A Proposal for Program Expansion In Kenya

A Proposal for Program Expansion In Kenya

Jhpiego in Kenya

Cardiovascular Disease (CVD) Epidemiological Transition Communicable Disease Chronic Communicable Diseases (TB, HIV) Chronic Noncommunicable Diseases (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

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 1: Research & Development Integrating Programs Year 2: Cardiac Unit Begin treating patients NO Year 3: Evaluate Cardiac Unit Is it effective?

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 – Complete cardiac 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/

Innovative Technology

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

Annual Budget - Year 1 Unit Construction Educational Seminar Biosignia Know Your Number™ Logistical Aesthetics Furniture & Fixtures Instruments & Equipments Annual Running Cost Legal Procedure & Insurance Total Cost of Year 1 USD $ 335, 000. 00 19, 200. 00 8, 982. 0 288, 000. 00 96, 000. 00 865, 000. 00 192, 000. 00 1, 500, 000. 00 $ 3, 304, 182. 00

Annual Budget – Year 2 Labor Costs (set up) Educational Seminar EKG Machine (2) Biosignia Know Your Number™ Marketing (Brochures & Info Flyers) Medical Patient Funding Cardiac Lab Cardiac Monitor (NIBP) 30 Centralized Monitor Cardiac Fowler Bed Other Materials Total Cost of Year 2 USD $ 3, 000. 00 19, 200. 00 230, 000. 00 8, 982. 00 160, 000. 00 3, 000. 00 575, 000. 00 57, 500. 00 2, 000. 00 15, 000. 00 4, 000. 00 $ 4, 074, 682. 00

Annual Budget – Year 3 & 4 Year 3 Biosignia Know Your Number™ Educational Seminar Evaluation Analysis Medical Research Funding Total Cost of Year 3 USD $ 8, 982. 00 19, 200. 00 16, 000. 00 3, 750, 000. 00 $ 3, 794, 182. 00 Year 4 Biosignia Know Your Number™ Educational Seminar Community Funding Total Cost of Year 4 USD $ 8, 982. 00 19, 200. 00 956, 738. 50 $ 984, 920. 50

Overall Budget Year 1 Year 2 Year 3 Year 4 Total Project Cost $ 3, 304, 182. 00 4, 074, 682. 00 3, 794, 182. 00 984, 920. 50 $ 12, 157, 966. 50

Sustainability • Connecting with community needs • Training Kenyan citizens http: //blog. jhpiego. org/2011/03/21/

Getting to the Heart of the Matter

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 HIVAIDS 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, 1690 S-6 S. 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