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XIX International AIDS Conference

July 22-27, 2012, Washington, D.C.

  • Improving efficiency in project implementation through a PEPFAR-funded initiative to strengthen governance of Ministry of Health program.
  • Evaluation of a well-established task-shifting initiative: the lay counselor cadre in Botswana (2002-2010).
  • Vallejo j , Bocuane A, Assane A, Chuva E, Marlene R, Bravo M, Bachman C, Mudender F, Langa M, Chuquela H, Jorge E, Jamal B, Butler I, Augusto G, Negrete M. A national clinical mentoring program on HIV for midlevel providers in Mozambique: Lessons learned.

Publications Archives, 2012

Haiti

Malawi

Uganda

General

Presentations, 2012

  • XIX International AIDS Conference. Washington, D.C. July 22-27, 2012.
  • “A Practical Approach to HIV Disclosure to Children with HIV in Namibia.” 4th International Workshop on HIV Pediatrics (IAS side event). July 20-21, 2012, Washington, D.C. Authors: Laura J. Brandt, Lili Asrat, Noa Kay, Jebson Zingwari, Adolfine April, Otilia Dzinotyiweyi, Sara Wood, Gabrielle O’Malley.
  • “Prevalence of Hepatitis B Virus (HBV) Infection among HIV-Infected Children in Northern Namibia and Pattern of Baseline Alanine Aminotransferase (ALT) Used as an Indicator of Phase of HBV Disease and its Implications for Selection of a Lamivudine-Sparing HAART Regimen for HBV/HIV Co-Infected Children in the Immune-Tolerant Phase of HBV Infection.” 4th International Workshop on HIV Pediatrics (IAS side event). July 20-21, 2012, Washington, D.C. Authors: Laura J. Brandt, Tadesse T. Mekonen, Maria P. Angala, Madiinah Kalibbala, Rejoice Mendai, Maria M. T. Egodhi.

6th Annual CUGH Conference

Boston University, March 26-28, 2015

Malawi

Haiti

Kenya

8th IAS Conference on HIV Pathogenesis

Vancouver, Canada, July 19-22, 2015

Haiti

  • Attrition from antiretroviral treatment services among pregnant and non-pregnant patients following adoption of Option B+ in Haiti
    Domercant JW, Puttkammer N,  Lu L, Francois K, Duncan D, Grand-Pierre R, Lowrance D, Adler M

Malawi

  • Safety, feasibility, and acceptability of the PrePex device for adult male circumcision in Malawi
    Kohler PK, Tippet Barr BA, Namate D, Kilmebe F, Kang’ombe A, Hofstee C, Galagan S, Msunguma W, Chilongozi D, Machaya M, Kabwere K, Chimbwandira F

Mozambique

South Africa

  • Stigma Fears Undermine the Scale Up of HIV Care and Prevention in North West Province, South Africa
  • Characterizing the continuum of care in a population-based sample to target programming in North West Province, South Africa
  • Loss of HIV-positive patients in rural primary health care facilities in North West province, South Africa: a retrospective register audit
  • Peer navigation in South Africa: Addressing stigma and psychosocial barriers to engagement in HIV services
    Steward WT, Sumitani J, Morris J, Ratlhagana MJ, Moran L, Grignon J, Barnhart S, Tumbo J, Gilvydis J, Lippman SA
  • An unannounced standardized patient actor assessment of STI services in public health facilities in South Africa
    Kohler PK, Jed SL, Pillay E, Mema G, Galagan S, DeKadt J, Dombrowski J, Golden M, Tapia K, Naidoo E, Holmes KK, Marumo E

4th Annual CUGH Conference

  • Relevance of assessments for systems strengthening to medical education programs in sub-Saharan Africa. Authors: Sharma A, Brewinski-Issacs M, Lim C, Jeffries C, Reyes M.
  • Implementing Electronic Medical Records: Electrical Requirements to Advance Point of Care Use. Authors: Coq NR, Destine R, Balan JG, Murphy L, Duvilaire JM, Lober B, Lamothe R, Barnhart S.
  • Using a task analysis to establish an evidence base for nursing and midwifery education in Malawi. Authors: Jacob S, Maclachlan EW, Holman J, Msolomba R, Langdon F, Wasili R, Hunter C.
  • Developing a Family Medicine Training Program in Malawi: A blend of models to suit specific needs. Authors: Dullie L, Makwero M, Couper I, Lissit S, Behrens C, Bateganya M.
  • Faculty mentoring program to strengthen clinical teaching in nine Nurse-Midwife Technician (NMT) colleges in Malawi. Authors: Lissit S, Msolomba R, Wasili R, Kamchetere N, Holman S, Winters D, Bateganya M, Levine R.
  • Cross-cutting Combination Prevention Activities through Clinical Programs: Moving Towards an Interdisciplinary Approach to HIV Treatment and Prevention in Mozambique. Authors: Hunguana E, Dawson Rose C, Negrete M, Mudender F, Gutin S, Baptist Bucuane R, Simbone J, Munguambe A, Bachman C.
  • Building a Master’s in Public Health program at the University of Namibia, Windhoek, Namibia. Authors: Downer A, Gonzales V, MacLachlan E, Shepard M, Schutt S, Ali Deqa.
  • An innovative program to increase engagement of HIV/AIDS patients in their health care in Namibia. Authors: MacLachlan E, Bertman V, Ingo P, Shepard M, Ali D, O’Malley G.
  • A partnership to support leadership and management in South Africa’s health system. Consortium of Universities for Global Health. Authors: Shilumani C, Bakor A, Hlabano V.
  • A Situational Analysis of the Regional Training Centres in Nine Provinces of South Africa. Authors: Shilumani C, Shamu R, Ambrose A, Hlabano V, Bakor A, Naidoo E.
  • Strengthening health training systems in Tanzania: Evaluation of the Zonal Health Resource Centres’ progress in fulfilling their roles to coordinate health care worker training in Tanzania. Authors: Missano H, Gabriel N, Charles T, Ghent K, Kiondo V, Mawandia S, Mutahyabarwa G, Kinemo A, Stevens L.

Publications Archives, 2013

Botswana

India

Malawi

General

 Presentations, 2013

  • “Roll-out of universal antiretroviral therapy for HIV-infected pregnant and breastfeeding women (‘Option B+’) in Malawi: factors influencing retention in care.” 7th IAS Conference on HIV Pathogenesis, Treatment and Prevention. June 3-July 3, 2013, Kuala Lumpur, Malaysia.
  • 4th Annual CUGH Global Health Conference. March 14-16, 2013, Washington, D.C.

Publications Archives, 2014

Afya Bora Consortium

Botswana

Haiti

Malawi

Mozambique

Namibia

South Africa

General

Presentations, 2014

  • Matumo H, Nkgau M, Wirth KE, Malenya A, Manthe SO, Otlhomile B, Semo B, Ledikwe J. Frequency and Predictors of Early Resumption of   Sexual Activity among Circumcised Men Aged 18-49 years in Botswana. 5th Botswana International HIV Conference. August 20-23, 2014, Gaborone, Botswana.
  • Otlhomile BO, Ledikwe JH, Malenya A, Manthe O.S, Matumo H, Nkgau M, Semo B, Wirth KE. Barriers to Uptake of Safe Male Circumcision among Uncircumcised Older Men in Botswana. 5th Botswana International HIV Conference. August 20-23, 2014, Gaborone, Botswana.
  • Malenya A, Ledikwe J, Manthe S, Matumo H, Nkgau M, Otlhomile B, Semo B, Wirth K. Frequency, Type, and Severity of Adverse Events Post Safe Male Circumcision (SMC) in Gaborone, Botswana. 5th Botswana International HIV Conference. August 20-23, 2014, Gaborone, Botswana.
  • Kasvosve I, Ledikwe JH, Phumaphi O, Mpofu M, Nyangah R, Motswaledi MS, Martin R, Semo B. Continuing Professional Development Training Needs of Medical Laboratory Personnel in Botswana. 5th Botswana International HIV Conference. August 20-23, 2014, Gaborone, Botswana.
  • MacLachlan E et al. “Evaluating the Effectiveness of Patient Education and Empowerment to Improve Patient-Provider Interactions at ART Clinics in Namibia.” XX International AIDS Society Conference. July 20-25, 2014, Melbourne, Australia.
  • O’Malley G et al. “’If I Take My Medicine, I Will Be Strong’: Evaluation of an Innovative Pediatric HIV Disclosure Intervention in Namibia.” XX International AIDS Society Conference. July 20-25, 2014, Melbourne, Australia.
  • 5th Annual CUGH Global Health Conference. May 10-12, 2014, Washington, D.C.

Publications Archives, 2015

Kenya

Malawi

Mozambique

Namibia

South Africa

Presentations, 2015

  • Nyodeny J, Akinyi J, Odipo W, Otieno B. Improving ART Data Quality through use of KenyaEMR at Matoso Health Centre in Nyatike Sub-County, Nyanza, Kenya. Ministry of Health Regional eHealth Conference. Naivasha, Kenya. August 3, 2015.
  • 8th International AIDS Society Conference on HIV Pathogenesis. Vancouver, Canada. July 20-11, 2015.
  • 6th Annual CUGH Global Health Conference. Boston University, Boston. March 26-27, 2015.
  • Liku N, Wanyee S, Puttkammer N. Improving the quality of data available in KenyaEMR for Clinical Decision Support, Kenya Medical Association Conference. Eldoret, Kenya. April 23, 2015.
  • Muthee V, Puttkammer N, Wanyee S, Davisson M, Kang’a S, Owiso G, Waters C, Akhwale W. Development of an Automated Electronic Medical Record-Based Report on Continuous Quality Improvement Indicators in HIV Care and Treatment. Kenya Medical Association Conference. Eldoret, Kenya. April 23, 2015.
  • Atelu C, Antilla J, Puttkammer N, Muthee V, Wanyee S, Davisson M, Kang’a S, Owiso G, Waters C, Akhwale W.  Kenya Electronic Medical Records Training Proposition for system users. Kenya Medical Association Conference. Eldoret, Kenya. April 23, 2015.

I-TECH Shares Research at CUGH 2015

CUGH 2015

On March 26-28, Boston University will host the Sixth Annual Consortium of Universities for Global Health (CUGH) Conference.

The theme of this year’s conference is “Mobilizing Research for Global Health,” and featured speakers include Olusoji Adeyi, Director, Health, Nutrition and Population, World Bank; Paul Farmer, Co-Founder, Partners in Health; and Stephen Morrison, Vice President, Center for Strategic and International Studies.

Staff members from the International Training and Education Center for Health (I-TECH) will attend to present research on several topics:

Malawi

  • Quality improvement practices decrease adverse event rates in a surgical male circumcision program in Malawi
    Kohler PK, Chilongozi DA, Namate D, Barr BA, Msungama W, Phiri O, Tenthani L, Chalulu K, Perdue T, Barnhart S, Krieger JN
  • Improving nursing and midwifery clinical education by developing local faculty mentoring capacity in Malawi
    Holman J, Muyaso M, Msiska G, Namate D, Wasili R

Haiti

  • An assessment of data quality in Haiti’s multi-site electronic medical record system
    Puttkammer N, Baseman JG, Devine EB, Hyppolite N, France G, Honoré JG, Matheson AI, Zeliadt S, Yuhas K, Sherr K, Cadet JR, G. Zamor, Barnhart S

Kenya

  • Evolution of the KenyaEMR training program: Towards efficiency and quality in scale-up
    Atelu C, Antilla J, Muthee V, Puttkammer N

About CUGH

Founded by leading North American university global health programs, CUGH aims to:

  • Define the field and discipline of global health;
  • Standardize required curricula and competencies for global health;
  • Define criteria and conditions for student and faculty field placements in host institutions;
  • Provide coordination of projects and initiatives among and between resource-rich universities and less-developed nations and their institutions.

CUGH is dedicated to creating balance in resources and in the exchange of students and faculty between institutions in rich and poor countries, recognizing the importance of equal partnership between the academic institutions in developing nations and their resource-rich counterparts in the planning, implementation, management and impact evaluation of joint projects.

 

PLOS ONE Publishes IDCAP Facility Performance Results

The International Training and Education Center for Health (I-TECH) is proud to have been a partner on the first randomized trial of educational outreach and continuous quality improvement (CQI) in Africa. The evidence in a new IDCAP Overview article published in PLOS ONE — “Improving Facility Performance in Infectious Disease Care in Uganda: a Mixed Design Study with Pre/Post and Cluster Randomized Trial Components” — by Dr. Marcia Weaver et al. supports I-TECH’s work in three ways:

  1. The pre/post comparisons showed that high quality training, educational outreach, and CQI significantly improved the quality of care for emergencies, malaria, and pneumonia, and enrollment in HIV care.
  1. IDCAP demonstrates I-TECH’s capacity to measure the effects of training and other interventions to improve care and treatment, such as case scenarios/clinical vignettes, clinical observation, facility performance measures, and population-based mortality.
  1. The Overview article reports that efforts to improve data collection had an independent effect on the quality of care for two facility performance indicators. In other words, improving health information systems also serves as an intervention to improve the quality of care. 

“I am grateful for the curriculum development ‘dream team,'” said Dr. Weaver, “including Ann Miceli and Lisa Rayko Farrar from I-TECH, for outstanding implementation by the Infectious Diseases Institute and University Research Co, LLC, and to Accordia Global Health Foundation for project leadership and Sarah Burnett’s excellent data management and analysis.”

The following recap was first published in AccordiaNews, Aug. 26, 2014. 

In a new paper, published today, Professor Marcia Weaver and colleagues report an overview of the findings from the Integrated Infectious Disease Capacity-Building Evaluation (IDCAP).

Accordia Global Health Foundation, with funding from the Bill & Melinda Gates Foundation, launched IDCAP to better equip mid-level practitioners to manage infectious diseases and to advance the global health community’s understanding of the cost-effectiveness of innovative training approaches. IDCAP created a state-of-the-art package of training interventions that incorporated three key elements: 1) a focus on mid-level practitioners, 2) integration across infectious diseases, and 3) on-site support.

The impact of training was tested on three levels: individual clinician capacity and practice, facility performance, and patient health outcomes. Professor Weaver’s article, entitled Improving Facility Performance in Infectious Disease Care in Uganda: a Mixed Design Study with Pre/Post and Cluster Randomized Trial Components, describes the impact of the IDCAP interventions on 23 facility performance indicators.

IDCAP improved the quality of care in several areas with a combination of infectious disease training, on-site team training and mentoring, and quality improvement interventions. The IDCAP interventions resulted in statistically significant improvements in six facility performance indicators related to emergency triage, assessment and treatment (ETAT), malaria diagnosis and treatment, pneumonia assessment, and enrollment in HIV care. However, the on-site support intervention alone, significantly improved performance in only one of the 23 facility indicators.

Kelly Willis, Accordia’s Executive Director and a co-author, explained, “The majority of research in medicine and public health focuses on a single disease and a single outcome, which is often appropriate.  This vertical focus however, may sometimes be to the detriment of professional training and processes of care at a clinic. Accordia is proud to be at the forefront of exploring the integration of training and clinical care.”