43rd KMA Annual Scientific Conference and AGM

Towards Effective eHealth in Kenya

Innovations in Health

AMREF HEALTH AFRICA23rd APRIL 2015

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PRESENTATION OUTLINE

Introduction1

Facility Community Chronic Care (F3C) Model2

eLearning at Amref Health Africa4

mLearning at Amref Health Africa5

Data Collection and Analysis6

Health Commodities Management Platform (HCMP)7

Clinical and Diagnostics Services3

Amref Flying Doctors8

Conclusion – Call to Action9

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ABOUT AMREF HEALTH AFRICA

International, African Health NGO with an annual budget of US$110 Million

Country programmes in Ethiopia, Kenya, South Sudan, Tanzania and Uganda, and regional hubs in Southern and Western Africa

Training, outreach, and diagnostics programmes reach over 30 countries in the continent and beyond.

Amref Kenya Country Office has projects in all the 47 counties, reaching ~ 6 Million Kenyans in 2014

Project Sites

Project Sites & Field Office

Other Amref Outreach Areas

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INTRODUCTION

Globally, the health care sector is rife with inefficiencies, erratic quality, unequal access, and sky-high costs.

These are complex problems that call for innovative solutions.

Innovations in eHealth have been shown to improve the efficiency and effectiveness of Africa’s health systems through patient tracking and reporting, as well as extend critically needed health services to underserved areas, found both in rural and urban African communities.  

mHealth services have for example revolutionized maternal care, chronic disease prevention, and the management of malaria epidemics.

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INTRODUCTION

At Amref Health Africa, we have developed and deployed innovations that: Improve management of NCDs Enhance access to specialist services Strengthen diagnostic systems Provide eLearning for the health workforce Provide mLearning for the health workforce Improve data collection and analysis Strengthen health commodities management Provide affordable air evacuation - Amref Flying Doctors

This presentation outlines a few of the innovative solutions that Amref Health Africa is implementing in Kenya.

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FACILITY COMMUNITY CHRONIC CARE (F3C) MODEL

Reduce the Burden of Hypertension among Residents of Kibra Informal Settlement

F3C MODEL - PROVIDING CHRONIC CARE AT THE HOUSEHOLD, COMMUNITY AND FACILITY LEVEL

FACILITY COMMUNITY

Continuum of care

Using proven models and innovations

• Integrated health service delivery model

• Lessons from HIV programming

• WELTEL for follow up and adherence management

• Community Health Strategy (household visits)

• Awareness• Screening• Diagnosis• Treatment

• Awareness and screening

• Support groups, expert patients

LINKAGE

• Follow- up

• Strengthened referral

F3C SCHEMA: FACILITY-COMMUNITY CHRONIC CARE MODEL (F3C)

COMMUNITY MOBILISATION: SCREENING AND BEHAVIOUR CHANGE •Build capacity of CHWs to conduct awareness, education, and screening sessions on hypertension•Behaviour change communication on risk factors and lifestyle modification: household visits by CHWs; school health; workplace programs; congregate settings. •Household and mass screening during outreaches.

STRENGTHEN LINKAGES OF PATIENTS TO HYPERTENSIVE CARE•Strengthen referral and linkages to care through referral tracking tools, patient support by expert patients and support groups, treatment buddies, and SMS engagement. •Treatment literacy and self-management counselling 

INTEGRATED HEALTH SERVICE DELIVERY•Apply eLearning for capacity building, mentorship, and support supervision of health workers to provide quality hypertensive care as part of integrated services. •Provider initiated hypertension screening (PIHS)•Quality improvement initiatives for hypertensive care

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CLINICAL AND DIAGNOSTICS SERVICES

The programme activities are divided into 2 areas:

1)Improving access to specialist medical and surgical services to under-served populations.

2)Establishing best practices for diagnostic services, focusing on strengthening the periphery of the health system.

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MEDICAL SERVICES OUTREACH PROGRAMME

AMREF’s Medical Services OutreachProgramme:

Focuses on providing medical, surgical and technical specialist health care support to remote primary level hospitals.

Enhances capacity of the health workforce through hands-on training and formal in-service training of surgeons, physicians, nurses, laboratory technicians and other health workers.

Exploring the use of ICT to provide health care support fro remote hospitals from a distance (telemedicine).

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LABORATORY PROGRAMME

Support MOH to develop policies, procedures, and for diagnostics.

Provides the following services:

a. Training of laboratory workers and clinicians

b. Integrated diagnostic quality assurance focusing on requirements at primary level facilities through the East African Regional External Quality Assessment Scheme (EA-REQAS).

c. Increasing capacities of sub-county laboratories to conduct disease surveillance.

The Laboratory Programme has developed a Community-Based Disease Surveillance programme linked to the formal health system.

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eLEARNING AT AMREF HEALTH AFRICA

Amref Health Africa offers certificate, diploma and/or undergraduate courses via eLearning in the following countries:

• Angola• Burundi• Cameroon• Congo• Djibouti• Ethiopia• Ghana• Ivory Coast• Kenya• Lesotho

• Malawi• Namibia• Nigeria• Senegal• South Sudan• Sudan• Tanzania• Uganda• Zambia• Zanzibar

*Programmes implemented in partnership with MoHs in countries in red

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mLEARNING AT AMREF HEALTH AFRICA

FocusTo increase access to the eLearning content for nurses and midwivesTo provide nurses and midwives with access to additional reference materials to support learningTo provide nurses and midwives with access to additional reference materials to support practice To increase opportunities for peer learning for geographically dispersed nurses and midwives

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DATA COLLECTION AND ANALYSIS

FocusClinical Module (Automation of MoH Maternal & Child Health booklet)Uses Web portal and SMS technology and works both online and offlineMother to use their phones - SMS and USSD to upload dataHealth workers use Android phones and/or tablets to upload dataPlans underway to implement the Community Module and incorporate mWallet services.

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Health Commodities Management Platform (HCMP)

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AMREF FLYING DOCTORS

AMREF Flying Doctors is a company, limited by guarantee, wholly owned by Amref Health Africa

Objective: To generate income to help Amref Health Africa achieve fundraising, financial and Outreach Programme obligations

AFD o Has in the last 12 months evacuated 923 patients in 56 different

countries; o Operates a fleet of 4 ground ambulances, 3 of which have

Advanced Life Support (ALS) and 5 aircraft.o Staff are trained in pre-hospitalisation care, advanced life-saving

and patient transport through the Clinical Considerations in Aero-medical Transport (CCAT) in collaboration with Virgin Atlantic Airways.

o Spent more than US$ 120,000.00 in charity/ humanitarian evacuations

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AMREF FLYING DOCTORS CONT’D

Maisha is AFD’s flagship product /service. It is an air ambulance scheme offered to individuals, families, small groups and corporate.

Maisha’s benefits are:

o Two evacuation flights per year

o Two ground Ambulance transfers per year within Kenya

o Direct access to 24 hr medical centre advice & air ambulance provider

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CONCLUSION - CALL TO ACTION

In kind support to the Clinical and Outreach programme - through volunteerism.

Collaboration on projects of mutual interests – e.g. we have developed MoU with KPA for mutual win-win solutions.

CSI: KMA can plug their CSI into AMREF’s charitable causes such as the Stand up fro African Mothers campaign.

Training opportunities: Through the Amref Health Africa University soon to be launched.

Maisha air evacuation cover – for yourselves and institutions that you work for or lead.

Thank You!

For Further Information:

Dr Meshack NdiranguAMREF KENYA COUNTRY OFFICE

Website: www.amref.orgEmail: meshack.ndirangu@amref.org