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Country presentation - Kenya. Dr. Philip Owiti AMPATH, Kenya. Country situation - Kenya. A cademic M odel P roviding A ccess T o H ealthcare AMPATH. Started in Nov 2001 as Academic Model for Prevention and Treatment of HIV/AIDS. Partners Moi Teaching and Referral Hospital
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Country presentation - Kenya Dr. Philip Owiti AMPATH, Kenya
Academic Model Providing Access To HealthcareAMPATH • Started in Nov 2001 as Academic Model for Prevention and Treatment of HIV/AIDS. • Partners • Moi Teaching and Referral Hospital • Moi University Sch of Medicine • Ministry of Health • A consortium of North American Universities led by Indiana University • Started as 2 sites, now 25 sites (in 3/8 provinces) • Caring for 137, 413 HIV+ patients (sept 2007) • 109,562 adults • 27,851 children • 81,680 on ARVs
AMPATH care services • Provision of ARVs and other therapies • Prevention and Community Mobilization • Fighting Hunger • Fighting poverty and building Self-Sufficiency • Agricultural Extension Services • Helping Orphans • AMPATH Medical Record System (AMRS) • Home Couselling and Testing • Primary Health Care & Maternal and Child Health Care • Chronic Disease Management • Research
AMPATH as the innovative arm of MOH • Lessons learnt • A stand-alone HIV/TB program has a down side • Demoralizes the other components of MOH care • Other health threats in the community can dwarf HIV eg MCH,NCD • Need for a responsive MOH care system; sustainability • The infrastructure for HIV/TB can be leveraged to lift the entire health care system • Integrate AMPATH with PHC, NCD • PHC – MCH/FP, pediatrics, safe water, facility based pt care, village based pry care +++ • NCD – DM, HPTN, Mental health, Oncology +++ • Full partnership with MOH; the innovative arm of the gvt. • Achor it all in an electronic medical record system (AMRS)