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Leading with Care AMPATH Purdue Kenya Partnership The Virtuous - - PowerPoint PPT Presentation
Leading with Care AMPATH Purdue Kenya Partnership The Virtuous - - PowerPoint PPT Presentation
Leading with Care AMPATH Purdue Kenya Partnership The Virtuous Cycle of Academic Engagement Care Teaching Research Leading with Care Academ demic Mod odel Provid vidin ing Acces ess To o Health thcar are Initiated in
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Care
Teaching Research
The Virtuous Cycle of Academic Engagement
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Leading with Care
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Academ demic Mod
- del
Provid vidin ing Acces ess To
- Health
thcar are
- Initiated in November 2001
- >500 care sites across western Kenya
- Catchment population ~ 8 million
- ~200,000 people living with HIV actively
in care
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1/13/2020 8
Working Across the Health System to Deliver Comprehensive Services
National Referral Hospital - 1 District Hospitals - 36 Dispensaries - 347 Community Network - ~1500 Health Centers - 98
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3
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Supply Chain Limitations
Patient is sick Travels to health facility Patient sees physician, receives prescription Patient goes to pharmacy
Drugs Stocked Out! Commercial Pharmacy
- 10X higher prices!
- 30% drugs counterfeit
60% chance Go without drugs
- Wasted time and
money
- Poor health
- utcomes
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Solution – Revolving Fund Pharmacy
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Partners and Roles
Revolving Fund Pharmacy Team Community Leaders Ministry of Health
- Provide oversight and
management support
- Facilitate procurement
- f drugs
- Represent community
voice
- Provide feedback
- Communicate
accurately with community
- Day-to-day
- perations
management
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Summary of Experiences
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1989 2001 … 2007 2008 2009 2010 2011 2012 2013 2015 2019 (present) Avail- ability Revolving fund pharmacy starts Counterfeit Detection Paper test cards introduced into supply chain IUSM collaborates with MUSM/MTRH in Eldoret, Kenya to enhance medical education and develop healthcare leaders Training Evaluation of Kenyan and North American Training USAID- AMPATH Partnership started to address HIV Epidemic AMPATH expands beyond HIV Over 2,500,000 prescriptions filled Over 140,000 active patients on HIV treatment Over 4,000 medications sampled 308 North American students, and 103 Kenyan students have completed training IUSM-Indiana University School of Medicine, MUSM- Moi University School of Medicine, Moi Teaching and Referral Hospital AMPATH-Academic Model Providing Access to Healthcare Peer Delivery Introduction
- f peer
support Over 15,000 HIV and 300 NCD patient encounters
Supply Chain Timeline
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3
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AMPATH Training Approach
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MTRH TRH Cl Clinical P Pharmacy Ce cy Centre o
- f Exce
cellence ce
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Expansion of Kenyan Clinical Pharmacy Trainees
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North American Learners within PKP
13 25 3 17 21 23 24 27 24 24 24 17 2 14 13 23
10 20 30 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 totals
Learners Total number of fogarty fellows Learners Total number of NORTH AMERICAN pharmacy residents Learners Total number of APPE students
308
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AMPATH Research
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Cumulative AMPATH Research & Training Grants by Year (Direct Cost Total = $129.6 million)
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AMPATH Research Support by Funder Type in 2018 and Since 1998
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Publications from AMPATH since 1989 (n=671)
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1 1 3 3 3 6 3 8 7 19 11 5 2 4 6 8 10 12 14 16 18 20 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
Publications from PKP since 2004 (n=70)
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Research to Inform Practice
Awareness Screening Diagnosis Linking to Care Retaining in Care Adherence to Care
Effective Chronic Disease Care
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$32,333.34 $82,333.33 $196,500.33 $461,667.00 $561,166.00 $715,000.00 $457,500.00 $939,167.00 $969,167.00 $1,682,833.00 $526,667.00 $306,666.00
$0.00 $200,000.00 $400,000.00 $600,000.00 $800,000.00 $1,000,000.00 $1,200,000.00 $1,400,000.00 $1,600,000.00 $1,800,000.00 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
PKP Grantsmanship since 2008 (Total=$6,931,000 in Cash Grants)
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Multi-sectoral Partnerships
Private Sector Partnerships
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