Leading with Care –AMPATH Purdue Kenya Partnership

Care

Teaching

Research

The Virtuous Cycle of Academic Engagement

Leading with Care

Academic Model Providing AccessTo Healthcare Initiated in November 2001 >500 care sites across western Kenya Catchment population ~ 8 million ~200,000 people living with HIV actively

in care

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

3

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

outcomes

Solution – Revolving Fund Pharmacy

Partners and Roles

Revolving Fund Pharmacy Team

Community LeadersMinistry of Health

• Provide oversight and management support

• Facilitate procurement of drugs

• Represent community voice

• Provide feedback• Communicate

accurately with community

• Day-to-day operations management

Summary of Experiences

1989 2001 … 2007 2008 2009 2010 2011 2012 2013 2015 2019 (present)

Avail-ability

Revolving fund

pharmacy starts

Counterfeit DetectionPaper 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 of peer support

Over 15,000 HIV and 300 NCD

patient encounters

Supply Chain Timeline

3

AMPATH Training Approach

MTRH Clinical Pharmacy Centre of Excellence

Expansion of Kenyan Clinical Pharmacy Trainees

North American Learners within PKP

13

25

3

17 2123 24 27 24 24 24

17

2

14 1323

0

10

20

30

2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 totalsLearners Total number of fogarty fellowsLearners Total number of NORTH AMERICAN pharmacy residentsLearners Total number of APPE students

308

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)

1 13 3 3

6

3

87

19

11

5

02468

101214161820

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

Awareness Screening Diagnosis Linking to CareRetaining

in CareAdherence

to Care

Effective Chronic Disease

Care

$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)

Multi-sectoral Partnerships

Private Sector Partnerships

DISCUSSIONEllen Schellhase – elschell@purdue.edu

Sonak Pastakia – spastaki@purdue.edu

mailto:elschell@purdue.edumailto:spastaki@purdue.edu

Leading with Care – �AMPATH Purdue Kenya PartnershipSlide Number 2Slide Number 3The Virtuous Cycle of Academic EngagementLeading with CareSlide Number 6Slide Number 7Working Across the Health System to Deliver Comprehensive ServicesSlide Number 9Supply Chain LimitationsSolution – Revolving Fund PharmacyPartners and RolesSummary of ExperiencesSlide Number 14Slide Number 15AMPATH Training ApproachMTRH Clinical Pharmacy Centre of ExcellenceExpansion of Kenyan Clinical Pharmacy TraineesNorth American Learners within PKPAMPATH ResearchCumulative AMPATH Research & Training Grants by Year �(Direct Cost Total = $129.6 million)AMPATH Research Support by Funder Type in 2018 and Since 1998Publications from AMPATH since 1989 (n=671)Publications from PKP since 2004 (n=70)Research to Inform PracticeSlide Number 31Multi-sectoral PartnershipsSlide Number 33Slide Number 34