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04 making a career in international health and general practice can it work helen bygrave
- 1. Making a career in International Health and General Practice: can it work ? Dr Helen Bygrave RCGP JIC Conference April 13th 2012
- 2. Overview A Brief Introduction to MSF Providing HIV/TB care in primary care Making it work with General Practice
- 3. What is MSF? • International humanitarian aid organisation • 1971: MSF founded by a group of French doctors and journalists in wake of the Nigerian civil war (Biafra) • Founded on 3 principles – Independance – Impartiality – Neutrality
- 4. What are the project possibilities? Matching your skills v the needs of the project • Primary health care • Emergency • Surgical programmes • Maternal and child health • Nutrition • HIV/TB • Malaria • Neglected diseases
- 5. MSF around the world MAP OF WHERE WE CURRENTLY ARE
- 6. Who are MSF? In MSF missions 8% International staff and 92% National staff
- 8. Making HIV/TB care available in primary care
- 9. Key Principles for scale up of HIV/TB treatment • Decentralisation of HIV/TB treatment to primary care • Task shifting • Simplification • Community involvement
- 10. Scott Hospital (105 beds,Lab, 4 doctors) Population 200,000
- 11. Simplification
- 13. Community models of care Patient Self Management
- 14. The other bits of the job....
- 15. Teaching, Mentorship and Supervision
- 16. Project Design and Management
- 17. Operational Research and Advocacy
- 18. How can I work with MSF? FAQS
- 19. When Should I Go ? • Minimum 1 years post FY2 MRCP GP training/ MRCGP 5 yrs 5 Years as salaried GP/ clinical assistant oncology and tutor for UCL 5 yrs 3 and half years in the field with locums in between 5 yrs HIV/TB advisor Locum GP
- 20. FAQ • How long are most missions? • Can I go with my family? • What about the salary and pension? • What about appraisal?
- 21. • Want to make a difference? • Up for a challenge? Find out more www.uk.msf.org facebook.com/msf.english Twitter: #msf_uk 020 7404 6600
Editor's Notes
- So i want to highlight the 3 key components of this model extensive decentralisation, focused early adherence and a extended drug supply
- This is what we were dishing out in the mid 90s to patients at marys across the roadThrough the push on generic maufacturers to make affordable and importantly fixed dose combinations life got a lot simpler.Triomune a combination of 3 drugs in one pill meant we had to give just one pill twice a day.Unfortunately some of the drugs in that combination we now know to have some serious side effects and what we want to move towards in all our programmes is this the new 3 in one FDC containing a much less toxic combination
- The aim was for each clinic to provide comprehensive HIV/ TB careHIV testing and counsellin