IeDEA Kenya

Kenya

Academic Model Providing Access to Healthcare (AMPATH)

Location: Moi Teaching and Referral Hospital (MTRH), Eldoret, Kenya

Site PI : Dr. Lameck Diero

Statistician: Ann Mwangi

Data Manager: Edwin Sang

Moi University School of Medicine and Moi Teaching and Referral Hospital partnered with United States collaborating medical schools: Indiana University School of Medicine and Brown Medical School, to establish the Academic Model Providing Access to Healthcare (AMPATH) in November 2001. The overriding goal of AMPATH is to establish and assess a working model of both urban and rural comprehensive HIV preventive and treatment services. AMPATH has leveraged the unique attributes of academic institutions to develop high-quality, high-volume HIV/AIDS patient care programs while simultaneously serving as a classroom for teaching and a laboratory for HIV-related research.

In 2004, USAID through the United States President’s Emergency Plan for AIDS Relief (PEPFAR) initiated a grant to AMPATH to scale up the delivery of antiretroviral treatment in the region. The initial goal of AMPATH was the establishment of an HIV care system which would serve the needs of both urban and rural patients and create an environment where barriers to and outcomes of antiretroviral therapy is assessed.

AMPATH has its main clinic at MTRH and satellite clinics in ten counties. It supports HIV care and treatment in 517 ART clinics, more than 646 Prevention of Mother-To-Child Transmission (PMTCT) clinics and more than 683 Home-based Counseling and Testing (HCT) clinics. AMPATH cares for both pediatric (0-14) and adult (15+) patients. An average of 1,200 (adults and children) are enrolled monthly at all supported sites. By December 2019, the number of persons ever enrolled in HIV care was over 250,000 with 22 percent of them being children (0-14 years); and over 60 percent of all patients having initiated ART.  The AMPATH Centre at MTRH in Eldoret houses the Regional Data Center for the East African IeDEA consortium.

Location: Kisumu, Kenya

Site PI: Prof. Elizabeth Bukusi

Co-Investigator (s): Dr. Francesca Odhiambo, Dr. Zachary Kwena

Study Coordinator: Sarah Obatsa

Data Analyst: Raphael Onyango

M&E/Data Manager(s): Wycliff Opande

The University of California San Francisco’s (UCSF) and the Kenya Medical Research Institute (KEMRI) collaboration, Fostering Advances in Care, Education and Science (FACES) program provides a platform for research in western Kenya. FACES continues to build on its long-standing partnership with the local Ministries of Health (MOH) since 2004 and with the current implementing partner Center for International Health, Education, and Biosecurity (CIHEB), since 2021, in Kisumu County. Towards this, FACES supports implementation science within HIV service delivery as well as access to quality data for the IeDEA consortium from two high volume HIV clinics in Kisumu County, (Lumumba Sub-County Hospital and Nyahera Sub-County Hospital) with 8,643 patients actively enrolled in HIV care and treatment at both sites combined. Current active IeDEA linked studies within Kisumu County include novel adolescent and tuberculosis (TB) cohort studies and a telemedicine formative study.

Alongside the studies, FACES contributes pediatric (0-14) and adult (15+) HIV-related data including prevention of mother-to-child transmission (PMTCT), TB, and cervical cancer screening to the IeDEA database from Lumumba and Nyahera Sub County hospitals. To strengthen local capacity for quality care and data, FACES provides site level mentorship, data quality review, and targeted training and continuing medical education (CME) activities.