The Lighthouse in Malawi: HIV/AIDS service innovations for national scaling-up A case study by Thomas Gass GRF One Health ...
Background UNAIDS Report on the global AIDS epidemic 2010.
Background UNAIDS Outlook Report 2011.
Screen shot: www.mwlighthouse.org <ul><li>Facts and figures </li></ul><ul><li>NGO founded in 1997 </li></ul><ul><li>2 clin...
<ul><li>Objectives </li></ul><ul><li>To identify Lighthouse HIV/AIDS service innovations 2004-2010. </li></ul><ul><li>To r...
From innovation to scaling-up Conceptual framework © Thomas Gass References:  WHO & ExpandNet 2010: Nine steps for develop...
Innovations succesfully scaled up in the national HIV/AIDS program 1. Nurse-based ART provision 2. Electronic data managem...
Innovation 1: The electronic data management system Results II Pictures: Lighthouse
Innovation 2: HIV / TB integration Results III Source:  Phiri, Sam et al. (2011): “Integrated tuberculosis and HIV care in...
Innovation 3: Patient tracing project Results IV Picture: Lighthouse
<ul><li>Enabling factors for the scaling-up of Lighthouse innovations </li></ul><ul><li>Malawian ownership </li></ul><ul><...
<ul><li>What is the added value of the Lighthouse to One Health? </li></ul><ul><li>HIV/AIDS related mortality and morbidit...
Thanks to One Health Summit organizers Alison Grant , Professor International Health LSHTM Sam Phiri , Executive Director ...
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The Lighthouse in Malawi: Spreading innovations for HIV/AIDS care and treatment

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GRF One Health Summit 2012, Davos: Presentation by Thomas GASS, London School of Hygiene and Tropical Medicine, UK

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The Lighthouse in Malawi: Spreading innovations for HIV/AIDS care and treatment

  1. 1. The Lighthouse in Malawi: HIV/AIDS service innovations for national scaling-up A case study by Thomas Gass GRF One Health Summit, Davos 21 February 2012 Picture: Lighthouse
  2. 2. Background UNAIDS Report on the global AIDS epidemic 2010.
  3. 3. Background UNAIDS Outlook Report 2011.
  4. 4. Screen shot: www.mwlighthouse.org <ul><li>Facts and figures </li></ul><ul><li>NGO founded in 1997 </li></ul><ul><li>2 clinics in Lilongwe </li></ul><ul><li>180 employees </li></ul><ul><li>22,000 in HIV care </li></ul><ul><li>16,000 on ART </li></ul>Background
  5. 5. <ul><li>Objectives </li></ul><ul><li>To identify Lighthouse HIV/AIDS service innovations 2004-2010. </li></ul><ul><li>To review knowledge sharing at the Lighthouse. </li></ul><ul><li>To identify enabling factors contributing to the national scaling-up of Lighthouse service innovations. </li></ul><ul><li>Methodology </li></ul><ul><li>Interviews and action rearch during 4 months attachment at the M&E department of the Lighthouse. </li></ul>Study aim, objectives and methodology
  6. 6. From innovation to scaling-up Conceptual framework © Thomas Gass References: WHO & ExpandNet 2010: Nine steps for developing a scaling-up strategy. Institute for Healthcare Improvement (IHI) 2003: The Breakthrough Series.
  7. 7. Innovations succesfully scaled up in the national HIV/AIDS program 1. Nurse-based ART provision 2. Electronic data management system 3. Integration of HIV and TB treatment Innovations with limited impact on the national HIV/AIDS program 4. Community-based adherence support 5. Patient tracing project 6. Lay counsellors at health centres Results I
  8. 8. Innovation 1: The electronic data management system Results II Pictures: Lighthouse
  9. 9. Innovation 2: HIV / TB integration Results III Source: Phiri, Sam et al. (2011): “Integrated tuberculosis and HIV care in a resource-limited setting: experience from the Martin Preuss centre, Malawi”. In: Trop Med Int Health. 2011 Aug 2
  10. 10. Innovation 3: Patient tracing project Results IV Picture: Lighthouse
  11. 11. <ul><li>Enabling factors for the scaling-up of Lighthouse innovations </li></ul><ul><li>Malawian ownership </li></ul><ul><li>Independent NGO embedded into government program </li></ul><ul><li>Operational research and knowledge sharing </li></ul><ul><li>Scaling-up strategy </li></ul><ul><li>Policy window </li></ul>Results V
  12. 12. <ul><li>What is the added value of the Lighthouse to One Health? </li></ul><ul><li>HIV/AIDS related mortality and morbidity impacting food security </li></ul><ul><li>Civil Society Organisation with strong Malawian ownership </li></ul><ul><li>Independent NGO running a public health service </li></ul><ul><li>Innovation and knowledge sharing a key, including operational research </li></ul><ul><li>Holistic approach of care: Integration of TB, family planning, therapeutic feeding, cancer treatment etc. into HIV care. </li></ul><ul><li>Linking into global networks </li></ul>www.mwlighthouse.org Conclusions
  13. 13. Thanks to One Health Summit organizers Alison Grant , Professor International Health LSHTM Sam Phiri , Executive Director Lighthouse Lord Nigel Crisp , Honorary Professor LSHTM Henry Kanyerere , National TB program, MoH Simon Makombe , National ART program, MoH Hannock Tweya , Lighthouse, EDCTP award winner Thom Chaweza , clinic coordinator Lighthouse Mike Kalulu , TB/HIV coordinator Lighthouse Caryl Feldacker , Technical Advisor Lighthouse Florian Neuhann , University of Heidelberg The Lighthouse team Gordon Smith Travelling Scholarship

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