Program Overview

Supported by PEPFAR/HRSA & Office of AIDS Research/NIH

Program Goal

To contribute to health systems strengthening in African partner countries by developing a leadership training program targeting primarily African health professionals

Distinguishing Features

• Africa-centric• Training sites, trainees & faculty

• Consortium Based on Partnerships• Strong North-South & South-South collaborations

• Leadership Focus• Practical skills to support evidence-based approaches

• Interdisciplinary• Medicine, nursing & public health

Consortium Partners

• Eight academic institutions in five countries

KENYAUniversity of Nairobi University of Washington

TANZANIAMuhimbili University University of California, San Francisco

BOTSWANAUniversity of Botswana University of Pennsylvania

UGANDAMakerere University Johns Hopkins University

Structure

Didactic Modules

• Orientation• 3 Week-

long modules

Attachment Site

• 5 Month rotation

• Structured mentorship

• Distance learning modules

Didactic Modules

• 3 Week-long modules

• Mid-program reports

Attachment Site

• 5 Month rotation

• Structured mentorship

• Distance learning modules

Didactic Modules

• 2 Week-long modules

• Final reports

Mid-fellowship and final meetings include all fellows, WG members, attachment site mentors and stakeholders,

including PEPFAR coordinators.

Didactic Modules

• Modules led by African and US WG members• Focus of modules is skills building in different areas• Group work: North-South and South-South interactions

Didactic Modules

• Leadership Skills

• Communication & Media Skills

• Monitoring & Evaluation

DL Didactic Modules

• Implementation Science

• Effective Grant Writing

• Health informatics

DL Didactic Modules

• Health Policy & Governance

• Human Resources & Budget Management

• Research Methods

• Responsible Conduct of Research

• HIV as a GH Challenge

• Program & Project Management

Didactic Modules

-Modules relevant to program leadership -Not part of traditional medical, nursing or public health school curricula

• Leadership Skills• Implementation Science and Health Systems Research• Program and Project Management• Global Health Policy and Governance• Monitoring and Evaluation• Effective Grant Writing• Health Informatics• Communications and Media Skills• HIV/AIDS as a Global Health Challenge• Research Methods• Human Resource and Budget Management• Responsible Conduct of Research

Attachment Sites

• Matching process to optimize learning• Structured mentorship

• Team approach: Each fellow supervised by a team of mentors throughout the program

• Experiential learning in leadership & management

• Project development and implementation

• Final reports: written and oral

Partners for Attachment Sites

KENYA• Ministry of Health• KEMRI/CDC• Kenyatta National

Hospital• AMREF• FHI 360

TANZANIA• Ministry of Health• ECSA Nursing• AMREF• Benjamin Mkapa

HIV/AIDS Foundation• MUHAS-MDH

BOTSWANA• Ministry of Health• I-TECH• CDC• Botswana – UPenn

partnership

UGANDA• Ministry of Health• Infectious Disease

Institute• Ugandan Virus

Research Institute• Joint Clinical Research

Center

Activities during attachment site rotation

• Meetings with Attachment Site Mentor, as required

• Weekly meetings with Primary Mentor

• Monthly meetings with Mentoring Team

• Project report and evaluation due last day of rotation

Collaboration & Partnerships

• Working Group• Multidisciplinary representatives from 8 universities• Weekly phone calls• Biannual meetings in Africa

• Modules• Locations rotate among 4 African universities• North-South co-leadership of each module• Majority of lecturers African faculty and experts

Collaboration & Partnerships

• Attachment Sites • Foster local collaboration among local health organizations• Orientation & mentorship training with attachment site

collaborators

• Fellows• Building network of young leaders in health sectors of 5

countries• Involve alumni in mentorship and program continuation

• Institutions• Expand modules to enrich academic curricula• Bridge academic & public health organizations• Capacity for ownership of training, research & health

programs

Career Development Awards

• Additional funding to support post-fellowship training & project• Leadership, management & research skills building activities• Independent project on local, regional or national problem• Ongoing mentorship & support from Afya Bora (faculty,

admin)

• Five awards for each cohort: $40,000 per award• Joint submissions encouraged

• Attachment sites with local co-investigators & collaborators

• External review based on NIH model

• Funding from the Office of AIDS Research

Monitoring & Evaluation*

Aim Evaluation Activity

1. Recruit & train 100 highly-qualified fellows using case-based, interactive modules and mentored, project-based experiences at attachment sites

• Review of applications: quality, diversity• Fellow journaling during attachment

sites• Self-reported before- and after-module

competencies, surveys• Final report rubric scores

2. Build capacity within partnering African health training centers to provide instruction on effective global health leadership

• Module leaders from African institutions• Session leaders from African institutions• Review of syllabi • Mentor/mentee surveys

3. Demonstrate short and long-term impact of the Afya Bora consortium fellowship training

• Annual alumni surveys and interviews• Attachment site surveys and interviews

*Conducted by I-TECH

Afya Bora Fellows

Year 1: 2012-13 Year 2: 2013-15 Year 3: 2014-150

20

40

60

80

100

120

140

6269

118

20 19 1920 19

Afya Bora Fellow Recruitment and Se-lection

Application Accepted Completed

Afya Bora Fellows

Year 1: 2012-13 Year 2: 2013-15 Year 3: 2014-150

20

40

60

80

100

120

140

0%

5%

10%

15%

20%

25%

30%

35%

6269

118

20 19 1920 19

32%

28%

18%

Afya Bora Fellow Recruitment and Se-lection

Application Accepted Completed % Accepted

% Accepted

Afya Bora Fellows

17%

29%

20%

19%

15%

Botswana (n=14)

Kenya (n=23)

Tanzania (n=16)

Uganda (n=15)

United States (n=12)

Afya Bora Fellows’ Country of Origin, All Years (80 total)

Career Development Awards

Year 1: 2012-13 Year 2: 2013-14*0

4

8

1212

10

5 5

Afya Bora Career Development Awards

ApplicationsAwarded

* Two joint applications; one joint award

10%

40%20

%

30%

Botswana (n=1)

Kenya (n=4)

Tanzania (n=2)

Uganda (n=3)

Career Development Awards

Awardee Country of Origin Project Subject Matter

70%

10%

10%

10%HIV/AIDS (n=7)

NCD (n=1)

MCH (n=1)

M&E (n=1)

Thank you