200 likes | 329 Views
This proposal outlines a program expansion in Kenya aimed at addressing the rising prevalence of cardiovascular diseases (CVD) associated with HIV/AIDS. It identifies key factors such as untreated hypertension, infection, autoimmune mechanisms, and metabolic issues contributing to CVD in the region. The initiative focuses on integrating CVD education into primary care facilities, training healthcare providers, and establishing a dedicated cardiac unit. The aim is to enhance awareness, prevention, and treatment of cardiovascular diseases in tandem with the existing HIV/AIDS programs, ensuring sustainable healthcare improvements.
E N D
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