The involvement of Indiana University School of Medicine in Kenya continues to grow and evolve. Led by Bob Einterz, M.D., Associate Dean for Global Health, the Division has coordinated the relationship between various IU departments and schools and the Moi University School of Medicine for 24 years.
Since 1989, Moi University School of Medicine and Moi Teaching and Referral Hospital in Eldoret, Kenya and a consortium of North American academic health centers led by Indiana University School of Medicine have worked together to deliver health services, conduct health research, and develop leaders in health care for both North America and Africa. In 2001, in the face of the deadliest pandemic in human history, the partners joined forces to create one of Africa's largest, most comprehensive and effective HIV/AIDS control systems. Today, that system is expanding its scope to include delivery of essential primary care services, and control of communicable diseases and non-communicable, chronic illnesses.
The institutional partners—Moi University, Moi Teaching and Referral Hospital, and the consortium of North American academic health centers—are collectively named the Academic Model Providing Access to Healthcare (AMPATH). AMPATH is a formal partner with the Government of Kenya and with the United States government through a $75 million grant from the United States Agency for International Development (USAID). AMPATH serves a population of 3.5 million people in western Kenya and:
- Delivers primary health care services in western Kenya in partnership with Kenya's Ministry of Medical Services and Ministry of Public Health and Sanitation. A number of health facilities and the communities they serve (estimated population of 500,000 individuals) have been designated as "innovation sites" where AMPATH aims to design, implement, and evaluate more effective and efficient means to deliver essential services and control important, common health problems.
- Cares for and treats HIV/AIDS patients by enrolling and caring for more than 158,000 HIV infected patients in over 500 clinical facilities in both urban and rural Kenya.
- Prevents HIV/AIDS through door-to-door counseling and testing, community-based case finding and outreach, and aggressive strategies that link patients to care and retain them in care. More than 200,000 persons participate annually in AMPATH's counseling and testing programs.
- Protects babies by blocking mother-to-child transmission of HIV. AMPATH tests 80,000 pregnant women each year for HIV, enrolls nearly all women testing positive in care, and has reduced the rate of transmission of HIV from these mothers to their children to less than 4%.
- Treats and controls cancer, cardiovascular diseases, pulmonary diseases, diabetes and mental illness through emerging Centers of Excellence at Moi Teaching and Referral Hospital and affiliated hospitals and health centers. AMPATH, with support from the pharmaceutical industry including Pfizer, Abbott, AbbVie, Celgene and Eli Lilly & Company, treats 400 cancer patients monthly, sponsors psycho-social support groups for 20,000 individuals, and cares for more than 3,000 individuals with diabetes.
- Nurtures food security with demonstration farms and farm extension programs that enable thousands of subsistence farmers to get the most out of their crops and livestock.
- Builds self-sufficiency through skills training, small business loans, a fair-trade crafts workshop, group-integrated savings and empowerment (GISE) and an agricultural co-operative which together have empowered over 14,000 HIV-positive patients.
- Helps orphans and vulnerable children by providing assistance with food, school, clothing and/or other necessities to over 20,000 Kenyan children.
- Improves infrastructure by constructing health centers, operating suites, hospitals, and enhancing administrative processes. For example, the AMPATH Centre, Majaliwa Operating Theatres, multiple rural health clinics, food warehouses, and the Riley Mother and Baby Hospital of Eldoret were built with the support of private U.S. philanthropy raised by the Indiana partners. The research and sponsored projects office in Eldoret, established with the support and expert counsel of grants management administrators from Indiana University, has enabled Moi University and Moi Teaching and Referral Hospital to manage and account for nearly $100 million dollars of extra-mural funding for research, training, and care.
- Develops electronic health information systems including the AMPATH Medical Record System, its OpenMRS platform, and electronic clinical decision support systems that have enabled task shifting and high quality, cost-effective delivery of care.
Visit the AMPATH-Kenya website to learn more about the program.