WGHA Discovery Series: Lydia Mpanga Sebuyira
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"Partnerships across Boundaries: The West African Infectious Diseases Institute Model".
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WGHA Discovery Series: Lydia Mpanga Sebuyira
- 1. Partnerships without Borders: The West African Infectious Diseases Institute (WAIDI) Model Dr Lydia Mpanga Sebuyira FRCP Head of Training Department Infectious Diseases Institute (IDI) Makerere University WGHA July 09
- 8. Source of Trainees for IDI by June 12 2009 Totals Trained By 12 June 2009 3986 Medical Docs: 1282 Other HCWs: 2704
- 10. IDI Training Program Serving the Region as a Center of Excellence IDI’s Training Program Alumni now number 3,589 doctors, nurses and other professionals from 27 African countries. In addition to HIV/AIDS care, IDI Training Program addresses malaria, laboratory skills, data management and other disciplines.
- 11. Pyramid of effective capacity building IDI April 09 Tools Staff and lnfrastructure Structures, Roles and Systems Knowledge, Skills, Attitude Personal capacity Inputs to build capacity eg Effective policies, functional health systems, good collaborations, partnerships, referrals Systems capacity Role capacity Facility capacity with Support Service capacity Performance capacity Inputs to build capacity Logistics systems : availability of drugs Trained health workers Functioning labs Sufficient staff ACT’s, ITN’s Workload capacity with Supervisory capacity Structural capacity
- 14. Infectious Diseases Institute - Curriculum of infectious diseases care & prevention - Emphasis on clinical setting – approximate workplace - Package for independent distance learning Core Course in Infectious Disease Care & Prevention Month 1 Month 2 - 4 Month 5 Month 6 - 8 Month 9 Quality Assurance Project “+” - Monthly site visits for Continuous Quality Improvement - Multidisciplinary training and team building activities - Data collection and analysis Mid-Level Practitioner ID Capacity-Building Curriculum AIDS Treatment Information Center (ATIC) “Plus” - Ongoing real-time consultation - Continuing Medical Education - Surveillance and data collection Facilitated Distance Learning Booster Course Facilitated Distance Learning Booster Course
- 15. Year 1 Year 2 Year 3 Figure 1: Evaluation Design Facilitated Distance Learning and Enhanced ATIC Support Evaluate Impact of program on Competence / Performance / Health Outcomes Monthly site visits for CQI and Data Collection Sites 1 - 18 Sites 19 - 36 Sites 1 - 18 Sites 19 - 36 Develop and test curriculum Baseline Assessment Document Analyze Cost-Effectiveness Disseminate Mid-Level Practitioner Training
- 19. WGHA July 09
Notes de l'éditeur
- What started as a goal to improve the treatment of patients with AIDS in Africa is now the mandate to develop and sustain the continent’s ability to impede the spread of ID. Today, Accordia is building new partnerships modeled after IDI and expanding their work throughout Africa. Roles evolving from home of AA and funding partner to include program development , advocacy and dissemination. Summit next week: bringing together private sector, government, academia and NGO’s to examine health leadership, institutional leadership
- Started as a technical school in 1922, Faculty of Medicine in 1924 became a University College under the University of London, then University of East Africa in 1963; in 1970 became a University in Uganda Jan 5 th 2008: College of Health Sciences
- Mission: T o equip health care workers in Africa with the knowledge and skill set to become leaders in the provision of quality care, prevention and research in HIV/AIDS and other infectious diseases. Focus on: equipping health care workers in Africa to become leaders in the provision of quality HIV/AIDS care and prevention contributing the enhancement of health care infrastructure in Africa building a platform for multinational ARV delivery programs
- Mission: T o equip health care workers in Africa with the knowledge and skill set to become leaders in the provision of quality care, prevention and research in HIV/AIDS and other infectious diseases. Focus on: equipping health care workers in Africa to become leaders in the provision of quality HIV/AIDS care and prevention contributing the enhancement of health care infrastructure in Africa building a platform for multinational ARV delivery programs
- By end of 2008, IDI Clinic had 8,848 active clients at the IDI clinic, with 5,877 on art and 5,521 cared for through outreach clinics (KCC) Research approx 25 studies, including an observational cohort 500 people on ART MUJHU Core lab at IDI HAS HIGH TESTING VOLUME 160,000 TESTS PER YEAR, CAP certified, 2 international awards
- NOTE: In keeping with the increasing focus of training on the mid-level practitioners, doctors only make up 32% of the total numbers, compared with 43% in Dec 2007 and 50 % in June 2007
- Comments
- Program is based on three topics that are well-known to this audience: HIV, TB, and Malaria
- The infectious disease training for mid-level practitioner will occur over 9 months. Data collection at the clinics will be on-going during the training. Evaluation will rely primarily on MOH data collection system. Project resources will reinforce existing system.
- Baseline data collection at 32 sites. MPP training at all sites. Sites randomly assigned to first phase or second phase. Within first phase sites, 8 will get 9 months and 8 will get 15 months so we can test the "dose" effect. For years ago on Dec 6, 2004 I presented a simple version of this diagram to an I-TECH all-team meeting.
- Advocacy : First PEPFAR Nigeria Vision bearers came to Uganda early 2008 PEPFAR: PEPFAR Implementers’ meeting in June 2008- PEPFAR Nigeria and FMOH Members came to Uganda, met with IDI
- This time was used to : Achieve buy-in into the tripartite IDI model with the leaders of WAIDI They had to look at leadership and governance Tangible products to further convince stakeholders: Draft ART curriculum for Nigerian Doctors Implementation plan for Year 1 of WAIDI
- Buy-in by Nigerian Alumni Broad base of stakeholders and partners Training as an entry point, leading to research and direct patient care Have tangible products early on that would excite others about the benefits Develop technical as well as programmatic skills- develop systems
- Developing /training a team: Joint plans and goals, including way forward with accountabilities Leadership/coordination for way forward identified Need for communication Social events to encourage team-building Partnerships: CDC-EM, IDI-Accordia Technical Assistance to IDI: I-TECH: currciulum training and TOT; IDSA trainer Ian Crozier for Advanced ART; UMI and APCA for Programme planning, mgt and M&E; Academic Alliance Members reviewing Nigerian ART training manuals and ART guidelines Follow up activities: WAIDI team responsible for follow through on Curricula development (with TA from IDI if requested), governacne issuses, and soliciting funding fro Phase 2 of WAIDI. IDI to offer TA for curriculum development, and for the TOT in Nigeria.