Partnerships without Borders: The West African Infectious Diseases Institute (WAIDI) Model Dr Lydia Mpanga Sebuyira FRCP H...
About IDI <ul><li>History </li></ul><ul><li>Relationship to Makerere University and Accordia Global Health Foundation </li...
About Accordia Global Health Foundation <ul><li>Founded in 2003 </li></ul><ul><li>Mission: Accordia overcomes the burden o...
About Makerere University <ul><li>One of the oldest universities in East Africa </li></ul><ul><li>Makerere University Coll...
IDI  Vision <ul><li>A Healthy Africa, free from the burden of Infectious Diseases </li></ul>WGHA July 09
IDI Mission <ul><li>To  build capacity  of health systems in Africa for delivering sustainable, high-quality care and prev...
About IDI <ul><li>Key Components/Functions and achievements: </li></ul><ul><ul><li>Clinical </li></ul></ul><ul><ul><li>Res...
Source of  Trainees for  IDI by June 12 2009 Totals Trained By 12 June 2009 3986 Medical Docs: 1282 Other HCWs: 2704
IDI Training Department Sub-programs <ul><li>HIV </li></ul><ul><li>Malaria </li></ul><ul><li>Laboratory Training </li></ul...
IDI Training Program Serving the Region as a Center of Excellence IDI’s Training Program Alumni now number  3,589  doctors...
Pyramid of effective capacity building IDI April 09 Tools Staff and lnfrastructure Structures, Roles and Systems Knowledge...
Achieving Financial Sustainability for IDI Diverse Funding Sources <ul><li>Bilateral & Multilateral Organizations </li></u...
Integrated Infectious Disease Capacity-Building Program <ul><li>Goals </li></ul><ul><li>1. To develop and evaluate an inte...
Infectious Diseases Institute - Curriculum of infectious diseases care & prevention - Emphasis on clinical setting – appro...
Year 1 Year 2 Year 3 Figure 1:  Evaluation Design Facilitated Distance Learning and Enhanced ATIC Support Evaluate Impact ...
WAIDI:  from Vision to First steps <ul><li>Concept of WAIDI developed </li></ul><ul><li>Involved Nigerian IDI alumni,  IDI...
WAIDI:  from Vision to First Steps <ul><li>Advocacy </li></ul><ul><li>Fact-finding </li></ul><ul><li>Strategic Planning </...
WAIDI Master Trainer’s Course   <ul><li>Programme Planning , management, M&E -1 wk </li></ul><ul><ul><li>Output: Implement...
WGHA July 09
Key Principles <ul><li>Buy-in </li></ul><ul><li>Partnership </li></ul><ul><li>Training as an entry point </li></ul><ul><li...
Achievements to Date <ul><li>Buy in by prominent Nigerians within the FMOH and PEPFAR Nigeria  </li></ul><ul><li>Universit...
Key further steps <ul><li>Sustaining Nigerian Alumni’s enthusiasm </li></ul><ul><li>Creating a West African Academic Allia...
Lessons Learned  <ul><li>South-South capacity building is possible </li></ul><ul><li>Enriched by North-South partnerships:...
Acknowledgements <ul><li>Washington Global Health Alliance </li></ul><ul><li>Michelle Morrison and I-TECH </li></ul><ul><l...
AND FINALLY….. <ul><ul><li>“ If you think you’re too small to make a difference,  </li></ul></ul><ul><ul><li>try going to ...
Upcoming SlideShare
Loading in …5
×

WGHA Discovery Series: Lydia Mpanga Sebuyira

1,589
-1

Published on

"Partnerships across Boundaries: The West African Infectious Diseases Institute Model".

0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total Views
1,589
On Slideshare
0
From Embeds
0
Number of Embeds
0
Actions
Shares
0
Downloads
0
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide
  • 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 &amp;quot;dose&amp;quot; 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&amp;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.
  • WGHA Discovery Series: Lydia Mpanga Sebuyira

    1. 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
    2. 2. About IDI <ul><li>History </li></ul><ul><li>Relationship to Makerere University and Accordia Global Health Foundation </li></ul><ul><li>Role of Academic Alliance members </li></ul>WGHA July 09
    3. 3. About Accordia Global Health Foundation <ul><li>Founded in 2003 </li></ul><ul><li>Mission: Accordia overcomes the burden of infectious diseases by building health care capacity and strengthening academic medical institutions in Africa </li></ul>WGHA July 09
    4. 4. About Makerere University <ul><li>One of the oldest universities in East Africa </li></ul><ul><li>Makerere University College of Health Sciences </li></ul>WGHA July 09
    5. 5. IDI Vision <ul><li>A Healthy Africa, free from the burden of Infectious Diseases </li></ul>WGHA July 09
    6. 6. IDI Mission <ul><li>To build capacity of health systems in Africa for delivering sustainable, high-quality care and prevention for HIV/AIDS and related Infectious Diseases through training, research and advanced clinical services </li></ul>WGHA July 09
    7. 7. About IDI <ul><li>Key Components/Functions and achievements: </li></ul><ul><ul><li>Clinical </li></ul></ul><ul><ul><li>Research </li></ul></ul><ul><ul><li>Laboratory </li></ul></ul><ul><ul><li>Training </li></ul></ul>WGHA July 09
    8. 8. Source of Trainees for IDI by June 12 2009 Totals Trained By 12 June 2009 3986 Medical Docs: 1282 Other HCWs: 2704
    9. 9. IDI Training Department Sub-programs <ul><li>HIV </li></ul><ul><li>Malaria </li></ul><ul><li>Laboratory Training </li></ul><ul><li>Clinical Pharmacy including ATIC </li></ul><ul><li>Health Systems Strengthening </li></ul><ul><li>Research Capacity Building </li></ul>
    10. 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. 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
    12. 12. Achieving Financial Sustainability for IDI Diverse Funding Sources <ul><li>Bilateral & Multilateral Organizations </li></ul><ul><li>PEPFAR (USAID/CDC) </li></ul><ul><li>Global Fund </li></ul><ul><li>DFID (UK) </li></ul><ul><li>European Union </li></ul><ul><li>Irish Aid </li></ul><ul><li>Wellcome Trust </li></ul><ul><li>Corporations </li></ul><ul><li>Pfizer Inc </li></ul><ul><li>ExxonMobil </li></ul><ul><li>Gilead Sciences </li></ul><ul><li>BD </li></ul><ul><li>Tibotec </li></ul><ul><li>Private Foundations </li></ul><ul><li>Bill and Melinda Gates </li></ul><ul><li>Doris Duke </li></ul><ul><li>Rockefeller </li></ul><ul><li>Clinton </li></ul><ul><li>Prana Stiftung </li></ul><ul><li>Diana Fund </li></ul><ul><li>Research Agencies </li></ul><ul><li>NIH </li></ul><ul><li>AERAS </li></ul><ul><li>EDCTP </li></ul><ul><li>FIND </li></ul><ul><li>Canadian HIV Trial Network </li></ul>Government of Uganda
    13. 13. Integrated Infectious Disease Capacity-Building Program <ul><li>Goals </li></ul><ul><li>1. To develop and evaluate an integrated infectious disease training program for mid-level practitioners. </li></ul><ul><li>2. Estimate the incremental cost and value of providing multidisciplinary team training, continuous quality improvement, and on-site support. </li></ul>
    14. 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. 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
    16. 16. WAIDI: from Vision to First steps <ul><li>Concept of WAIDI developed </li></ul><ul><li>Involved Nigerian IDI alumni, IDI, Accordia, ExxonMobil, PEPFAR-Nigeria and University of Abuja : </li></ul><ul><ul><li>Public-Private Partnership </li></ul></ul><ul><ul><li>South-South Collaboration </li></ul></ul><ul><ul><li>North-South Collaboration </li></ul></ul>WGHA July 09
    17. 17. WAIDI: from Vision to First Steps <ul><li>Advocacy </li></ul><ul><li>Fact-finding </li></ul><ul><li>Strategic Planning </li></ul><ul><li>IDI and Accordia leadership visit Abuja, Nigeria </li></ul><ul><li>Developing a team of WAIDI Leaders- Master Trainers </li></ul>WGHA July 09
    18. 18. WAIDI Master Trainer’s Course <ul><li>Programme Planning , management, M&E -1 wk </li></ul><ul><ul><li>Output: Implementation plan Year 1 WAIDI </li></ul></ul><ul><li>Advanced ART Course – 1wk </li></ul><ul><ul><li>Technical input to curriculum review and development, and for training </li></ul></ul><ul><li>Curriculum Development & Review; TOT -1 wk </li></ul><ul><ul><li>Output: Draft curriculum for training Nigerian Doctors in ART provision </li></ul></ul><ul><li>IDI Senior Management Team shared IDI’S structure and function </li></ul><ul><li>Tour of IDI and Mulago facilities </li></ul>WGHA July 09
    19. 19. WGHA July 09
    20. 20. Key Principles <ul><li>Buy-in </li></ul><ul><li>Partnership </li></ul><ul><li>Training as an entry point </li></ul><ul><li>Tangible products </li></ul><ul><li>Develop systems </li></ul>WGHA July 09
    21. 21. Achievements to Date <ul><li>Buy in by prominent Nigerians within the FMOH and PEPFAR Nigeria </li></ul><ul><li>University of Abuja has offered land for the building </li></ul><ul><li>Initial funding from PEPFAR Nigeria and ExxonMobil </li></ul><ul><li>Master Trainers’ Course has been run </li></ul><ul><li>Accordia continues to help with Strategic planning </li></ul>WGHA July 09
    22. 22. Key further steps <ul><li>Sustaining Nigerian Alumni’s enthusiasm </li></ul><ul><li>Creating a West African Academic Alliance </li></ul><ul><li>Moving beyond Nigeria </li></ul><ul><li>Funding </li></ul>WGHA July 09
    23. 23. Lessons Learned <ul><li>South-South capacity building is possible </li></ul><ul><li>Enriched by North-South partnerships: IDI-Accordia, Academic Alliance, ExxonMobil, PEPFAR </li></ul><ul><li>The key to the final success of WAIDI lies with the WAIDI leadership, vision, funding, and partnerships </li></ul>WGHA July 09
    24. 24. Acknowledgements <ul><li>Washington Global Health Alliance </li></ul><ul><li>Michelle Morrison and I-TECH </li></ul><ul><li>Prof Wesley Van Voorhis, UW </li></ul><ul><li>Nicole Caven </li></ul><ul><li>Marcia Weaver </li></ul><ul><li>Accordia Global Health Foundation </li></ul><ul><li>IDI and Makerere University </li></ul><ul><li>PEPFAR Nigeria and ExxonMobil </li></ul><ul><li>Photographs courtesy of Charles Steinberg, Marcia Weaver and Rebecca Mukhaye </li></ul>WGHA July 09
    25. 25. AND FINALLY….. <ul><ul><li>“ If you think you’re too small to make a difference, </li></ul></ul><ul><ul><li>try going to bed with a mosquito.” </li></ul></ul><ul><ul><li>Anita Roddick, </li></ul></ul><ul><ul><li>founder of the Body Shop </li></ul></ul>

    ×