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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. 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>