The document summarizes the West African Infectious Diseases Institute (WAIDI) model, which aims to build infectious disease capacity in West Africa through partnerships. It describes how WAIDI was developed through collaboration between the Infectious Diseases Institute (IDI) in Uganda, Nigerian IDI alumni, and other partners. Key steps taken so far include developing a team of WAIDI master trainers and an initial training program. Ongoing work focuses on sustaining local leadership and partnerships to fully establish WAIDI.

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

8. Source of Trainees for IDI by June 12 2009 Totals Trained By 12 June 2009 3986 Medical Docs: 1282 Other HCWs: 2704

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. 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

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. 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

19. WGHA July 09