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
Authors: Houpert Rémi , Almont Thierry , Mésenge Christian , Kleinebreil Line , Forlini Laurence , Magnone Bruno , Leroux Vincent , Vestris Mylène , Montabord Christelle , Carmenate Jaylin , Galán Yaima , Rubio Maria Caredad , Burte Carol , Gatimel Nicolas , Bujan Louis , Kara Norelyakin , Enriquez Rodolfo , Edwige Olivier , Huyghe Éric , JOACHIM Clarisse , VERONIQUE-BAUDIN Jacqueline 
Published: February 2023

Abstract
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.