AMPATH: Living proof that no one has to die from HIV

Thomas Inui, Winston M. Nyandiko, Sylvester N. Kimaiyo, Richard Frankel, Tadeo Muriuki, Joseph Mamlin, Robert Einterz, John Sidle

Research output: Contribution to journalArticle

44 Citations (Scopus)

Abstract

BACKGROUND AND OBJECTIVE: The HIV/AIDS epidemic in sub-Saharan Africa is decimating populations, deteriorating economies, deepening poverty, and destabilizing traditional social orders. The advent of the U.S. President's Emergency Plan for AIDS Relief (PEPFAR) made significant supplemental resources available to sub-Saharan national programs for the prevention and treatment of HIV/AIDS, but few programs have demonstrated the capacity to use these resources to increase rapidly in size. In this context, AMPATH, a collaboration of Indiana University School of Medicine, the Moi University School of Medicine, and the Moi Teaching and Referral Hospital in Eldoret, Kenya, is a stunning exception. This report summarizes findings from an assessment of AMPATH staff perceptions of how and why this has happened. PARTICIPANTS AND APPROACH: Semistructured, in-depth, individual interviews of 26 AMPATH workers were conducted and recorded. Field notes from these interviews were generated by independent reviewers and subjected to close-reading qualitative analysis for themes. RESULTS: The themes identified were as follows: creating effectively, connecting with others, making a difference, serving those in great need, providing comprehensive care to restore healthy lives, and growing as a person and a professional. CONCLUSION: Inspired personnel are among the critical assets of an effective program. Among the reasons for success of this HIV/AIDS program are a set of work values and motivations that would be helpful in any setting, but perhaps nowhere more critical than in the grueling work of making a complex program work spectacularly well in the challenging setting of a resource-poor country. Sometimes, even in the face of long odds, the human spirit prevails.

Original languageEnglish
Pages (from-to)1745-1750
Number of pages6
JournalJournal of General Internal Medicine
Volume22
Issue number12
DOIs
StatePublished - Dec 2007

Fingerprint

Acquired Immunodeficiency Syndrome
HIV
Medicine
Interviews
Africa South of the Sahara
Kenya
Poverty
Teaching Hospitals
Reading
Emergencies
Referral and Consultation
Population

Keywords

  • HIV/AIDS
  • Primary care
  • Program evaluation

ASJC Scopus subject areas

  • Internal Medicine

Cite this

AMPATH : Living proof that no one has to die from HIV. / Inui, Thomas; Nyandiko, Winston M.; Kimaiyo, Sylvester N.; Frankel, Richard; Muriuki, Tadeo; Mamlin, Joseph; Einterz, Robert; Sidle, John.

In: Journal of General Internal Medicine, Vol. 22, No. 12, 12.2007, p. 1745-1750.

Research output: Contribution to journalArticle

Inui, Thomas ; Nyandiko, Winston M. ; Kimaiyo, Sylvester N. ; Frankel, Richard ; Muriuki, Tadeo ; Mamlin, Joseph ; Einterz, Robert ; Sidle, John. / AMPATH : Living proof that no one has to die from HIV. In: Journal of General Internal Medicine. 2007 ; Vol. 22, No. 12. pp. 1745-1750.
@article{29a7888768364793a53bb9deee5ec160,
title = "AMPATH: Living proof that no one has to die from HIV",
abstract = "BACKGROUND AND OBJECTIVE: The HIV/AIDS epidemic in sub-Saharan Africa is decimating populations, deteriorating economies, deepening poverty, and destabilizing traditional social orders. The advent of the U.S. President's Emergency Plan for AIDS Relief (PEPFAR) made significant supplemental resources available to sub-Saharan national programs for the prevention and treatment of HIV/AIDS, but few programs have demonstrated the capacity to use these resources to increase rapidly in size. In this context, AMPATH, a collaboration of Indiana University School of Medicine, the Moi University School of Medicine, and the Moi Teaching and Referral Hospital in Eldoret, Kenya, is a stunning exception. This report summarizes findings from an assessment of AMPATH staff perceptions of how and why this has happened. PARTICIPANTS AND APPROACH: Semistructured, in-depth, individual interviews of 26 AMPATH workers were conducted and recorded. Field notes from these interviews were generated by independent reviewers and subjected to close-reading qualitative analysis for themes. RESULTS: The themes identified were as follows: creating effectively, connecting with others, making a difference, serving those in great need, providing comprehensive care to restore healthy lives, and growing as a person and a professional. CONCLUSION: Inspired personnel are among the critical assets of an effective program. Among the reasons for success of this HIV/AIDS program are a set of work values and motivations that would be helpful in any setting, but perhaps nowhere more critical than in the grueling work of making a complex program work spectacularly well in the challenging setting of a resource-poor country. Sometimes, even in the face of long odds, the human spirit prevails.",
keywords = "HIV/AIDS, Primary care, Program evaluation",
author = "Thomas Inui and Nyandiko, {Winston M.} and Kimaiyo, {Sylvester N.} and Richard Frankel and Tadeo Muriuki and Joseph Mamlin and Robert Einterz and John Sidle",
year = "2007",
month = "12",
doi = "10.1007/s11606-007-0437-4",
language = "English",
volume = "22",
pages = "1745--1750",
journal = "Journal of General Internal Medicine",
issn = "0884-8734",
publisher = "Springer New York",
number = "12",

}

TY - JOUR

T1 - AMPATH

T2 - Living proof that no one has to die from HIV

AU - Inui, Thomas

AU - Nyandiko, Winston M.

AU - Kimaiyo, Sylvester N.

AU - Frankel, Richard

AU - Muriuki, Tadeo

AU - Mamlin, Joseph

AU - Einterz, Robert

AU - Sidle, John

PY - 2007/12

Y1 - 2007/12

N2 - BACKGROUND AND OBJECTIVE: The HIV/AIDS epidemic in sub-Saharan Africa is decimating populations, deteriorating economies, deepening poverty, and destabilizing traditional social orders. The advent of the U.S. President's Emergency Plan for AIDS Relief (PEPFAR) made significant supplemental resources available to sub-Saharan national programs for the prevention and treatment of HIV/AIDS, but few programs have demonstrated the capacity to use these resources to increase rapidly in size. In this context, AMPATH, a collaboration of Indiana University School of Medicine, the Moi University School of Medicine, and the Moi Teaching and Referral Hospital in Eldoret, Kenya, is a stunning exception. This report summarizes findings from an assessment of AMPATH staff perceptions of how and why this has happened. PARTICIPANTS AND APPROACH: Semistructured, in-depth, individual interviews of 26 AMPATH workers were conducted and recorded. Field notes from these interviews were generated by independent reviewers and subjected to close-reading qualitative analysis for themes. RESULTS: The themes identified were as follows: creating effectively, connecting with others, making a difference, serving those in great need, providing comprehensive care to restore healthy lives, and growing as a person and a professional. CONCLUSION: Inspired personnel are among the critical assets of an effective program. Among the reasons for success of this HIV/AIDS program are a set of work values and motivations that would be helpful in any setting, but perhaps nowhere more critical than in the grueling work of making a complex program work spectacularly well in the challenging setting of a resource-poor country. Sometimes, even in the face of long odds, the human spirit prevails.

AB - BACKGROUND AND OBJECTIVE: The HIV/AIDS epidemic in sub-Saharan Africa is decimating populations, deteriorating economies, deepening poverty, and destabilizing traditional social orders. The advent of the U.S. President's Emergency Plan for AIDS Relief (PEPFAR) made significant supplemental resources available to sub-Saharan national programs for the prevention and treatment of HIV/AIDS, but few programs have demonstrated the capacity to use these resources to increase rapidly in size. In this context, AMPATH, a collaboration of Indiana University School of Medicine, the Moi University School of Medicine, and the Moi Teaching and Referral Hospital in Eldoret, Kenya, is a stunning exception. This report summarizes findings from an assessment of AMPATH staff perceptions of how and why this has happened. PARTICIPANTS AND APPROACH: Semistructured, in-depth, individual interviews of 26 AMPATH workers were conducted and recorded. Field notes from these interviews were generated by independent reviewers and subjected to close-reading qualitative analysis for themes. RESULTS: The themes identified were as follows: creating effectively, connecting with others, making a difference, serving those in great need, providing comprehensive care to restore healthy lives, and growing as a person and a professional. CONCLUSION: Inspired personnel are among the critical assets of an effective program. Among the reasons for success of this HIV/AIDS program are a set of work values and motivations that would be helpful in any setting, but perhaps nowhere more critical than in the grueling work of making a complex program work spectacularly well in the challenging setting of a resource-poor country. Sometimes, even in the face of long odds, the human spirit prevails.

KW - HIV/AIDS

KW - Primary care

KW - Program evaluation

UR - http://www.scopus.com/inward/record.url?scp=36348965320&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=36348965320&partnerID=8YFLogxK

U2 - 10.1007/s11606-007-0437-4

DO - 10.1007/s11606-007-0437-4

M3 - Article

C2 - 17972138

AN - SCOPUS:36348965320

VL - 22

SP - 1745

EP - 1750

JO - Journal of General Internal Medicine

JF - Journal of General Internal Medicine

SN - 0884-8734

IS - 12

ER -