously. At the end of workshop, they said they felt so excited to have the opportunity to learn through this kind of new technology that they never experienced before.

Figure 5.3. Students at KEC school are learning English via live video conference

VI. Initial results from using Wireless LAN network in Angk Snoul District

After the system was completely set up and was used for a few months, we can see the initial result as follow:

• Before the involvement in the project, most of health workers do not have even a chance to try computer. Now they can get the basic usage of computer and even get a chance to try the updated technology so-called Wireless LAN system. • Utilizing our wireless system, it is very effective tool for those health workers to exchange information and communicate among each health center more effectively 24

with free of charge. For example, with the use of skype, they can make a free call to each other which can reduce the phone call expense. They even can exchange related documents, patient report, and medicine report to each other by email instead of delivering in person which is very time consuming. • With the provision of internet connection, they can check and download more documents related to their work. They can deal with patient disease more effectively than before via information exchange and online consultation among each of linked health centers. Especially, they can get the back up support from doctors in SHCH by using online consultation and diagnosis. • During the inauguration ceremony of the project held on 28th March 2008, there were many people from different recognized places joined the ceremony such as: APT, Japanese embassy in Cambodia, GITs of Waseda University, KDDI, and MPTC with other 1500 local people. • It really brings awareness to health workers and local people in Angk snoul for the benefit of ICT to health care service. It also raises more awareness and attention from Ministry of Post and Telecommunications and Ministry of health for the benefit of the system.

VII. Future development and sustainability

7.1. Sustainability

7.1.1. Trouble shooting

For physical problems related to equipments and IT items, MPTC as the owner of equipments, can handle for that .For other things that related to health, we need support from Sihanouk hospital-center of hope. Waseda team can help with a kind of modifying e-Health application, server reconfiguration and technical support remotely. With other small problems, health workers in each health center can fix it by themselves. RUPP people can take responsible for sustaining the e-Education system regarding coordinating, preparing and modifying the e-Learning application.

7.1.2. Operation and maintenance

We have trained all the health workers to use our system. They are very active in learning with this new technology. With our manual and instruction guideline, they can learn it step by

step and will be able to use the system effectively. In addition, we also gave the instruction to them about how to properly take care all the items that they are using including laptops, webcam, headsets, solar panels, wireless antenna and so on. Another thing, since all health centers are located near each other so it is easy for them to help each other for the usage of applications. Related to maintenance issue, Ministry of Post and Telecommunications will be responsible to take care all the items and take any actions to sustain the system. Since each health center is using similar products so it is easy to test or backup whenever there is a problem. There is a set of spare items which can be replaced to the broken ones .The base station in Phnom Penh will be taken care by MPTC under USO fund while another base center which located at KEC school will be taken care by JRFC under the strong support from KDDI.

7.1.3. Deployment

When our pilot e-Health system gets successful, more and more people will start to realize the great benefit of e-Health system. There will be more chance which we can receive another support from ministry of Health as well as donors who share similar interest. They can extend the network infrastructure and link to our existing ones. In the future, more remote health centers will be linked to each other with the use of ICT. In the same way, when our pilot e-Education system can get successful, it will draw more interest from Ministry of Education and other related organizations that have similar interest to have a strong cooperation with that. It can be extended to more universities and remote schools in Cambodia.

7.2. Recommendation for sustainability

Effective strategies and cooperation with local government are very important for sustainability of the system operation. The responsibility of related agency to maintain the system is also the crucial point. Moreover, searching for the collaboration from other local or international organizations which have the similar interest and objectives can be a tool to expand our long term project. One of the most important things that we should consider is the human resource training. If there is no one has ability to use our system, our system cannot last long. We should provide enough training to health workers in both basic ICT skill and how to operate our applications properly.

VIII. Conclusion

The 2007-2008 APT project in Angk Snoul District, Kandal Province, Cambodia had been carried out with great effort and full cooperation between Japan and Cambodia team. It responds to the initial objectives, and contributes to help the local people in Ang Snoul District, Kandal Province in realizing the benefit of ICT for their daily lives. Remarkably, it proves the benefits of utilizing ICT in rural area that local people can utilize such a interactive applications as well as information exchange. Furthermore, it can be replicated into other areas with similar implementation by adapting this project as the model.

For sustainability, it is the fact that local people should comprehend more about the value of utilizing ICT in daily life and reserve a budget for system maintenance. Also, it is important for government, donors and related agencies to pay more attention on extension of applications and supports.

In conclusion, this first APT project has provided the local people in Angk Snoul District, Kandal Province, with a chance to experience the use of ICT in the rural area. In addition, it enables them to exchange knowledge via the application of ICT among local people and outsiders. Through these channels, they have acquired information on various issues from over the world through internet access, and also have expanded their human network which could be beneficial in human resource capacity building in the future.

Acknowledgment

The APT Cambodia Project team would like to gratefully thank to the following people who have provided with full cooperation to support this project until it gets successful.

1. The officials and staff of APT 2. The officials and staff of Japan’s Ministry of Internal Affairs and Communications 3. The officials and staff of Ministry of post and Telecommunication of Cambodia 4. The officials of Ministry of health of Cambodia 5. The staffs of Sihanouk hospital-Center of hope and all health workers in all selected health centers in Angk snoul district. 6. The lecturers of Royal university of Phnom Penh and all students and teachers in selected schools in Ankg Snoul District. 7. The staffs of Japan Relief for Cambodia for their assistance

Attachments A. Minute of meeting- Site survey

A.1. Minute of Meeting

December 3rd, 2007

Place: MPTC, JRFC and SHCH

Time: 9h30- 17h30

1) Record of attendance

- Mr. Yosuke Uchiyama, KDDI, JAPAN

- Mr. Sun Socheat, GITS, Waseda University, JAPAN

- Mr. Kong Marry , GITS, Waseda University, JAPAN

- Mr. Ieng Sreng, Director of International Cooperation, Ministry of Posts and Telecommunication, Phnom Penh, CAMBODIA.

- Mr. Dan Liu, Executive Director, Center of HOPE- Sihanouk Hospital, Phnom Penh, Cambodia

- Mr. Chau Rithy, Director of Capacity Building and Telemedicine, Center of HOPE- Sihanouk Hospital, Phnom Penh, Cambodia

- Mr. Meng Dy, Senior Program officer, Japan Relief for Cambodia Organization, Cambodia

2) Welcome Remarks Mr. Sreng welcomed the delegation from JAPAN. The director was very thankful and confirmed the full support and cooperation from MPTC for the project.

3) Items to discuss - Mr.Uchiyama gave the brief introduction of this project. Mr Sreng and Mr.Uchiyama discussed about the issues related to changing of meeting with MPTC due to the unavailability’s of MPTC staff .Mr. Uchiyama asked Mr. Sreng to arrange the Car and check the location at MPTC

- The team visited JRFC to meet Mr. Thearo and Mr. Dy. Mr. Uchiyama also gave the brief introduction of this project and asked Mr. Dy to make appointment with SHCH for afternoon visit. 28

- In the afternoon, the team had the meeting with Mr. Rithy and Mr. Liu at SHCH. Mr. Uchiyama gave the brief introduction of this project, KDDI background, previous projects, and state the intention to ask for their help.

- Mr. Rithy and Mr.Liu have asked Mr. Uchiyama about following information: 1. Concerning the Human Resource to operate the system 2. Maintenance and support after setup 3. Sustainable of the system this first year, they asked if there is possible way to get another supports after first year. 4. Budget to do this project - Mr. Rithy and Mr. Liu requested more time to study about the project and related situation.

- Mr. Uchiyama talked about upcoming Tokyo meeting issue and checked the location at SHCH .

A.2. Minute of Meeting

December 4th, 2007

Place: Royal University of Phnom Penh and Angk Snoul District

Time: 9h30- 17h30

1) Record of attendance

- Mr. Yosuke Uchiyama, KDDI, JAPAN

- Mr. Sun Socheat, GITS, Waseda University, JAPAN

- Mr. Kong Marry , GITS, Waseda University, JAPAN

- Mr. Lav Chhiv Eav, Rector of Royal Universtiy of Phnom Penh, Cambodia

- Dr. Oun Ravy, Director of Cambodia-Japan Cooperation Center, Cambodia

- Mr. Meng Dy, Senior Program officer, Japan Relief for Cambodia Organization, Cambodia

2) Welcome remarks

Mr. Lav Chhiv Eav warmly welcomed the delegation from JAPAN. He expressed his pleasure to have a good cooperation between RUPP and the APT project for Cambodia.

2) Items to discuss

- Mr. Uchiyama gave the brief introduction of this project and checked the location at RUPP

- The team visited CJCC, library of RUPP

- In the afternoon, the team visited two schools, and health center in Angk Snoul district.

- Mr. Uchiyama in coordination with Mr. Socheat and Mr. Marry had explained about the purpose of the projects to the teachers and dean of schools, the chief of health centers and local people. MPTC’s staff and Mr.Dy also helped to coordinate with the local people.

- The local people expressed thier pleasure to have this system

- Mr.Uchiyama and the team discussed about the two possible locations to be a master point either district health center or KEC school and also discussed about the possible health centers near by as well as other KEC schools.

- Mr.Uchiyama checked the spectrum of wireless near Phnom Penh International Airport

A-3. Minute of Meeting

December 5th, 2007

Place: Angk Snoul District

Time: 9h30- 17h30

1) Record of attendance

- Mr. Yosuke Uchiyama, KDDI, JAPAN

- Mr. Sun Socheat, GITS, Waseda University, JAPAN

- Mr. Kong Marry , GITS, Waseda University, JAPAN

- Mr. Meng Dy, Senior Program officer, Japan Relief for Cambodia Organization, Cambodia

- Other Local people

2) Items to discuss

- The team visited additional schools, and other health centers in Ang Snoul. Mr. Uchiyama gave the brief introduction of this project to those local people accompanied by Mr. Dy’s translation.

- The team discussed about the possible place for relay point. In the afternoon, the team visited intercontinental hotel to check the possible relay point

- At the end of the day, the team already confirmed that it is hard to find the relay point near by intercontinental and we need the additional information related to spectrum of air port from MPTC to finalize the points.

A-4. Minute of Meeting

December 6th, 2007

Place: Japanese Embassy, SHCH, JRFC

Time: 9h30- 17h30

1) Record of attendance

- Mr. Yosuke Uchiyama, KDDI, JAPAN

- Mr. Sun Socheat, GITS, Waseda University, JAPAN

- Mr. Kong Marry , GITS, Waseda University, JAPAN

- Mr.Takatani Junji, Second secretary of Japanese Embassy in Cambodia

- Mr. Dan Liu, Executive Director, Center of HOPE- Sihanouk Hospital, Phnom Penh, Cambodia

- Mr. Chau Rithy, Director of Capacity Building and Telemedicine, Center of HOPE- Sihanouk Hospital, Phnom Penh, Cambodia

- Mr. Meng Dy, Senior Program officer, Japan Relief for Cambodia Organization, Cambodia

2) Items to discuss

- The team visited Japanese embassy. Mr. Uchiyama gave the brief introduction of this project. Marry and Socheat introduced their background and scholarships.

-Mr. Uchiyama and the team discussed about relay point and fixed the schedule of another meeting with SHCHC with Mr. Dy at JRFC.

- In the afternoon, the team went to have the meeting with Mr. Rithy and Mr. Liu at SHCH accompanying by Mr. Dy from JRFC

- Mr. Socheat explained more about the project

- Mr. Rithy clarified the aim of projects, budget, application of system, human resource, players and the expectation of this project after completion of setting up.

- Mr. Rithy pointed out some points as below:

+ He wanted to know who will take responsibility about the project when there is a problem. After the discussion, we raised up that MPTC will help with those kind of matter and Waseda Team will be responsible for online technical supports.

+ He also raised the question why SHCH is chosen to help the project. Mr. Uchiyama explained the reason of that. It is because SHCH is already familiar with Tele- Medicine so it is the good place to start.

+ He raised the issue that so far SHCH did their telemedicine project by assigning the staff to stand by at each health center and handle all related problems. He concerned about how this APT project will be processed. After the discussion, the team clarified that the system will be for nurses in the remote health center to use, so they will be the ones who use it by themselves.

+ He also wondered if there is another allocation of budget for his staff to help with this project. Mr. Uchiyama said that the project does not have such budget for Mr.Rithy’s staff so that is why he is looking for this kind of help from him .

- At the end of the day, the team got a good cooperation from them. They promised to help this project to get fruitful results. SHCH also decided to let Mr. Rithy to attend

Tokyo meeting.

- The team also discussed about the training to the local staff from each health center and school including travel, food expense and allowance for each staff.

A-5. Minute of Meeting

December 7th, 2007

Place: MPTC, Angk Snoul

Time: 9h30- 17h30

1) Record of attendance

- Mr. Yosuke Uchiyama, KDDI, JAPAN

- Mr. Sun Socheat, GITS, Waseda University, JAPAN

- Mr. Kong Marry , GITS, Waseda University, JAPAN

- Mr. Ieng Sreng, Director of International Cooperation, Ministry of Posts and Telecommunication, Phnom Penh, CAMBODIA.

- Mr. Meng Dy, Senior Program officer, Japan Relief for Cambodia Organization, Cambodia

2) Items to discuss

+ In the morning, the team went to MPTC and had a meeting with Mr. Sreng. Mr. Uchiyama gave the brief information of the project after the site survey.

+ Mr. Uchiyama checked and claimed the location of Antenna

+ The Team went to check the status of University of agriculture for relay point and also went to Angk Snoul to check other schools.

+ In the afternoon, the team met the chief of educational district office in Takmao and Mr.Uchiyama gave the brief information of the project along with translation from Mr. Socheat and Mr . Marry. The chief agreed to sign the approval letter to take more action about the project for local schools.

+ The team went to district health office in Takmao to get the approval letter for health centers.

B- Minute of meeting – Tokyo meeting

B-1. Minute of meeting

Minute of Meeting

January 17th, 2008

Place: KDDI

Time: 9h30- 17h30

1) Record of Attendance

- Prof. Urano, GITS, Waseda University, JAPAN

- Mr. Yuki Umezawa, KDDI, JAPAN

- Mr. Yosuke Uchiyama, KDDI, JAPAN

- Mr.Sun Socheat, GITS, Waseda University, JAPAN

- Ms. Run Kunthy , GITS, Waseda University, JAPAN

- Mr. Ieng Sreng, Director of International Cooperation, Ministry of Posts and Telecommunication, Phnom Penh, CAMBODIA.

- Mr. Tuy Lay Veasna, Manager of Network Regulation, MPTC, Cambodia

- Mr. Chau Rithy, Director of Capacity Building and Telemedicine, Center of HOPE- Sihanouk Hospital, Phnom Penh, Cambodia

- Mr. Meng Dy, Senior Program officer, Japan Relief for Cambodia Organization, Cambodia

2) Welcome Remark:

Prof. Urano, Dean of GITS made a warm welcome speech to delegation from Cambodia. Each delegation also made a brief self introduction.

3) Items to discuss

+ Mr. Sreng suggested that all three servers should be allocated at Bayon station and give the whole network to Camnet which is under Telecommunication Communication (under control of MPTC) with support from USO fund. He will ask confirmation from TC about that. He also concern about the staff allocation to look after the servers. He also raised the sustainability of the project.

+ Mr. Umezawa raised about the connection between MPTC to Bayon Station.There is an existing Fiber Optic but since it is not available to use, he suggests to install another spare antenna for that connection.

+ Mr. Uchiyama raised the internet connection issue. He wished to have the good speed with reasonable price for 1 year budget of project. Mr. Sreng will check and ask for agreement of discount from ISP (Camnet) company.

+ Mr. Rithy raised the relationship between SHCH with RUPP. Mr. Socheat and Prof.Urano had explained that RUPP has a good relationship with Waseda University. RUPP can be the place to provide human resource support. RUPP can provide online training to students at connected remote schools at Ang Snoul. Also in the future, it can be the place to provide the medication research connected to other foreign universities.

+ Mr. Uchiyama decided how many Slaves and Masters should be installed. He also raised about the frequency assignment and importation process. Mr. Sreng had confirmed that MPTC will ease the process.

+ Mr. Uchiyama talked to Mr. Sreng about Radio license/ agreement for wireless LAN. Mr. Sreng raised that the MPTC allow to use the frequency between 5.765 - 5.785 GHz with 20 MHz bandwidth. He already had the signature of agreement from Minister so the process will be fast.

B-2. Minute of Meeting

January 18th, 2008

Place: KDDI

Time: 9h30- 17h30

1) Record of Attendance

- Mr. Yuki Umezawa, KDDI, JAPAN

- Mr. Yosuke Uchiyama, KDDI, JAPAN

- Mr.Sun Socheat, GITS, Waseda University, JAPAN

- Ms. Run Kunthy , GITS, Waseda University, JAPAN

- Mr. Ieng Sreng, Director of International Cooperation, Ministry of Posts and Telecommunication, Phnom Penh, CAMBODIA.

- Mr. Tuy Lay Veasna, Manager of Network Regulation, MPTC, Cambodia

- Mr. Chau Rithy, Director of Capacity Building and Telemedicine, Center of HOPE- Sihanouk Hospital, Phnom Penh, Cambodia

- Mr. Meng Dy, Senior Program officer, Japan Relief for Cambodia Organization, Cambodia

2) Items to discuss

- Mr. Socheat discussed with Mr. Rithy about the application. Mr.Rithy had suggested the team should create the web based health information application for nurse to deal with the remote patients. Mr. Rithy also suggested to create the application in English language and provide the training for nurses in those related health centers to know how to operate basic computer skill /internet & Email service as well as the utilization of the E-health application. Mr. Socheat raised more features of the application such as BS, and the display of health indicators. They also discussed about how to keep the sensitive information of the patients.

- Mr. Rithy suggested Mr. Dy to do the survey in those local health centers about what kind of medical tools they have so that the application will be right adjusted to that information.

- Mr. Uchiyama concerned about the security of the system. He concerned about the open of these network to the global. Mr. Socheat raised that we should deploy one domain for website of system from MPTC. Mr. Veasna will be responsible to check for obtaining the domain.

- Mr.Uchiyama discussed about how many items to buy for installation. Mr. Socheat will be responsible to check for quotation of servers, PCs and other equipments.

- Mr. Uchiyama concerned about the electricity supply in those remote places. Mr. Dy will check for the status of available electricity supply for those places and will decide what kind of electricity supply should be used.

B-3. Minute of Meeting

January 19th, 2008

Place: Nishi Waseda Campus

Time: 9h30- 14h30

1) Record of Attendance

- Prof. Urano, GITS, Waseda University, JAPAN

- Mr. Yuki Umezawa, KDDI, JAPAN

- Mr. Yosuke Uchiyama, KDDI, JAPAN

- Mr. Sun Socheat, GITS, Waseda University, JAPAN

- Ms. Run Kunthy , GITS, Waseda University, JAPAN

- Mr. Ieng Sreng, Director of International Cooperation, Ministry of Posts and Telecommunication, Phnom Penh, CAMBODIA.

- Mr. Tuy Lay Veasna, Manager of Network Regulation, MPTC, Cambodia

- Mr. Meng Dy, Senior Program officer, Japan Relief for Cambodia Organization, Cambodia

2) Items discussed

The members had the discussion and agreed on the requested Items to MPTC to ease the processes of project as follow:

2.1. Radio License

- Issue the radio license (and renewal will be processed under following years operation) to MPTC (Frequency: 5.765 - 5.785 GHz (20MHz BW) for Wireless LAN of the Project)

2.2. Internet Subscription

- 256Kbps or more with unlimited volume - Under universal service obligations (USO) or attractive/corporate discount - Location of connection is at the room (where our equipments are), Bayon station/TC - maintain or upgrade the Internet connection in following years

- Create or assign one Domain name for the project IP network and maintain the domain name

2.3 Space for our equipments - Some position of the tower at Bayon for Master unit antenna ( 30m-50m high above the ground) - Space for the indoor unit(wireless LAN)x1 / Hubx1/Routerx1/laptop PCx1/UPSx1 also 3 servers/display/keyboard/desk/chairs - Cable route (Ethernet) between the Antenna at the tower and the indoor unit at the room (max 90m) - Operation and Maintenance of the system (including Network and Servers) after our installation such as rebooting of servers, resetting network device, checking routers, and making contact point for operation/maintenance. - Operation/Maintenance of 3 servers /network with storage of all spare parts 2.4 .PC location 2.4.1 17 of 20 used PCs are decided to be placed at each site. We will ask you to decide the location of 3 more PCs. 2.5 Governmental coordination 2.5.1 Coordination with local government officers of Kandal province such health department, education department other relevant local officers ) if it is necessary 2.5.2 Coordination with Ministry of Health if it is necessary 2.6 Import process with tax exemption

- Receive and pick up the equipments (Wireless LAN equipments to be shipped from Israel or the Philippines)

- Paper work of the import and pick-up the equipments

- Coordination of the tax exemption (Import tax, Donation tax and all concerned items)

2.7 Transportation for the installation -Prepare a car for transportation in Kandal province and Phnom Penh Area during the installation. Reservation of ceremony place/room and arrangement of the ceremony in detail

2.7.1 Selection of participants and the invitation of the participants 2.7.2 Invitation of guests 2.7.3 Please also advise about time, date and ceremony place(venue)

2.8 Workshop and seminar/demonstration (as planned, it is to be held at MPTC on March 27, 2008 : one day before the inauguration ceremony ) 2.8.1 Room reservation for workshop at MPTC 2.8.2 Coordination of the participants from MPTC and relevant organizations 2.9. Installation

2.10.1 We are requesting staffs in MPTC/TC (at least 2-3 persons ) to attend our installation work together at each station.

2.10.2 Please also reserve our working space at MPTC 2.11 Future

2.11.1 Administration of the system 2.11.2 Planning and coordination of the future expansion

C-Items transfer list

D. System overview of our pilot project

E. Network Designs

E-1. Network parameters

E-2. Master unit configuration

E-3. Slave unit configuration

E-4. Automatic electricity switch configuration

F. Application parameters

F-1. e-Health application

F-2. e-Education application

G. Internet and email parameter

G -1. Internet parameters

- Domain name: mptc-itforyou.org.kh

-Website: http://www.mptc-itforyou.org.kh

G-2. Email parameters

List of Gmail accounts, Skype account, and outlook express email client account for all health centers

Skype Health centers Gmail account Outlook Express account account

Peuk peuk-hc [email protected] [email protected]

Bek Chan b-chan-hc [email protected] [email protected]

Damnak Ampil dampil-hc [email protected] [email protected]

Snao snao-hc [email protected] [email protected]

Samrong Leur s-leu-hc [email protected] [email protected]

Prey Puoch p-puoch [email protected] [email protected]

Kambol Health kambol-hc [email protected] [email protected]

H. List of e-Health workshop participants

H-1. During installation phase I

H-2. During installation phase I

I. Project Photos

Site survey: Dec 3rd-Dec 7th 2007

Tokyo Meeting: Jan 17th-Jan 19th 2008

Installation Phase I: Mar 10th –March 30th 2008

th th e-Health Workshop: Mar 25 –Mar 27 2008

e-Education workshop: Mar 27th 2008

Opening Ceremony: Mar 28th 2008

Installation Phase II: Apr 30th –May 11th 2008