AIHA Twinning Center

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AIHA Twinning Center
A HRSA-funded Program
Opportunities for International Involvement
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HIV/AIDS Twinning Center

• Funded by HRSA through a cooperative agreement to
  serve as a resource to country teams to help
  attain PEPFAR goals
• Introduces an element of voluntarism into the
  PEPFAR initiative

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Twinning Center Organization

• American International Health Alliance
• Lead organization
• Twinning methodology and expertise
• Program management
• I-TECH
• Technical assistance on HIV/AIDS clinical care
  and organizational capacity building
• Futures Group
• Program monitoring evaluation TA

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Twinning Center Goal

• To strengthen human and organizational capacity
  to expand or scale up HIV/AIDS prevention, care
  and treatment services through volunteer-driven
  activities
• Twinning partnerships
• Volunteer Healthcare Corps

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Key Elements of Twinning

• Institution-to-institution partnership,
  peer-to-peer relationships
• Emphasis on professional exchanges and mentoring
• Voluntary contributions and leveraging of
  resources
• Non-prescriptive but rigorous approach to process
• Demand driven recipient investment and ownership

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Types of Twinnings

• North-South
• US - Africa
• South-South
• Africa - Africa
• Africa - third party country
• Multi-lateral
• More than two partners (any type)

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Types of Twinning Partners

• Service delivery organizations (hospitals,
  clinics, labs, etc.)
• Health professions schools
• Associations and other NGOs, including CBOs
  FBOs
• Management and ICT support organizations
• Private sector organizations

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Motivation for Partnering

• Provides global perspective for institutions
  staff
• Builds international institutional bridges
• Creates collaboration between institutions and
  across disciplines
• Professional ethos
• Patriotism

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Selecting a Partner

• USG teams and their designated partner
  institutions may suggest a partner
• The Twinning Center may suggest a partner
• Solicitation through a competitive process
• The Twinning Center can step in to assist an
  existing partnership
• All Twinning partnerships are approved by the USG
  team

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Partnership Funding

• All twinning activities are approved by the USG
  team and funded through the COP
• Partnerships are typically of 2-4 years duration
  and tend to range between 150,000-500,000/year
  depending on the scope of work

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Twinning Partnership Model

• U.S. Country Team

Twinning Center
Twinning Center
Partner A
Partner B
VHC
VHC
VHC
Technical Assistance Information Resource
Center Content Expertise Workshops Curricula ME
Technical Assistance Information Resource
Center Content Expertise Workshops Curricula ME
Technical Assistance Information Resource
Center Content Expertise Workshops Curricula ME
Technical Assistance Information Resource
Center Content Expertise Workshops Curricula ME
Technical Assistance Information Resource
Center Content Expertise Workshops Curricula ME
Work plan
Work plan
Work plan
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Current African Partnerships
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Zambia

• Journalists
• Kaiser Family Foundation ZAMCOM
• Strengthen reporters HIV reporting skills
• Military
• Naval Medical Center at San Diego Zambian
  Defense Forces
• Develop an HIV Learning Resource Center
• Palliative Care
• African Palliative Care Association Palliative
  Care Association of Zambia
• Strengthen the provision of palliative care in
  Zambia
• Pharmacy Strengthening
• TBD University Teaching Hospital Pediatric
  Clinic
• Strengthen pediatric pharmacy systems in 3
  sites

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Tanzania

• Social Workers
• University of Chicago, Jane Addams School of
  Social Work
• Tanzanian Institute of Social Work
• Increase social workers skills to serve orphans
  and vulnerable children
• Preceptors
• Place 25-50 clinical preceptors into ARV
  treatment centers
• Nursing
• University of Michigan Muhimbili University
  School of Nursing
• Provide standardized HIV/AIDS training to
  pre-service nurses
• Laboratory
• TBD 5 Zonal Laboratory Sciences Training
  Institutes
• Strengthen HIV laboratory services

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Mozambique

• Palliative Care
• African Palliative Care Association Mozambican
  National Nurses Association
• Association strengthening to become a training
  center for home-based care
• HIV/AIDS Training Center
• University of Pittsburgh Catholic University of
  Mozambique
• Develop an HIV/AIDS clinical training center for
  practicing mid- and lower-level clinicians and
  pre-service allied health students
• Prevention with Positives
• University of California, San Francisco Two VCT
  sites
• Develop and implement a provider-focused and a
  community-focused PwP intervention

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Uganda

• Palliative Care
• African Palliative Care Association
• Serve as a pan-Africa association to strengthen
  palliative care in other African nations

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Kenya

• Prevention with Youth
• DePaul University Kenyan Episcopal Council
  Catholic Secretariat
• Develop AB messages for youth in Catholic
  schools radio campaigns

South Africa

• ARV Scale Up
• Foundation for Professional Development (So.
  Africa) Brits District Hospital
• ARV scale up in district hospital and two
  down-referral site

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Ethiopia

• Engaging the Diaspora
• Visions for Development, Inc. various Diaspora
  organizations
• Recruit and place Ethiopian volunteers in
  HIV/AIDS service sites
• Information Dissemination
• AIDS Treatment Information Center of Uganda
  AIDS Resource Center
• Develop 11 satellite information sites and
  clinical warmline

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Volunteer Healthcare Corps

• Health care providers others possible
• Medium- to long-term assignments
• 3 months to 2 years
• Intended to support twinning partnerships and
  other USG efforts
• Activities
• Teaching, mentoring
• Technical assistance

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Volunteer Healthcare Corps

• Recruitment
• Through existing organizations, associations, and
  networks
• Register on the Twinning Center Web site
• Volunteer support
• Transportation
• Housing small living stipend
• Miscellaneous visa medical insurance etc.

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Volunteer Healthcare Corps

• First volunteers
• Tanzania
• Ethiopia
• Timeline
• September 2006

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Ryan White Health Care Providers Involvement in
Russia
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Ryan White Involvement in Russia

• Partnerships to create replicable, sustainable
  model of integrated care, treatment and support
  for PLWHA
• Patient access and retention
• Care coordination and case management
• Patient management and adherence

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Ryan White Partners

• New York
• Elmhurst Hospital Center
• Dept. of Healths HIV Surveillance Unit
• AIDS institute
• AIDS Center of Queens County
• NYC Metropolitan Hospital
• Care New England Health System
• Stanley Street Treatment and Resources
• Lifespan
• Rhode Island Department of Health

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Ryan White Partners

• North Country Health Services
• Minnesota Dept. of Health STD/HIV Section
• Indian Health Service
• Rural AIDS Network
• Yale AIDS Care Program
• Yale-New Haven Hospital
• Nathan Smith Clinic
• Connecticut Dept . Of Public Health
• Hispanos Unidos
• Networks of CBOs/FBOs

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Elmhurst Hospital Partnership

• Russian Partner
• Orenburg Oblast Center for Prevention and
  Control of AIDS and Infections Diseases
• Partnership Duration 2 Years
• Partnership Goal
• To strengthen human and organizational capacity
  to develop a replicable and integrated model of
  HIV/AIDS treatment, care and support services
  based on international standards of care

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Elmhurst/Orenburg Partnership

• Objectives
• Increase HIV/AIDS knowledge and skills of
  existing Orenburg medical staff
• Increase the number of HIV patients receiving
  initial and ongoing care at the Orenburg AIDS
  Center
• Integrate social service organizations and
  personnel into the routine management of HIV
  patients

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Elmhurst/Orenburg Partnership

• Exchanges
• 22 Russians to US
• 28 Americans to Russia
• Activities
• Infection control training
• Modeling of interdisciplinary care
• New patient intake procedures
• Automatic referral of HIV women to social
  protection agencies for assessment and services
  quality assurance study

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Elmhurst/Orenburg Partnership

• Outcomes
• Orenburg partners instituted a new patient intake
  protocol based on a model observed in New York
• Orenburg HIV/TB coordinating committee developed
  a needs assessment tool and an algorithm for care
  coordination across facilities to organize care
  for patients with HIV/TB infection
• Administered HIV/AIDS knowledge and attitude
  survey

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Elmhurst/Orenburg Partnership

• Outcomes (continued)
• Developed a pre-test counseling survey to assess
  peoples HIV knowledge and to help them assess
  their personal risk
• Adapted a case management system from models
  effective in the US

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Elmhurst/Orenburg Partnership

• Voluntary, In-kind Contributions by US Partners
• 2MDs, 2 RNs, 2 MSWs, 1 Administrator work on
  partnership activities on a regular basis (more
  that once weekly)
• 5 MDs work 1-2 times/month on partnership
  activities (developing curricula for training,
  etc.)
• Wide range of hospital personnel provide training
  during Russian partners visits
• Hospital vehicles cover 50 of transportation
  needs of Russians during visits
• Hospital dietary dept. provides a portion of
  meals for Russian partners during visits

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THANK YOU!
Contact us at www.twinningagainstaids.org