1. 43 rd KMA Annual Scientific Conference and AGM Towards Effective eHealth in Kenya Innovations in Health AMREF HEALTH AFRICA 23 rd APRIL 2015

2. 10/22/2015 PRESENTATION OUTLINE Introduction 1 Facility Community Chronic Care (F3C) Model 2 eLearning at Amref Health Africa 4 mLearning at Amref Health Africa 5 Data Collection and Analysis 6 Health Commodities Management Platform (HCMP) 7 Clinical and Diagnostics Services 3 Amref Flying Doctors 8 Conclusion – Call to Action 9

3. 10/22/2015 ABOUT AMREF HEALTH AFRICA  International, African Health NGO with an annual budget of US$110 Million  Country programmes in Ethiopia, Kenya, South Sudan, Tanzania and Uganda, and regional hubs in Southern and Western Africa  Training, outreach, and diagnostics programmes reach over 30 countries in the continent and beyond.  Amref Kenya Country Office has projects in all the 47 counties, reaching ~ 6 Million Kenyans in 2014 Project Sites Project Sites & Field Office Other Amref Outreach Areas

4. 10/22/2015 INTRODUCTION  Globally, the health care sector is rife with inefficiencies, erratic quality, unequal access, and sky-high costs.  These are complex problems that call for innovative solutions.  Innovations in eHealth have been shown to improve the efficiency and effectiveness of Africa’s health systems through patient tracking and reporting, as well as extend critically needed health services to underserved areas, found both in rural and urban African communities.  mHealth services have for example revolutionized maternal care, chronic disease prevention, and the management of malaria epidemics.

5. 10/22/2015 INTRODUCTION  At Amref Health Africa, we have developed and deployed innovations that: Improve management of NCDs Enhance access to specialist services Strengthen diagnostic systems Provide eLearning for the health workforce Provide mLearning for the health workforce Improve data collection and analysis Strengthen health commodities management Provide affordable air evacuation - Amref Flying Doctors  This presentation outlines a few of the innovative solutions that Amref Health Africa is implementing in Kenya.

6. 10/22/2015 FACILITY COMMUNITY CHRONIC CARE (F3C) MODEL 211 Health workers trained 70,804 educated 61,953 screened 6,858 treated Contribute towards WHO target of 25% reduction in premature cardiovascular deaths by 2025 Reduce the Burden of Hypertension among Residents of Kibra Informal Settlement

7. F3C MODEL - PROVIDING CHRONIC CARE AT THE HOUSEHOLD, COMMUNITY AND FACILITY LEVEL FACILITY COMMUNITY Continuum of care Using proven models and innovations Integrated health service delivery model Lessons from HIV programming WELTEL for follow up and adherence management Community Health Strategy (household visits) Awareness Screening Diagnosis Treatment Awareness and screening Support groups, expert patients LINKAGE Follow- up Strengthened referral

8. F3C SCHEMA: FACILITY-COMMUNITY CHRONIC CARE MODEL (F3C) Community Health Facility Linkage COMMUNITY MOBILISATION: SCREENING AND BEHAVIOUR CHANGE Build capacity of CHWs to conduct awareness, education, and screening sessions on hypertension Behaviour change communication on risk factors and lifestyle modification: household visits by CHWs; school health; workplace programs; congregate settings. Household and mass screening during outreaches. STRENGTHEN LINKAGES OF PATIENTS TO HYPERTENSIVE CARE Strengthen referral and linkages to care through referral tracking tools, patient support by expert patients and support groups, treatment buddies, and SMS engagement. Treatment literacy and self-management counselling INTEGRATED HEALTH SERVICE DELIVERY Apply eLearning for capacity building, mentorship, and support supervision of health workers to provide quality hypertensive care as part of integrated services. Provider initiated hypertension screening (PIHS) Quality improvement initiatives for hypertensive care

9. 10/22/2015 CLINICAL AND DIAGNOSTICS SERVICES The programme activities are divided into 2 areas: 1)Improving access to specialist medical and surgical services to under-served populations. 2)Establishing best practices for diagnostic services, focusing on strengthening the periphery of the health system.

10. 10/22/2015 MEDICAL SERVICES OUTREACH PROGRAMME AMREF’s Medical Services Outreach Programme:  Focuses on providing medical, surgical and technical specialist health care support to remote primary level hospitals.  Enhances capacity of the health workforce through hands-on training and formal in- service training of surgeons, physicians, nurses, laboratory technicians and other health workers.  Exploring the use of ICT to provide health care support fro remote hospitals from a distance (telemedicine).

11. 10/22/2015 LABORATORY PROGRAMME  Support MOH to develop policies, procedures, and for diagnostics.  Provides the following services: a.Training of laboratory workers and clinicians b.Integrated diagnostic quality assurance focusing on requirements at primary level facilities through the East African Regional External Quality Assessment Scheme (EA- REQAS). c.Increasing capacities of sub- county laboratories to conduct disease surveillance.  The Laboratory Programme has developed a Community-Based Disease Surveillance programme linked to the formal health system.

12. 10/22/2015 eLEARNING AT AMREF HEALTH AFRICA Amref Health Africa offers certificate, diploma and/or undergraduate courses via eLearning in the following countries: Angola Burundi Cameroon Congo Djibouti Ethiopia Ghana Ivory Coast Kenya Lesotho Malawi Namibia Nigeria Senegal South Sudan Sudan Tanzania Uganda Zambia Zanzibar *Programmes implemented in partnership with MoHs in countries in red

13. 10/22/2015 mLEARNING AT AMREF HEALTH AFRICA Focus  To increase access to the eLearning content for nurses and midwives  To provide nurses and midwives with access to additional reference materials to support learning  To provide nurses and midwives with access to additional reference materials to support practice  To increase opportunities for peer learning for geographically dispersed nurses and midwives

14. 10/22/2015 DATA COLLECTION AND ANALYSIS Focus  Clinical Module (Automation of MoH Maternal & Child Health booklet)  Uses Web portal and SMS technology and works both online and offline  Mother to use their phones - SMS and USSD to upload data  Health workers use Android phones and/or tablets to upload data  Plans underway to implement the Community Module and incorporate mWallet services.

15. 10/22/2015 Health Commodities Management Platform (HCMP)

16. 10/22/2015 AMREF FLYING DOCTORS  AMREF Flying Doctors is a company, limited by guarantee, wholly owned by Amref Health Africa  Objective: To generate income to help Amref Health Africa achieve fundraising, financial and Outreach Programme obligations  AFD o Has in the last 12 months evacuated 923 patients in 56 different countries; o Operates a fleet of 4 ground ambulances, 3 of which have Advanced Life Support (ALS) and 5 aircraft. o Staff are trained in pre-hospitalisation care, advanced life-saving and patient transport through the Clinical Considerations in Aero- medical Transport (CCAT) in collaboration with Virgin Atlantic Airways. o Spent more than US$ 120,000.00 in charity/ humanitarian evacuations

17. 10/22/2015 AMREF FLYING DOCTORS CONT’D  Maisha is AFD’s flagship product /service. It is an air ambulance scheme offered to individuals, families, small groups and corporate.  Maisha’s benefits are: o Two evacuation flights per year o Two ground Ambulance transfers per year within Kenya o Direct access to 24 hr medical centre advice & air ambulance provider

18. 10/22/2015 CONCLUSION - CALL TO ACTION  In kind support to the Clinical and Outreach programme - through volunteerism.  Collaboration on projects of mutual interests – e.g. we have developed MoU with KPA for mutual win-win solutions.  CSI: KMA can plug their CSI into AMREF’s charitable causes such as the Stand up fro African Mothers campaign.  Training opportunities: Through the Amref Health Africa University soon to be launched.  Maisha air evacuation cover – for yourselves and institutions that you work for or lead.

19. Thank You! For Further Information: Dr Meshack Ndirangu AMREF KENYA COUNTRY OFFICE Website: www.amref.org Email: meshack.ndirangu@amref.org