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Partners in Health and AMPATH

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The Pediatric AIDS Coalition Cause Education Committee – Partners in Health and AMPATH

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Partners in Health and AMPATH

  1. 1. Partners in Health & AMPATH By Anna Chang & Anna Tong
  2. 2. Partners in Health ● Founded by by Paul Farmer, Ophelia Dahl, Thomas White, Todd McCormack, and Jim Yong Kim in 1987 ● Goal: to bring modern medicine to underserved, underprivileged, developing communities and countries ● Work to strengthen health systems in the countries they work in and provide long-term relationships
  3. 3. PIH & Haiti ● Paul Farmer held the belief that doctors are lawyers for the poor ● Haiti became the birthplace of PIH’s first project ○ Minimal medical infrastructure but high prevalence of HIV ○ Started treating the people and patients of Cange in 1985 ○ Set up the hospital to be fully functional even in his absence ○ Birthplace of the community-based model ● PIH opened a 104-bed hospital ○ Hospital featured adult and pediatric inpatient services, blood bank, women’s health clinic, pharmacy, operating rooms ○ Had the mentality that no patient could be refused care ● PIH also helped build schools, houses, and water sanitation systems in the community
  4. 4. Community-Based Model in Haiti ● Centered around hiring and training thousands of local citizens to become community health workers ○ Patients are assigned health workers and the two work closely so the patient gets the treatment they need, keeps up with medications, educated properly on their health, etc ○ Enables patient to live longer and creates more personal care setting ○ Patients are more likely to remain in care with community workers ● If this method can be implemented and have success in Haiti, it can be done anywhere → Community-Based Model is why HIV Programs in Haiti have been so successful
  5. 5. HIV Equity Initiative of 1998 “No expense is too great in order to prolong life” ● Goal: to provide free antiretroviral therapy to people living with HIV and dying of HIV-related illnesses (most common → tuberculosis) ● General worldwide belief that ARTs would be unhelpful and useless in underdeveloped, poor countries → ARTs were reserved for those in wealthy countries ○ Lack of funds to obtain ARTs ○ Lack of medical infrastructure/resources/availability to administer ARTs ● ARTs drop mortality rates and number of infectious diseases, thus lowering number of patients admitted to hospitals ● Administered free ARTs to 60 of some of the sickest individuals ● The community-based approach was effective!!!
  6. 6. ● Partnership between Moi University, Moi Teaching and Referral Hospital, North American universities led by Indiana University, and the Kenyan Government ● Located in Eldoret Kenya ● One of Africa’s largest, most comprehensive and effective HIV/AIDS management and control systems- addressing not only HIV testing and treatment but also maternal and child health, nutrition, counseling, and helping patients regain financial stability and independence AMPATH: Academic Model for the Prevention and Treatment of HIV
  7. 7. Sustainable health in Kenya and around the world ● Treatment: test, diagnose, treat, and prevent HIV/AIDS ● Empowerment: economic empowerment and agriculture program ● Training: medical practitioners, students, residents, faculty, nurses community health workers, and more. Exchange between North Americans and Kenyans ● Research: strengthening health systems, in partnership with over 20 institutions
  8. 8. Joe Mamlin ● Professor emeritus of medicine at the IU School of Medicine and founder of AMPATH ● Book: Walking Together, Walking Far: How a U.S. and African Medical School Partnership Is Winning the Fight against HIV/AIDS ● Nominated for nobel peace prize in 2007 ● "While much of this pain is physical, the real tragedy is the loss of hope in single individuals. When any of us find a moment in our lives when we can relieve pain and restore hope, we have already won the Nobel Peace Prize.”
  9. 9. Toby Mauer ● Completed residencies in family practice and dermatology and two fellowships in HIV medicine at UCSF ● Professor at UCSF in dermatology and chief of dermatology at San Francisco General Hospital ● Specializes in Kaposi Sarcoma (KS) and teledermatology, which uses computer and video technology to diagnosis dermatologic conditions.
  10. 10. Her work in Kenya ● Started with jumping into already formed epidemiology projects in cancer( KS) in HIV ● Allowed me to form relationships so that I could organize work groups, build infrastructure ( labs, machinery, collaborators, get funding) to take care of patients with skin disease ( adults and kids) ● Partner with American universities to continue research, bring students, residents and faculty to see patients ● Develop a full Dermatology teaching program for dermatologists for Kenya and Uganda ● Now working to establish telemedicine and artificial intelligence to better diagnose disease early and link patients to care centers where they can be treated in Kenya and Uganda

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