This paper explores the implication of health care development through ICT on local norms of participation, and local accountabilities. Drawing on an example from the Amazon, the author notes the interplay between a telemedicine system and local knowledge. He suggests that ICT is an 'accountable structure' for a model of development based on linear transmition of knowledge rather than dialogue and participation
A case study of the RESCUER project, in Iganga District, Eastern Uganda. The project was designed to link the traditional rural community health providers with the formal health delivery system in a cost-effective way. The increased number of deliveries under trained personnel, and increased referrals to health units, led to a reduction of about 50 percent in the maternal mortality rate (MMR) in three years