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January

AMPATH Consortium Education

 

GRADUATE MEDICAL EDUCATION 

Kenya Rotations

  • Two IU med-peds residents, one Duke IM resident, one NYU IM resident, two IU pediatric residents, one MSSM pediatric resident, and one IU neurology resident from IU are currently completing a clinical rotation at MTRH.
  • If your institution plans to send trainees to Kenya during this or the next academic year, please contact Victoria Eder (vneder@iu.edu) to confirm ward and IU House availability.

Moi Registrar Rotations in US/NA/EU

  • With the AMPATH commitment to reciprocity, if your institution plans to send trainees to Kenya during this or the next academic year, please contact Victoria Eder (vneder@iu.edu) with your institution’s number of available rotation spots for Moi Registrars and/or your plan for when you expect to be able to host registrars.

Global Health Residency Track

  • Residents from internal medicine, plastic surgery, emergency medicine, neurology, pediatrics, medicine-pediatrics, family medicine, OB/GYN, and neurodevelopmental disabilities applied this year to join the IU Interdepartmental Global Health Residency Track. Selected applicants will join 57 other residents currently in the track.

STUDENTS 

AMPATH Consortium:

  • Ten IUSM students are currently in Eldoret completing a two-month clinical rotation at MTRH. They will be joined by 11 Linköping students in late January [two physiotherapy, four medical (clinical), three medical (research), and two nursing].
  • Applications have closed for the 2023 Slemenda Scholars Program, and interviews will be held in February. The program sends two to four rising second-year IUSM students to Eldoret to experience AMPATH by participating in rounds, collaborating on field projects and working alongside Moi University medical students.
  • If your institution plans to send trainees to Kenya during the next academic year, please contact Victoria Eder (vneder@iu.edu) to confirm ward and IU House availability.

Moi Medical Student rotations in US/NA/EU  

  • With the AMPATH commitment to reciprocity, if your institution plans to send trainees to Kenya during this or the next academic year, please contact Victoria Eder (vneder@iu.edu) with your institution’s number of available rotation spots for Moi students by February 15 and/or your plan for when you expect to be able to host students.

AMPATH Kenya

  • Dr. Jenny Yang, from University of Toronto, has joined the team of long-term faculty in Eldoret as the Reproductive Health Team Leader. Rachel Ogumbo, from Purdue University, has joined the team as the Pharmacy Team Leader.
  • Dr. Bill Stauffer will arrive in Eldoret in early February to serve as Executive Field Director.

AMPATH Replication

The AMPATH Education Strategic Planning Replication Committee continues to meet monthly to build connections and assist each other in the AMPATH replication process. Topics discussed this month included education-related updates from each partner and a discussion on development of orientation resources for visiting faculty. A growing repository of education/orientation materials is being aggregated in an IUCGH SharePoint folder. Next month’s meeting will focus on the development of an AMPATH global orientation course.

AMPATH Consortium Research

  • Semi-annual Reporting Underway for the July to December 2022 Reporting Period
  • Semi-annual reporting is underway for the July to December 2022 period. The deadline to either register a new project or provide an update on an ongoing project is Friday, February 10th. Please click the link below to register a new project that started during this period. For ongoing projects, The AMPATH Kenya Research Program Office (RPO) is sending Study Update form requests to project primary contacts this week. This update marks the final semi-annual report before RPO formally switches to an annual reporting format next calendar year.
  • >>> Action Item: Please submit a New Study Register form for the July to December 2022 period for all new, unregistered projects.

AMPATH Research Strategic Planning 

  • The research program will begin strategic planning for the next cycle (2024-2029) early next year. As in previous years, strategic planning will include SWOT-based surveys with AMPATH investigators, interviews with key leadership and stakeholders, and culminate in an in-person strategic planning retreat in Eldoret. Surveys to AMPATH investigators will be sent out in March 2023 and the retreat will be held in January 2024.
  • IU Center for Global Health Research Speaker Series with AMPATH investigator Dr. Becky Genberg in February 2023
  • Mark your calendars and plan to join the upcoming IU Center for Global Health Research Speaker Series session on Tuesday, February 14th, at 12 pm EST / 8 pm EAT featuring Becky Genberg, Ph.D. Dr. Genberg is the B. Frank and Kathleen Polk assistant professor at the Johns Hopkins Bloomberg School of Public Health.
  •  Action Item: To attend please register using this link.
  • Professional development and training opportunities for AMPATH junior faculty and staff in 2023
  • The AMPATH Kenya Research Program Office has registered as an official online host site for the University of Washington’s Fundamentals of Global Health Research course. This virtual course will be open to Kenyan junior faculty and research staff interested in gaining more experience in global health research essentials. The deadline to apply will be Thursday, February 16th. Please stay tuned for more details via email regarding how to apply for the course.
  • The research program is planning to support several professional development and training opportunities in 2023, including sponsoring another manuscript writing course.
  • Action Item: If you or your institution have additional professional development or training opportunities, please let us know at research.manager@iukenya.org.

 

Subscribe 

For more information on conferences and workshops, grants and training opportunities, and more, please subscribe to the AMPATH Research Newsletter to stay up-to-date.

  • See the January 2023 AMPATH Research Newsletter available here.
  • Contact research.manager@iukenya.org to contribute updates that you would like included in the AMPATH Kenya Research Consortium update report.   

AMPATH Ghana

Administrative 

  • A vehicle was purchased and insured for the AMPATH Ghana Team Leaders on assignment in Tamale, Ghana.
  • We continue to furnish the AMPATH Ghana House.
  • We are finalizing job descriptions for the AMPATH Ghana Tamale administrative staff.

Partnerships/Communications

  • Updates made to the ampathghana.org website.
  • Molecular Diagnostic Laboratory publicity initiated with launch date in late Jan/early February
  • Meetings with individual donors ongoing.
  • Year End Report Distributed to close to 300 individuals
  • First Year-End Appeal distributed to 76 individuals/families.
  • We received donations from 23 individuals.

Care 

  • Molecular Diagnostic Lab Working Group continues to meet ahead of the completion of the pre-fabricated labs.
  • Chronic Disease Management Working Group is working with Ghana Health Service to identify non-communicable disease-related priorities.
  • We continued ultrasound training for clinicians at Tamale Teaching Hospital.
  • We engaged the Oncology clinicians, nurses, and pharmacists at Tamale Teaching Hospital.
  • The Africare program for cervical cancer is being finalized.

Education 

  • Medical student clerkship lecture series are starting soon. Medicine, surgery, ob/gyn, and pediatrics will be partnering on these, with plans to do some lectures in person in Tamale with first short-term visiting faculty and residents starting in April 2023.
  • AMPATH Ghana Education monthly meeting established for all faculty involved in education projects or trainee exchanges. Involvement includes neurosurgery, orthopedic surgery, general surgery, ophthalmology, urology, neurology, internal medicine, pediatrics, ob/gyn, psychiatry, infectious diseases.
  • Plan to submit grant for Tamale Education and InnovAtion Center for Healthcare by the beginning of February.
  • SOPs for visitor travel will be finalized by the beginning of February.

Research 

  • UDS submitted first draft of Climate Change Research Findings to the American Red Cross.
  • We are awaiting feedback from several grants submitted at the end of 2022, including initiatives in mental health, hypertension/diabetes care, and cervical cancer.
  • Ongoing planning for submission of an NIH/GACD call for proposal to reduce NCD risk factors in urban settings.

AMPATH Mexico

ADMINISTRATIVE: 

  • In mid-November 2023, the governor of Puebla passed away (after being unwell for some time). impact. The interim governor Sergio Salomon Cespedes was appointed until the 2024 election and this may have impact on the transitions in the Secretaria de Salud leadership as well.

EDUCATION:

  • International exchange at Dell Med: In early January 2023, our Global Health Education Bilateral Exchange Taskforce met to develop the two electives: 1) ~6wks Dell Med clinic rotation for Moi University students, and 2) Dell Med students to participate alongside our AMPATH visiting students). After piloting this with Moi students, we plan to adapt it for students from Mexico in the next 1-2 years.
  • Monthly seminars:
  • For the January 26, 2023 5-6:30pm CT seminar, Dr. Juan Antonio González-Barrios of BUAP and Dra. Caitlin Giesler of UT Austin will review heart conditions that require management during pregnancy and the post-partum period. Click here to register.
  • Global Virtual Exchange course:
  • We finalized the Fall 2022 course and will debrief to plan the second offering of this course in Fall 2023.
  • Global Health Grand Rounds: On January 20, 2023 12:30-1:30pm CT, Dr. Jay Lemery, MD, will share his expertise on “Climate Medicine and Health System Resiliency”. This virtual global health grand rounds is open to everyone.
  • Pediatrics language elective in Puebla: Two residents are currently in Puebla for three weeks (Jan 16-Feb 3) and two residents continue to prepare for departure in March. Exploring lessons learned, standardizing processes, and information.
  • Looking for Faculty with Expertise Clinical Skills and Simulation:  BUAP anticipates opening a large clinical skills and simulation center in the Spring of 2023. If you have expertise in simulation/clinical skills training, speak Spanish, and are interested in getting involved with simulation curriculum develop or training medical school faculty in simulation, please contact rebecca.cook@austin.utexas.edu

 

RESEARCH: 

  • RIAT & SOPs: We continue to complete the RIAT and develop relevant SOPs.
  • Mid-January 2023: Ricardo Ainslie, Director of Research and Education, is visiting Puebla to further understand BUAP’s research infrastructure and deepen relationships with key leaders in order to advance collaborative international research initiatives, including the BUAP Rectoria, med school’s bioethics (IRB) committee, leaders in the BUAP’s president’s office, Working Group counterparts, the Secretaria de Salud, and the Fundación Comunitaria de Puebla.
  • Working Groups: Our team continues to support the six Working Groups to meet and plan their community pilot site projects.
  • AMBIA seed grant applications: All applicant groups submitted their final revisions by mid-January 2023 and our team shared with Review Committee members for final feedback.
  • The AMBIA-funded project in Culturally-Appropriate Palliative Care is progressing well and our BUAP co-PI will be visiting Austin Jan 21-27, 2023.
  • Puentes 4 2023 collaborative research summit planning is underway: Jointly with BUAP, we have developed concept note and goals and are identifying a date (probably fall 2023).

 

CARE: 

  • The MOU between Project ECHO and BUAP is official – signed by both Dr. Luis and the representative from UNM. We will help Working Group members particularly from the Mental Health Education and Health Education Working Groups to attend upcoming virtual trainings in Feb/March in both Spanish and English.
  • Becca Cook, our Clinical Team Leader returned to Puebla Jan 16th, 2023 and has been working on several aspects of the care program development:
  • Meeting with leadership within the Secretaria de Salud  and community partners (FCP)
  • Planning the semester for the 8 AMPATH/MAPAS pasantes who are completing  yearlong global health classes, as well as community health activities in the AMPATH/MAPAS México catchment communities
  • Exploring additional partnerships for AMPATH/MAPAS México care program including a first meeting with the leadership of BUAP’s regional southeast campus (Tehuacan) which is training health providers to serve in region of the state with the highest levels of poverty

AMPATH Nepal

Submitted by: David Plater

  • The deadline for the Nepal Pilot Grants is January 30, 2023. This grant opportunity is designed to promote collaboration between Mount Sinai, Dhulikhel Hospital, and the Kathmandu University School of Medical Sciences and will award 3 grants of US$20,000 for collaborative care, education, and/or research activities. The application process provided an opportunity to identify key counterparts and connect partner departments.
  • A program manager and program assistant have been hired in Nepal to serve as counterparts to Mount Sinai’s program team.
  • In March 2023, a team focused on developing and expanding our education collaborations in Nepal will visit Dhulikhel. The team will include Dr. Diana Lee, AIGH’s Director of Global Health Education, Jenn Meyer, AIGH’s new Program Manager for Global Health Education, and Dr. Deb Litzelman, AMPATH Director of Education. This visit will assist with ongoing strategic planning and development of education exchanges.

Brown University

  • Family Medicine: Drs Daria Szkwarko, Odinaka Anyanwu, Carolyn Pearce, and Julia Teck are in Kenya January and February. They led a 4-part series on decolonizing global health and the white industrial savior complex for visiting trainees and faculty at AMPATH. The resources and curriculum they created for these courses are available here for AMPATH Consortium members.
  • Exchange Program: Arrangements still underway for the 3 Kenyan Medical Students who were delayed by the US embassy in August to rotate to Brown in Spring 2023.
  • MICU donations were received at MTRH.

RESEARCH 

  • Since the last AMPATH Consortium Meeting, the following manuscripts relating to AMPATH services and populations were published:
    • Kafu C, Wachira J, Omodi V, Said J, Pastakia SD, Tran DN, Onyango JA, Aburi D, Wilson-Barthes M, Galárraga O, Genberg BL. Integrating community-based HIV and non-communicable disease care with microfinance groups: a feasibility study in Western Kenya. Pilot Feasibility Stud. 2022 Dec 28;8(1):266. doi: 10.1186/s40814-022-01218-6. PMID: 36578093; PMCID: PMC9795156.
    • Wilson-Barthes M, Braitstein P, DeLong A, Ayuku D, Atwoli L, Sang E, Galárraga O. Cost Utility of Supporting Family-Based Care to Prevent HIV and Deaths among Orphaned and Separated Children in East Africa: A Markov Model-Based Simulation. MDM Policy Pract. 2022 Dec 22;7(2):23814683221143782. doi: 10.1177/23814683221143782. PMID: 36601384; PMCID: PMC9806382.
    • An abstract entitled “Factors associated with severe psychological stress among adults living with HIV in western Kenya” (first author: Juddy Wachira, PhD) was accepted as an oral presentation to be given at the 13th KEMRI Annual Scientific and Health Conference in Nairobi.
  • AMPATH Affiliate/Investigator: Omar Galárraga, PhD (Contact PI) 

Brown University School of Public Health

121 S Main St

Providence, RI 02903

DUNS: 00-178-5542

Kaiser Permanente

Kaiser Permanente published a story on their website about their involvement with AMPATH:  https://medschool.kp.org/news/kpsom-launches-global-health-program-with-ampath 

Linkoping University

Submitted by: Kerstin Wammerlin

  • We are sending 12 LiU students to Moi in the next few weeks, a mix of exchange students doing rotations and some who are part of an LiU research group. It’s a mix of students within Medicine, Nursing, Physiotherapy, and Occupational therapy.
  • We are also receiving 2 Nursing students from Moi later this spring.
  • Five teachers/faculty members will also be in Eldoret in the week of February 6-10 and one additional teacher will go on a study visit for a few days in the beginning of February as well (she teaches the Moi students Swedish here and will participate when Wycliffe teaches our LiU students Swahili).
  • One teacher/clinician will go around February 24 to March 12 to support our students.
  • Two additional teachers/clinicians will go the last week of April.
  • Someone from my office will most likely go end of March/beginning of April to support our students.
  • Malin Lindqvist Apell and our Professor of Medical Pedagogy Madeleine Abrandt Dahlgren (who are both supervisors to Dr Pius post doc here) will go around May 9th to follow up Dr Pius 3-month internship at LiU which will take place Feb through April.

Mt Sinai

Submitted by: David Plater

  • Mount Sinai we will help host an Adolescent Health Summit from February 6-8, in Eldoret, Kenya. The goal of the summit is to being together North American and Kenyan partners working in adolescent health to review the strategic plan and prioritize goals related to care, education, and research. Attached is the draft summit schedule. Meetings will be held in Chandaria Room 231.  Please reach out to Ashley Chory, Ashley.chory@mssm.edu, with questions or interest in participating!
  • The first adolescent pregnancy clinic will begin on February 10, in Eldoret, Kenya. Please Contact Wan-Ju Wu, wanju.wu@mssm.edu, with questions.
  • One Mount Sinai pediatric resident is currently in Eldoret, Kenya. One Mount Sinai triple board resident will attend the Adolescent Health Summit in February. One Mount Sinai medical student has submitted a Fogarty Scholar application under the mentorship of Rachel Vreeman. Mount Sinai plans to host two Kenyan medical students later in 2023.
  • Rachel Vreeman and team submitted an R01 application to investigate the impact of HIV-related stigma and social and peer support networks on ART adherence, drug resistance accumulation and other clinical and viral outcomes. Other investigators on the proposal include Rami Kantor, Joe Hogan, Winstone Nyandiko. The IeDEA AYANI study, that prospectively follows a cohort of adolescents living with HIV through a battery of clinical and psychosocial assessments has begun enrollment.
  • Lonnie Embleton is working on a Street Youth HIV prevention-care continuum grant in partnership with Prof. Ayuku, Rachel Vreeman, Angela Diaz, Joe Hogan, and others.  Lonnie is also working with Wan-Ju on a proposal focused on making CAR-E adolescent-friendly. The proposal will also aim to integrate sexual and gender-based violence care into the Rafiki Center.

New publications:

  • Embleton L, Braitstein P, Di Ruggiero E, Oduor C, Dibaba Wado, Y. Sexual and reproductive health service utilization among adolescent girls in Kenya: a cross sectional analysis. In Press. PLOS Global Public Health.
  • Embleton L, Shah P, Apondi E, Ayuku D, Braitstein P. “If they had a place to live, they would be taking medication”: strategies for engaging street-connected young people in the HIV prevention-care continuum in Kenya. In press. JIAS. 2022

UT Austin

Submitted by: Beth Felker

  • In 2023: 4 students, 7 residents, and approximately 15 supervising faculty/fellows from pediatrics, medicine, cardiology, neurology, and psychiatry will participate in education and care in Kenya, all between March 19-June 2023.
  • Feb/March 2023: Rob Neely (cardiothoracic surgery) with a team of 5 ICU nurses and surgical techs will make his second trip to Eldoret to help the Nairobi/Eldoret team perform heart surgeries the week of Feb 24th-March 3rd, 2023 at MTRH. In coordination with IU colleagues, the goal is not only to provide safe care, but to support and share knowledge with Kenyan providers.

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