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The Institutional Impact of Three AIHA Twinning Partnerships with Addis Ababa University Dr. Atalay Alem Ejigu Chief Executive Director, Addis Ababa University College of Health Sciences ICASA 2011Satellite Session “Institutional Twinning Partnerships as a Mechanism for Health Systems Strengthening and Sustainable Development of Human Resources for Health” Addis Ababa, Ethiopia, 5 December 2011 HIV/AIDS Twinning Center www.TwinningAgainstAIDS.org Addis Ababa University (AAU), School of Pharmacy and Howard University, College of Pharmacy Partnership established November 2006 Goal: To provide quality pharmaceutical services through the human and institutional capacity building of pharmacy educators, current and future pharmacists and institutional capacity building of drug information centers Objectives: • To strengthen the capacity of SoP, AAU to provide clinical-oriented, evidence-based, unbiased, and up-to-date pharmaceutical information for faculty and students • To enhancing the capacity of pharmacy professionals to deliver quality services by establishing a model Continuing Pharmacy Education program at SoP • To strengthen the quality of pharmacy services by assisting SoP, AAU in the implementation of internationally recognized clinical pharmacy education and training including the development of a five year clinical pharmacy Bachelors’ degree program and a Master’s in Clinical Pharmacy program HIV/AIDS Twinning Center HIV/AIDS Twinning Center www.TwinningAgainstAIDS.org www.TwinningAgainstAIDS.org AAU, School of Pharmacy and Howard University, College of Pharmacy Achievements and outcomes: • National BS pharmacy curriculum was extended from 4 to 5 years, with increased training and experiential learning in clinical pharmacy practice • Trained the first cohort of Masters students in clinical pharmacy • Establishment of a replicable Drug Information Center of Excellence at AAU/Tikur Anbessa Specialized Hospital and five satellite centers at regional universities • Masters students in clinical pharmacy completed a 6-week residency in clinical pharmacy training through a south-south collaboration with the University Teaching hospital in Zambia • Conducted training for healthcare workers on medication safety, safe use of medications in the emergency department, and drug information HIV/AIDS Twinning Center HIV/AIDS Twinning Center www.TwinningAgainstAIDS.org www.TwinningAgainstAIDS.org AAU, School of Medicine/University of WisconsinAdult Emergency Medicine Partnership established 2009 Goal: To strengthen the capacity of AAU/Tikur Anbessa Hospital to provide care and antiretroviral treatment services for PLW/HIV by developing EM training, education and resources Objectives • Strengthen human and organizational capacity to provide EM services by providing training and education • Provide resources and education for the new Emergency Medicine Training (EMT) Center • Increase coordination of health care services and client retention in ARV treatment programs • Work with AAU to create EM pre-service, distance learning and clinical trainings HIV/AIDS Twinning Center HIV/AIDS Twinning Center www.TwinningAgainstAIDS.org www.TwinningAgainstAIDS.org AAU, School of Medicine/University of Wisconsin-Adult Emergency Medicine Achievements and outcomes: • Launched Ethiopia’s first Emergency Medicine Training Center (EMTC) • Graduated 4 Ethiopian physicians and 4 nurses from a UW-hosted fellowship in Emergency Medicine • Launched a three year Emergency Medicine Residency Program, 2010 • Launched Masters program in Emergency and Critical Care in Nursing Program, 2010 • Trained over 1000 health care workers in EM trainings such as Basic Life Support, Basic and Advanced Life Support in Obstetrics, Advanced Cardiac Life Support, Advanced Trauma Life Support • Supported Ethiopia’s FMOH Pre-Hospital Care Initiative • Established an Evidence-Based Medicine Learning Resource Center (LRC) • Implemented Quality Improvement projects to improve patient care and hospital services at Tikur Anbessa Specialized Hospital HIV/AIDS Twinning Center HIV/AIDS Twinning Center www.TwinningAgainstAIDS.org www.TwinningAgainstAIDS.org AAU, School of Medicine/University of WisconsinPediatric Emergency Medicine Partnership established 2010 Goal: Strengthen pediatric emergency services in Ethiopia by improving emergency medicine services and training opportunity at AAU/TASH and other partnering hospital Objectives: • Strengthen pediatric emergency and medical services and pre-service and in-service pediatric medicine training opportunities at AAU/TASH • Strengthen the human and organizational capacity of AAU/TASH to provide pediatric emergency medicine services • Provide training opportunities at the Emergency Medicine Training Center to pre-service students, AAU faculty and staff, and other healthcare providers HIV/AIDS Twinning Center HIV/AIDS Twinning Center www.TwinningAgainstAIDS.org www.TwinningAgainstAIDS.org AAU, School of Medicine/University of WisconsinPediatric Emergency Medicine Achievements and outcomes: • Partners conducted pediatric emergency medicine needs assessment and baseline survey to guide development of partnership objectives and activities • Trained 2 Pediatric Emergency Medicine Physicians, 2 Specialty Physicians • Established an Evidence-Based Medicine Learning Resource Center • Developed a condensed competency based Pediatric Emergency Medicine Fellows Curriculum based on guidelines from the American Academy of Pediatrics • Developed and implemented four quality improvement projects to improve pediatric emergency medicine care and services at Tikur Anbessa Specialty Hospital (TASH) HIV/AIDS Twinning Center HIV/AIDS Twinning Center www.TwinningAgainstAIDS.org www.TwinningAgainstAIDS.org Summary Major achievements contributed by the partnerships to address Ethiopia’s human resources for health challenges include: • Initiation of Clinical pharmacy training in collaboration with Howard University • Establishment of Drug Information Centers • Training of four EM specialists in collaboration with UW to spearhead establishment of the Department of EM in the School of Medicine • Initiation of EM specialty training for doctors and nurses in the School of Medicine • Effective implementation of quality improvement projects to improve health services at Tikur Anbessa Teaching Hospital • Paediatric Emergency Fellowship has been initiated • Establishment of Center of Excellence, Emergency Medicine Training Center at AAU These projects are long awaited by respective schools of AAU , in some cases for over ten years. HIV/AIDS Twinning Center HIV/AIDS Twinning Center www.TwinningAgainstAIDS.org www.TwinningAgainstAIDS.org Upcoming Activities -Development of Emergency Medicine Association -Training 2nd Cohort of Emergency Medicine Residents and Masters in Emergency Medicine and Critical care nursing -Establishment of a Poison Control Information Center with the Tikur Anbessa Emergency Department -Implementation of additional Drug Information Centers at regional universities -Training of 1st Cohort of Masters in Clinical Pharmacy students HIV/AIDS Twinning Center HIV/AIDS Twinning Center www.TwinningAgainstAIDS.org www.TwinningAgainstAIDS.org Unique Elements of the Twinning Methodology All three partnerships are: • Demand driven and owned by the public institution • Implemented in the highest learning institution of the country • Help to retain and scale –up the health workforce within the public institution • Focus on capacity building • Sustainable HIV/AIDS Twinning Center HIV/AIDS Twinning Center www.TwinningAgainstAIDS.org www.TwinningAgainstAIDS.org Conclusion • Twinning partnerships with the AAU, School of Health Sciences are sustainable • These partnerships have laid a solid foundation for capacity strengthening of the country’s highest learning institution • Twinning has been an effective and successful technical assistance model for AAU. We encourage others to embrace the twinning concept HIV/AIDS Twinning Center HIV/AIDS Twinning Center www.TwinningAgainstAIDS.org www.TwinningAgainstAIDS.org Other Contributors In addition to Twinning Center, Howard University and University of Wisconsin, Madison mentioned earlier, the following have made important contributions to the projects • People to People-P2P • University of Toronto • Committed individuals HIV/AIDS Twinning Center HIV/AIDS Twinning Center www.TwinningAgainstAIDS.org www.TwinningAgainstAIDS.org Contact Information Dr. Atalay Alem Ejigu Chief Executive Director Addis Ababa University, College of Health Sciences [email protected] Kidest Hailu AIHA-Twinning Center, Ethiopia Country Director [email protected] Laura Laskofski AIHA-Twinning Center Program Officer [email protected] THANK YOU HIV/AIDS Twinning Center www.TwinningAgainstAIDS.org