Collaborative digital platform France – Cuba: oncorehabilitation in reproductive and sexual health

Background Martinique shares with the other Caribbean countries specific public health issues, particularly in the diagnostic and therapeutic management of cancer patients. Mutualization of human and material resources by promoting cooperation is the most appropriate response to the challenges of the health systems of the Caribbean territories. Through the French PRPH-3 program, we propose to set up a collaborative digital platform adapted to the specificities of the Caribbean to strengthen professional links and skills in oncofertility and oncosexology and reduce inequalities in access to reproductive and sexual health care for cancer patients. Methods Within the context of this program, we have developed of an open-source platform based on a Learning Content Management System (LCMS), with an operating system developed by UNFM for low speed internet. LO libraries have been created and interaction between trainers and learners were done in asynchronous mode. This training management platform is based on: a TCC learning system (Training, Coaching, Communities); a web-hosting with pedagogical engineering appropriate to low bandwidth; a reporting system and a responsibility for processing. Results We have carried out a flexible, multilingual and accessible digital learning strategy functionality called e-MCPPO according to low-speed internet ecosystem. In close connection with the e-learning strategy we conceived (i) a multidisciplinary team; (ii) an appropriate training program for expert health professionals and (iii) a responsive design. Discussion and Conclusion This low-speed web-based infrastructure allows communities of experts to cooperate in creating, validating, publishing and managing academic learning content. The self-learning modules provide the digital layer for each learner to extend their skills. Learners, as well as trainers, would gradually take ownership of this platform and encourage its promotion. Innovation in this context is both technological (low-speed Internet broadcasting, free interactive software) and organizational (moderating educational resources). This collaborative digital platform is unique in its form and content. This challenge could contribute to the digital transformation of the Caribbean ecosystem for capacity building in this specifics topics.

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Section: Contextmentioning

confidence: 99%

Section: Contextmentioning

confidence: 99%

International cooperation and the challenge of internet accessibility in Caribbean territories: example of a collaborative platform between the University Hospital of Martinique and Ramón González Coro Hospital in Cuba, through the French PRPH-3 program

et al. 2023

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“…The current project is being carried out within the framework of PRPH 3 to improve the quality of care and the development of oncofertility and oncosexuality management at the Ramón González Coro Hospital in Cuba with the Pierre Zobda-Quitman University Hospital in Martinique as the French counterpart. (4) Sexuality and fertility disorders are frequent and long-lasting sequelae of cancer and its treatment. (5) Therefore, it is recommended that French institutions accredited for oncology include in the personalized care of the patients concerned the possibility of accessing oncosexuality oncofertility support care (6) following national recommendations of good practice.…”

mentioning

confidence: 99%

“…Nevertheless, the implementation of such a platform implied taking into account the difference in Internet penetration rates (77% vs. 40%) and broadband accessibility (71% vs. 5%) between the two islands. (4) This cooperation program is based on a solid experiential base of identi ed partners. The expertise of the UNFM in accessing digital resources in "low-speed" Internet was necessary for the implementation of the project.…”

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confidence: 99%

International Cooperation and the Challenge of Internet Accessibility in Caribbean Territories: Example of a Collaborative Platform Between the University Hospital of Martinique and Ramón González Coro Hospital in Cuba, Through the French PRPH-3 Program

Houpert

Almont

Mésenge

et al. 2023

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Background: Martinique shares specific public health problems with other Caribbean countries, particularly in cancer patients' diagnostic and therapeutic management. In order to support cooperation initiatives, France has set up a "Hospital Network and Partnership Projects" (PRPH) program to finance collaborative projects between a French hospital and a foreign hospital identified. This program contributes to improving the quality of care and management of developing hospitals. Sexuality and fertility disorders are frequent and long-lasting sequelae of cancer and its treatment. A digital collaborative platform seemed to be the most appropriate solution for the Caribbean ecosystem due to the specificities of the islands. Methods: We propose the implementation of an open-source platform based on a Learning Content Management System (LCMS), with an operating system developed by UNFM. The infrastructure is based on the LO (Learning Objects) model, which is composed of learning objectives, assessments and content. This training management platform is based on: a TCC learning system (Training, Coaching, Communities); a web-hosting with pedagogical engineering appropriate to low bandwidth; a reporting system and a responsibility for processing. Results: We have set up a flexible, multilingual and accessible digital learning strategy functionality called e-MCPPO in a Caribbean ecosystem. The learning features aligned with the e-learning strategy are - A multidisciplinary team; - An appropriate training program for expert health professionals; - A responsive design. The proposed solution guarantees a perennial, simple and free access in low bandwidth considering innovative digital technologies, on any type of device. Discussion and Conclusion: This web-based infrastructure allows communities of experts to cooperate in creating, validating, publishing and managing academic learning content. The self-learning modules provide the digital layer for each learner to extend their skills. Learners, as well as trainers, would gradually take ownership of this platform and encourage its promotion. This collaborative digital platform is unique in its form and content. Through bilateral exchanges, French and Cuban professionals will share their expertise in fertility preservation and sexual rehabilitation after cancer. Indexing such audio-visual pedagogical resources is a major challenge for expert practice community. This challenge could contribute to the digital transformation of the Caribbean ecosystem.

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Strengthening health care to provide rehabilitation services for women with cancer diseases of the reproductive system

et al. 2022

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During the past decades, the prevalence of cancer diseases of female reproductive system has been constantly growing. The issue is especially acute in reproductive-age women because of earlier oncological pathology onset. Morpho-functional disorders and aggressive methods of anti-tumor therapy significantly affect the patients’ quality of life, psychological well-being, emotional stability, and family relationship, which leads to a limitation of physiological and social possibilities. Rehabilitation programs for oncological patients target to prevent unwanted sequela of the disease, its therapy, and relapses. Pre-rehabilitation plays a special role. It includes psychological and specialized medical care for the patient during the period from the disease verification to the start of therapy. Timely rehabilitation measures reduce the rate of repeated hospitalizations for side effects of chemotherapy, radiotherapy complications, antitumor therapy, and radical surgical interventions. Rehabilitation as a part of standard therapeutic strategy can reduce pharmacoeconomical burden for the health care system. However, further clinical and pharmacoeconomic studies are required for the implementation of rehabilitation at the level of the health care system.

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Collaborative digital platform France – Cuba: oncorehabilitation in reproductive and sexual health

Cited by 5 publications

References 29 publications

International cooperation and the challenge of internet accessibility in Caribbean territories: example of a collaborative platform between the University Hospital of Martinique and Ramón González Coro Hospital in Cuba, through the French PRPH-3 program

International cooperation and the challenge of internet accessibility in Caribbean territories: example of a collaborative platform between the University Hospital of Martinique and Ramón González Coro Hospital in Cuba, through the French PRPH-3 program

International Cooperation and the Challenge of Internet Accessibility in Caribbean Territories: Example of a Collaborative Platform Between the University Hospital of Martinique and Ramón González Coro Hospital in Cuba, Through the French PRPH-3 Program

Strengthening health care to provide rehabilitation services for women with cancer diseases of the reproductive system

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