© 2015 The Regents of the University of Michigan

Ethiopia – Back to the Future

Bob Riddle November 2015

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A word from our sponsors …The nice folks that paid for travel, food, hotels• http://globalreach.med.umich.edu/

Joseph C. Kolars, M.D.• http://cirht.med.umich.edu/

Senait FissehaLia Tadesse Gebremedhin, MD, MHA

• http://www.aiha.com/our-projects/hivaids-twinning-center/

• … others unknown to me and unnamed

Ethiopia – an interesting Math problem Hospital Campus with ~900 clinicians

and 275 medical students … questions …

• How many IP addresses are required to support necessary devices on this campus?

• How many IT staff are required to support the needs of this campus?

• How what level of technical experience is required to support the mission of this campus? 3

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Library without books or internetChallenges:• Wrong side of the road• 2 years waiting for fiber• Almost 900 meters• no Amazon.com!• Limited budget

What if …• Fiberless network?• Cost < $200?• Suitcase solution?

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Library - EnGenius ENH500• Mounted on building roof• Line-of-sight required• POE simplified installation• Good for a 1-3 kilometers• 300mbps (uplink speed)

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Video Conferencing ChallengesCurrently single VC room requires IT staff:

• Relocate ethernet to proper switch in server room

• Configure Polycom with correct IP addresses

• Inform Ethiopian Telecom of coming VC

What if …• Multiple ethernet cables? (100 meter

challenge)• A/B switch on co-located with Polycom

device• Polycom profile(s)

Permitted VC users to be self-sufficient?

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New VC rooms in Admin Building2 additional classrooms in Admin Building

• Fiber connected building• Consulted with faculty, IT staff concerning

needs, equipment, technology, and environment

Provided list of local technology suppliers, local AV support, and test points for different technology (Polycom, Bluejeans, Adobe Connect, etc.)

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Moving from reactive to proactiveCurrently operating in reactive mode

• Wait for phone to ring, knock at door, etc.

• Share office PC’s with other SPHMMC staff

Exploring open-source opportunities• Nagios, OpenNMS, Zenoss• Webmin, etc.• Worked! Realized Library was going to call!

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Elsevier Journals – restricted accessElsevier prefers to use public IP addresses for authorization – it is what is used at UM

SPHMMC – has 4 public IP addresses, 1 ISP, the “national” network is a 172.23.*.* (private)

What if one might use SPHMMC email domain for authorization and authorization?

• Several weeks of interaction with Elsevier support …

• Works now at SPHMMC, 8 more institutions to go …

YOER Pi - Deployed in Africa• Ethiopia

–St. Paul Hospital Millennium Medical College• Kenya

–Bishop Lawi Imathiu Secondary School–School of Public Health (University of

Nairobi)• Ghana• Malawi• Liberia

http://open.umich.edu/connect/projects/yoerpi

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final math problemGovernment mandate to increase number of medical students by 1 order of magnitude

• Easy to do in the classroom• Hard do do in the operating room

What if you could “fit” 10 times as many students in the operating room?

• A/V possibilities … thanks to help from Eric Wolf!

• Provide video/audio as if looking over surgeon’s shoulder

?

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Things my wife doesn’t need to know …

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