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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
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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
Etiology of Cardiac Effects of HIV/AIDS • 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)
Objective • 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
Business Plan Begin Cardiovascular Center Year 4: Cardiac Unit Continue original process YES Year 3: Evaluate Cardiac Unit Is it effective? Year 1: Research & Development Integrating Programs NO Year 2: Cardiac Unit Begin treating patients
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 • Completecardiac 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/
Evaluation of Cardiac Unit • Effectiveness • Patient Analysis • Meeting Goals • Medical Research Funding http://www.flickr.com/photos/cimmyt/5241684685/
Decision on Evaluation • Community Funding • Continue Research & Development
Sustainability http://blog.jhpiego.org/2011/03/21/ Connecting with community needs Training Kenyan citizens
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