Responding to the HIV pandemic

The power of an academic medical partnership

Robert Einterz, Sylvester Kimaiyo, Haroun N K Mengech, Barasa O. Khwa-Otsyula, Fabian Esamai, Fran Quigley, Joseph Mamlin

Research output: Contribution to journalArticle

162 Citations (Scopus)

Abstract

Partnerships between academic medical center (AMCs) in North America and the developing world are uniquely capable of fulfilling the tripartite needs of care, training, and research required to address health care crises in the developing world. Moreover, the institutional resources and credibility of AMCs can provide the foundation to build systems of care with long-term sustainability, even in resource-poor settings. The authors describe a partnership between Indiana University School of Medicine and Moi University and Moi Teaching and Referral Hospital in Kenya that demonstrates the power of an academic medical partnership in its response to the HIV/AIDS pandemic in sub-Saharan Africa. Through the Academic Model for the Prevention and Treatment of HIV/AIDS, the partnership currently treats over 40,000 HIV-positive patients at 19 urban and rural sites in western Kenya, now enrolls nearly 2,000 new HIV positive patients every month, feeds up to 30,000 people weekly, enables economic security, fosters HIV prevention, tests more than 25,000 pregnant women annually for HIV, engages communities, and is developing a robust electronic information system. The partnership evolved from a program of limited size and a focus on general internal medicine into one of the largest and most comprehensive HIV/AIDS-control systems in sub-Saharan Africa. The partnership's rapid increase in scale, combined with the comprehensive and long-term approach to the region's health care needs, provides a twinning model that can and should be replicated to address the shameful fact that millions are dying of preventable and treatable diseases in the developing world.

Original languageEnglish
Pages (from-to)812-818
Number of pages7
JournalAcademic Medicine
Volume82
Issue number8
DOIs
StatePublished - Aug 2007

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Pandemics
HIV
AIDS
Acquired Immunodeficiency Syndrome
Africa South of the Sahara
Kenya
medicine
health care
Delivery of Health Care
dying
resources
control system
credibility
Long-Term Care
Internal Medicine
North America
Information Systems
Teaching Hospitals
information system
Pregnant Women

ASJC Scopus subject areas

  • Nursing(all)
  • Public Health, Environmental and Occupational Health
  • Education

Cite this

Responding to the HIV pandemic : The power of an academic medical partnership. / Einterz, Robert; Kimaiyo, Sylvester; Mengech, Haroun N K; Khwa-Otsyula, Barasa O.; Esamai, Fabian; Quigley, Fran; Mamlin, Joseph.

In: Academic Medicine, Vol. 82, No. 8, 08.2007, p. 812-818.

Research output: Contribution to journalArticle

Einterz, R, Kimaiyo, S, Mengech, HNK, Khwa-Otsyula, BO, Esamai, F, Quigley, F & Mamlin, J 2007, 'Responding to the HIV pandemic: The power of an academic medical partnership', Academic Medicine, vol. 82, no. 8, pp. 812-818. https://doi.org/10.1097/ACM.0b013e3180cc29f1
Einterz R, Kimaiyo S, Mengech HNK, Khwa-Otsyula BO, Esamai F, Quigley F et al. Responding to the HIV pandemic: The power of an academic medical partnership. Academic Medicine. 2007 Aug;82(8):812-818. https://doi.org/10.1097/ACM.0b013e3180cc29f1
Einterz, Robert ; Kimaiyo, Sylvester ; Mengech, Haroun N K ; Khwa-Otsyula, Barasa O. ; Esamai, Fabian ; Quigley, Fran ; Mamlin, Joseph. / Responding to the HIV pandemic : The power of an academic medical partnership. In: Academic Medicine. 2007 ; Vol. 82, No. 8. pp. 812-818.
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