Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.

Partners in Health and AMPATH


Published on

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

Published in: Education
  • Be the first to comment

  • Be the first to like this

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