Education for InterProfessional HIV care in Uganda-(EIPHIV-Uganda)
Dr. Fred C. Semitala MB.Ch.B, M.Med, MPH, Imp Sci
Makerere University Joint AIDS Program Makerere University School of Medicine PEPFAR Uganda Science Summit Translating Research into Programs for 2020 and Beyond January 13-14, 2020 Kampala Uganda Project Design and Methods
GOAL: EIPHIV aims to equip next generation of HIV care providers with knowledge and skills for patient- centered team-based care aligned with Uganda MoH guidelines and principles of continuous quality improvement
• Eight-month project competitively awarded to Makerere University/MJAP by UCSF- AFREhealth partnership
• Collaborating with four Ugandan Universities, their affiliated hospitals/HIV clinics and Uganda MoH
• Curriculum of 17 Modules of common cases and topical issues in HIV care, developed by an interprofessional panel of 11 experts in HIV care, research and education.
• Training= at least 8 facilitator led modules offered in two days to groups of 6-8 interprofessional learners, Methods. Inaugural meeting at MakCHS and institutional entry meetings; Offered TOT to faculty at Mak/MJAP and collaborating institutions (CIs) by expert panelists; CIs to cascade the trainings to the next generation providers • Regular meetings ( often online) with committee members to review progress and provide feedback • Trainers and trainees online/electronic evaluations. • Support and monitor interprofessional practice and trainee engagement in HIV care (post training) • Team-based patient-centered HIV care, use of MoH guidelines and implementation of CQI Project Implementation Status
Institutional entry meetings Training at collaborating institutions Facilitators and learners trained in IPE over the last 3 months Clinical Lab Pharma Social workers University Officers Doctors technicians Nurses/Midwives cists and counselors Total TOTs (Facilitators) Busitema University 5 3 3 5 1 1 18 CIU 6 0 5 4 1 3 19 Kabale University 0 8 1 9 1 1 20 MakCHS 3 8 1 8 1 1 22 Nsambya Hospital First training is scheduled for 23rd and 24th January 2020 Learner Workshops Kabale University 0 8 0 25 3 0 36 MakCHS 0 59 0 6 0 0 65 Involvement of University and hospital/HIV clinic Overall Total 14 86 10 57 7 6 180 leadership TOTs= Training of trainers CIU=Clarke international University PEPFAR Uganda Science Summit January 2020 MakCHS=Makerere University College of Health Sciences Key Findings • The interprofessional nature of the training is very much appreciated ‘..it is not only theory, it also captures the practical aspects…so I think this is the way to go, it is a good concept that encourages interdisciplinary collaboration, if good service delivery is to be realized, each individual must appreciate the input of the other’- Nurse CIU
• The small group discussions are ideal for learning ‘”I think I must commend the facilitation style, there was mutual respect and tolerance. I was actually impressed with how much knowledge people had. I was like, oh I didn’t know that and yet I am their supervisor in other fields, I mean I was there with a midwife who seemed to know a lot of HIV than I did’- Gynaecologist Kabale Univ
Systems level Partnership between MoH and academic centers provides efficient means of rapidly disseminating evidence-based HIV practice.
Targeting HIV training to learners about to transition between pre-service and independent professional practice, can help ensure that critical thinking /emphasis on quality is 'hard-wired' into lifelong professional practice
PEPFAR Uganda Science Summit January 2020 Implications for National HIV Response
• EIPHIV is enabling optimized team-based HIV care. This emphasis on inter-professional response can enhance linkages along HIV care continuum and realize efficiencies in use of resources • EIPHIV can secure PEPFAR's investment in HIV response to date, by ensuring next generation of HCPs are able to deliver high quality care and consolidate gains made to date • Adopt inter-professional response; with all health care workers (nurses, doctors, clinical officers, social workers and others) appreciate each others’ critical role, value/ purpose • Sustainability: Institutionalize IPE for HIV health care providers • Promote use of IT in IPE and IPP even at peripheral facilities improve quality of care
• Continuous quality improvement to become a key component of HIV Care
• More efficient provision of high quality HIV care with greater patient satisfaction
PEPFAR Uganda Science Summit January 2020 Acknowledgments and Contact Info
Key Faculty and collaborating Institutions Contact: • Makerere College of Health Sciences Dr. Fred C Semitala (Nelson Sewankambo, Victor Musiime, Scovia N. Mbalinda) Tel:+256755553004 • Makerere University Joint AIDS Program Email: [email protected] (Martin Muddu , Priscilla Haguma, Clare Nakiyaga & Shardrack Wanyina) • AIDS Control Program, Uganda Ministry of Health (Eleanor N. Magongo) • The African Centre for Global Health and Social Transformation (Elsie-Kiguli-Malwadde) • Clarke International University -(Bashir Mwambi); • Busitema- (Denis Bwayo); • Kabale (Lydia Namuyimbwa). STRIPE HIV program at UCSF AFREhealth Health Resources and Services Administration (HRSA) PEPFAR program Infectious Disease Institute (IDI)
PEPFAR Uganda Science Summit January 2020 OK to share slides with attendees after Summit? YES
PEPFAR Uganda Science Summit January 2020