A Proposal for Program Expansion In Kenya

Jhpiego in Kenya

Kenya

Cardiovascular Disease (CVD)

Cardiomyopathy• Causative factors

observed in Africans:– “Burnt-out” untreated

hypertension– Infection and myocarditis– Autoimmune mechanisms– Iron overload & other

metabolic factors– Genetic factors– Nutritional deficiency– Pregnancy

Epidemiological Transition

• HIV directly affecting the heart• Opportunistic infections or

treatment/prophylaxis of opportunistic infections

• Effects of Highly Active Anti-retroviral Therapy (HAART) on the heart

• Non-HIV cardiac risk factors (such as Diabetes Mellitus or Hypertension

• Mode of acquisition of HIV (intravenous drug use related complications)

Etiology of Cardiac Effects of HIV/AIDS

• Innovation through expansion of CDC Education Expansion Program centered on HIV/AIDS

• Target primary care facilities for widespread and long-term impacts

• Include cardiovascular disease focus to expand awareness of prevention and treatment

Objective

Business Plan

Begin Cardiovascular

Center

Begin Cardiovascular

Center

Year 1: Research & Development

Integrating Programs

Year 1: Research & Development

Integrating Programs

Year 2: Cardiac UnitBegin treating patientsYear 2: Cardiac UnitBegin treating patients

Year 4: Cardiac UnitContinue original

process

Year 4: Cardiac UnitContinue original

process

Year 3: Evaluate

Cardiac UnitIs it effective?

Year 3: Evaluate

Cardiac UnitIs it effective?

YES

NO

Research & Development• Month 1 - 4

• Research proper/effective procedures

• Month 5 - 12• Educational outreach to health care work

force• Doctors training volunteers

CDC Pre-service Education Strengthening

• Integrate, strengthen, and train faculty cardiovascular disease into curricula

• Assist in initiating training of health care providers in the curricula

• Develop procedures for quality assurance in training

Cardiac Unit

• Month 1 - 4– Complete cardiac unit

setup• Month 5 – 12

– Begin taking in patients http://foundationforglobalchange.wordpress.com/about/

http://www.gereports.com/healthcare-in-kenya-designing-rural-tech-from-the-ground-up/

Innovative Technology

Evaluation of Cardiac Unit

• Effectiveness• Patient Analysis

http://www.flickr.com/photos/cimmyt/5241684685/

• Meeting Goals • Medical Research

Funding

Decision on Evaluation

• Community Funding• Continue Research & Development

Annual Budget - Year 1

Year 1 USD Unit Construction $ 335,000.00 Educational Seminar 19,200.00 Biosignia Know Your Number™ 8,982.0 Logistical Aesthetics 288,000.00 Furniture & Fixtures 96,000.00 Instruments & Equipments 865,000.00 Annual Running Cost 192,000.00 Legal Procedure & Insurance 1,500,000.00

Total Cost of Year 1 $ 3,304,182.00

Annual Budget – Year 2

Year 2 USDLabor Costs (set up) $ 3,000.00 Educational Seminar 19,200.00 EKG Machine (2) 230,000.00 Biosignia Know Your Number™ 8,982.00 Marketing (Brochures & Info Flyers) 160,000.00 Medical Patient Funding 3,000,000.00 Cardiac Lab 575,000.00 Cardiac Monitor (NIBP) 30 57,500.00 Centralized Monitor 2,000.00 Cardiac Fowler Bed 15,000.00 Other Materials 4,000.00

Total Cost of Year 2 $ 4,074,682.00

Annual Budget – Year 3 & 4

Year 3 USDBiosignia Know Your Number™ $ 8,982.00 Educational Seminar 19,200.00 Evaluation Analysis 16,000.00 Medical Research Funding 3,750,000.00

Total Cost of Year 3 $ 3,794,182.00

Year 4 USDBiosignia Know Your Number™ $ 8,982.00 Educational Seminar 19,200.00 Community Funding 956,738.50

Total Cost of Year 4 $ 984,920.50

Overall Budget

Overall Budget

Year 1Year 2

$ 3,304,182.00 4,074,682.00

Year 3 3,794,182.00 Year 4 984,920.50

Total Project Cost $ 12,157,966.50

Sustainability

• Connecting with community needs• Training Kenyan citizens

http://blog.jhpiego.org/2011/03/21/

Getting to the Heart of the Matter

Meredith Team Members

• Brittany Scuotto—Finance and Business Model

• Cristin Klingshirn—Sustainability, Technology, Portfolios

• Jacqueline Bailey—Research, Logistics, Sources

• Jaimee Farley—Statistical Research

• Maria Githua—International Studies

• Vanita Watford—Financial Research, Budget and Business Model Consultant

Sources• Absolute Medical Equipment. (n.d.). Retrieved March 30, 2012, from http://www.absolutemed.com/

• Biosignia Technology for Life. (n.d.). Retrieved March 29, 2012, from http://www.biosignia.com

• Cardinal Medical Marketing. (n.d.). Retrieved March 30, 2012, from

http://www.cardinalmedicalmarketing.com/services.htm• DESIGN + HOPE: Medical Clinic, Kenya. (n.d.). Retrieved March 29, 2012, from Architecture for Humanity

website: http://openarchitecturenetwork.org/projects/design_hope• Gopal, M., Bhaskaran, A., Khalife, W. I., & Barbagelata, A. (2009). Heart Disease in Patients with HIV/AIDS

- An Emerging Clinical Problem. Current Cardiology Reviews, 5, 149-154.• International Minimum Wage Rates 2012. (n.d.). Retrieved from http://www.minimum-wage.org/

international/en/Kenya • Levitt, N. S., Steyn, K., Dave, J., & Bradshaw, D. (2011). Chronic noncommunicable diseases and HIV-AIDS

on a collision course: relevance for health care delivery, particularly in low-resource settings - insights from South Africa. The American Journal of Clinical Nutrition, 94, 1690S-6S.

• Maher, D., Sekajugo, J., Harries, A., & Grosskurth, H. (2010, February). Research needs for an improved primary care response to chronic non-communicable diseases in Africa. Tropical Medicine and International Health, 15(2), 176-181.

• My Health Archive. (n.d.). Retrieved March 30, 2012, from http://www.myhealtharchive.com/m/pages/ products/kyn

• Sadbhavna Jankalyan Trust. (n.d.). Retrieved March 30, 2012, from http://www.sadbhavnajankalyantrust.org/index.php?F=FP

• WHO (2008) 2008-2013 Action plan for the Global Strategy for the Prevention and Control of Noncommunicable Diseases