The article describes the Tygerberg Children's Hospital and Rotary Telemedicine Project in South Africa which links specialists from Tygerberg Hospital to doctors at regional community or district hospitals to improve healthcare in rural areas. The initiative has assembled its own telemedicine system using off-the-shelf computer equipment and software that is more affordable than commercial telemedicine systems. It describes the local context, how the system was set up and how it works. It outlines the challenges faced by the project
An accessibility model within a geographical information system (GIS) is used to predict average inter-homestead walking times and subdivide the study area into units of equal completion time. The method could be used to ergonomically design home-based care and tuberculosis directly observed treatment programmes and inform the siting of health facilities. The paper highlights the use of GIS technology as a powerful tool in developing countries