1. Utilizing ECHO to capacity build HCWs in pediatric TB
“Paediatric TB ECHO”
Wandia Ikua,
Centre for Health Solutions- Kenya, TB ARC II
11th April 2019, Sarova White Sands, MSA
Annual Scientific Conference - KPA

2. Presentation outline What is ECHO? Why ECHO?
Preparation for an ECHO session
Demo of logging into an ECHO session
Updated- Brenda

3. What is ECHO® ? Project ECHO was launched in 2003 by Dr Aurora:
28,000 people with Hepatitis couldn’t Rx in rural and underserved areas of Mexico.
For Health Care providers to provide specialized treatment for hepatitis C, without having to refer patients to far away specialists.
Primary care providers: doctors, nurses, physician assistants, nurse practitioners, and community health workers in rural and underserved areas and prisons mimicked ward rounds.
Updated- Brenda

4. What is ECHO® ?
Results from this experience showed that patients got consistently high-quality care from these providers and that their outcomes are as good as if they had traveled hundreds of miles to the nearest specialist
ECHO project/model is a basic video conferencing technology/ platform that allows collaborative care (case-based education and training for health care workers).
It allows for distance education, knowledge- on –demand
Disease experts or specialist mentors connect to an audience to discuss complex cases, disseminate changes in guidelines, discuss new findings e.t.c
Updated- Brenda

5. Why (Pediatric) ECHO?
Enhance access to technical expertise in pediatric TB management at your “comfort”
Important for continuous professional development:
Improve diagnostic and management skills in IPT, GeneXpert, pediatric diagnosis and PAL – e.g. spirometry demonstrations
Improved quality of patient care
Improve surveillance of TB and DR TB in both adults and pediatrics
Epidemiology and natural history of childhood Tuberculosis Jan 2019

6. Preparation for Paediatric TB ECHO sessions
Ped ECHO Spokes assessment (100 facilities assessed )
Orientation of and identification of facility ECHO focal persons
Bundling of spokes –Monthly data-3GB- for reliable internet
Ped TB ECHO Curriculum development
(Weekly Ped ECHO Experts-each expert sharing Presentation for Zoom support prior to starting of each session
Receiving of Case studies and CXRAYs from Spokes and sharing with experts
Setting up of online Protest /Post test
Sharing of meeting ID with all spokes( ).
Screen Shot during case presentation

7. Paediatric ECHO sessions Pictorial
Pretest during the ECHO session

8. Pediatric ECHO sessions Pictorial
Epidemiology and natural history of childhood Tuberculosis 2019

9. Paediatric ECHO sessions Pictorial
Use of Chest Radiology in TB Diagnosis in children part 1

10. Paediatric ECHO sessions Pictorial
Use of Chest Radiology in TB Diagnosis in children part 2

11. Paediatric ECHO sessions Pictorial
Use of Chest Radiology in TB Diagnosis in children part 3

12. Paediatric ECHO sessions Pictorial

13. Summary for Paediatric ECHO Jan-March 2019 sessions#
FACILITATOR
TOPIC
PAEDIATRIC TB ECHO DATES
Number of sessions held
Number of Spokes
TOTAL Number of Participants
Gender
Total
Male
Female 1
Geoffrey Moemi
Week 1-TB ECHO Orientation
16th January 2019 16 21 10 11 2
Dr Saumu W. Salim
Week-2-Epidemiology and Natural History (1 Case study from Kongowea HC -Mombasa)
23rd January 2019 25 47 24 23 3
Dr Stephen Muleshe
Week-3-Childhood TB Diagnosis(Case study from Garissa)
30th January 2019 31 15 4
Dr Jane Carter
Week-4-Chest Radiology in TB Diagnosis in children -Part 1(case study and CXray from Sosiot /Olkalao respectively )
13th February 2019 41 20 5
Week-5-Chest Radiology in TB Diagnosis in children -Part 2(Case study and CXRay from Kabara HC,Kirinyaga County)
20th February 2019 44 6
Week-6- Chest Radiology in TB Diagnosis in children -Part 2(Case study and CXRay from Kabara HC,Kirinyaga County)
27th February 2019 52 26 7
Week-7-Role and rationale of NPA in Childhood TB Diagnosis(Case study and Cxray from Lamu County)
6th March 2019 27 13 14 8
Dr Tersiah Njoroge
Week-8-Role and rationale of NPA in Childhood TB Diagnosis(Case study and Cxray from Lamu County)
13th March 2019 18 9
WeeK-9-Current TB treatment in Kenya Drug Sensitive TB
20th March 2019 30 63 34 29
Dr Daria Szkwarko
WeeK-10- Prevention of TB in children-Index cases and child contacts management( Case study from Marsabit)
27th March 2019 40 19
Totals
229
397
203
194

14. Log on to Pediatric ECHO sessions every Tuesday 2-3pm.