The Pediatric AIDS Coalition Cause Education Committee – Partners in Health and AMPATH

1. Partners in
Health &
AMPATH
By Anna Chang & Anna Tong

2. Partners in Health
● Founded by by Paul Farmer, Ophelia Dahl, Thomas White, Todd McCormack,
and Jim Yong Kim in 1987
● Goal: to bring modern medicine to underserved, underprivileged, developing
communities and countries
● Work to strengthen health systems in the countries they work in and provide
long-term relationships

3. PIH & Haiti
● Paul Farmer held the belief that doctors are lawyers for the poor
● Haiti became the birthplace of PIH’s first project
○ Minimal medical infrastructure but high prevalence of HIV
○ Started treating the people and patients of Cange in 1985
○ Set up the hospital to be fully functional even in his absence
○ Birthplace of the community-based model
● PIH opened a 104-bed hospital
○ Hospital featured adult and pediatric inpatient services, blood bank, women’s health clinic,
pharmacy, operating rooms
○ Had the mentality that no patient could be refused care
● PIH also helped build schools, houses, and water sanitation systems in the
community

4. Community-Based Model in Haiti
● Centered around hiring and training thousands of local citizens to become
community health workers
○ Patients are assigned health workers and the two work closely so the patient gets the
treatment they need, keeps up with medications, educated properly on their health, etc
○ Enables patient to live longer and creates more personal care setting
○ Patients are more likely to remain in care with community workers
● If this method can be implemented and have success in Haiti, it can be done
anywhere
→ Community-Based Model is why HIV Programs in Haiti have been so successful

5. HIV Equity Initiative of 1998
“No expense is too great in order to prolong life”
● Goal: to provide free antiretroviral therapy to people living with HIV and dying
of HIV-related illnesses (most common → tuberculosis)
● General worldwide belief that ARTs would be unhelpful and useless in
underdeveloped, poor countries → ARTs were reserved for those in wealthy
countries
○ Lack of funds to obtain ARTs
○ Lack of medical infrastructure/resources/availability to administer ARTs
● ARTs drop mortality rates and number of infectious diseases, thus lowering
number of patients admitted to hospitals
● Administered free ARTs to 60 of some of the sickest individuals
● The community-based approach was effective!!!

6. ● Partnership between Moi University, Moi Teaching and Referral Hospital, North
American universities led by Indiana University, and the Kenyan Government
● Located in Eldoret Kenya
● One of Africa’s largest, most comprehensive and effective HIV/AIDS management
and control systems- addressing not only HIV testing and treatment but also
maternal and child health, nutrition, counseling, and helping patients regain
financial stability and independence
AMPATH: Academic Model for the
Prevention and Treatment of HIV

7. Sustainable health in Kenya and around the world
● Treatment: test, diagnose, treat, and
prevent HIV/AIDS
● Empowerment: economic empowerment
and agriculture program
● Training: medical practitioners, students,
residents, faculty, nurses community health
workers, and more. Exchange between
North Americans and Kenyans
● Research: strengthening health systems, in
partnership with over 20 institutions

8. Joe Mamlin
● Professor emeritus of medicine at the IU School of Medicine
and founder of AMPATH
● Book: Walking Together, Walking Far: How a U.S. and
African Medical School Partnership Is Winning the Fight
against HIV/AIDS
● Nominated for nobel peace prize in 2007
● "While much of this pain is physical, the real tragedy is the
loss of hope in single individuals. When any of us find a
moment in our lives when we can relieve pain and restore
hope, we have already won the Nobel Peace Prize.”

9. Toby Mauer
● Completed residencies in family
practice and dermatology and two
fellowships in HIV medicine at UCSF
● Professor at UCSF in dermatology
and chief of dermatology at San
Francisco General Hospital
● Specializes in Kaposi Sarcoma (KS)
and teledermatology, which uses
computer and video technology to
diagnosis dermatologic conditions.

10. Her work in Kenya
● Started with jumping into already formed epidemiology projects
in cancer( KS) in HIV
● Allowed me to form relationships so that I could organize work
groups, build infrastructure ( labs, machinery, collaborators, get
funding) to take care of patients with skin disease ( adults and
kids)
● Partner with American universities to continue research, bring
students, residents and faculty to see patients
● Develop a full Dermatology teaching program for dermatologists
for Kenya and Uganda
● Now working to establish telemedicine and artificial intelligence
to better diagnose disease early and link patients to care centers
where they can be treated in Kenya and Uganda