1. Program Overview Supported by PEPFAR/HRSA & Office of AIDS Research/NIH

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

3. 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

4. Consortium Partners Eight academic institutions in five countries KENYA University of Nairobi University of Washington TANZANIA Muhimbili University University of California, San Francisco BOTSWANA University of Botswana University of Pennsylvania UGANDA Makerere University Johns Hopkins University

5. 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.

6. 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

7. 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

8. 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

9. 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

10. 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

11. 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

12. 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

13. 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

14. Monitoring & Evaluation* AimEvaluation 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

15. Afya Bora Fellows

16. % Accepted

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

18. Career Development Awards * Two joint applications; one joint award

19. Career Development Awards Awardee Country of OriginProject Subject Matter

20. Thank you