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 November 2001 >500 care sites across western Kenya Catchment population ~ 8 million ~200,000 people living with HIV actively in care
Working Across the Health System to Deliver Comprehensive Services National Referral Hospital - 1 District Hospitals - 36 Health Centers - 98 Dispensaries - 347 Community Network - ~1500 1/13/2020 8
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Supply Chain Limitations Patient sees Travels to physician, Patient goes 60% chance Patient is sick health facility receives to pharmacy prescription Drugs Stocked Out! Go without drugs Commercial Pharmacy • Wasted time and • 10X higher prices! money • 30% drugs counterfeit • Poor health outcomes
Solution – Revolving Fund Pharmacy
Partners and Roles Revolving Fund Ministry of Health Community Leaders Pharmacy Team • Provide oversight and • Day-to-day • Represent community management support operations voice • Facilitate procurement • Provide feedback management • Communicate of drugs accurately with community
Summary of Experiences
Supply Chain Timeline USAID- Over 140,000 active AMPATH patients on HIV Partnership treatment started to address HIV Counterfeit Epidemic Detection Over 4,000 Paper test medications cards sampled introduced into supply chain 308 North American Training students, and 103 IUSM Evaluation of Kenyan students collaborates Kenyan and North have completed with American Training training MUSM/MTRH in Eldoret, Peer Kenya to Delivery Over 15,000 HIV Avail- enhance Introduction and 300 NCD ability medical patient encounters of peer Revolving education and support fund develop Over 2,500,000 AMPATH pharmacy healthcare prescriptions filled expands starts leaders beyond HIV 1989 2001 … 2007 2008 2009 2010 2011 2012 2013 2015 2019 (present) IUSM-Indiana University School of Medicine, MUSM- Moi University School of Medicine, Moi Teaching and Referral Hospital AMPATH-Academic Model Providing Access to Healthcare
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AMPATH Training Approach
MTRH TRH Cl Clinical P Pharmacy Ce cy Centre o of Exce cellence ce
Expansion of Kenyan Clinical Pharmacy Trainees
30 20 308 27 25 24 24 24 24 23 23 10 21 17 17 14 13 13 3 2 0 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 North American Learners within PKP
AMPATH Research
Cumulative AMPATH Research & Training Grants by Year (Direct Cost Total = $129.6 million)
AMPATH Research Support by Funder Type in 2018 and Since 1998
Publications from AMPATH since 1989 (n=671)
19 20 18 16 14 11 12 10 8 7 8 6 5 6 3 3 3 3 4 1 1 2 0 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 Publications from PKP since 2004 (n=70)
Research to Inform Practice Effective Chronic Disease Linking to Retaining Adherence Awareness Screening Diagnosis Care in Care to Care Care
$1,800,000.00 $1,682,833.00 $1,600,000.00 $1,400,000.00 $1,200,000.00 $969,167.00 $1,000,000.00 $939,167.00 $800,000.00 $715,000.00 $561,166.00 $600,000.00 $526,667.00 $461,667.00 $457,500.00 $400,000.00 $306,666.00 $196,500.33 $200,000.00 $32,333.34 $82,333.33 $0.00 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 PKP Grantsmanship since 2008 (Total=$6,931,000 in Cash Grants)
Multi-sectoral Partnerships Private Sector Partnerships
DISCUSSION Ellen Schellhase – elschell@purdue.edu Sonak Pastakia – spastaki@purdue.edu
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