| P R O M O T I N G G L O B A L H E A L T H , H E A L I N G & H O P E |
| Center for International Health 9501 W. Watertown Plank Rd. Building C, Suite C104 Milwaukee, WI 53226 Phone: 414 - 257 - 6442 Fax: 414 - 257 - 8191 eschmidlkofer@c4ih.org |
© Thom R. Feroah
INTERNATIONAL FOOD RELIEF PARTNERSHIPS
Funded by the United States Agency for International Development (USAID), the Center for
International Health's (CIH) Food Relief Partnerships support the continuation of existing healthcare
and social welfare institutions in meeting the nutritional, medical and social needs of orphans and
vulnerable children, pregnant women, the elderly, rural poor and people living with HIV/AIDS in the
following countries:
Armenia – 4 million dehydrated meals
Kenya – 12 million dehydrated meals
Georgia – 4 million dehydrated meals
South Africa – 6 million dehydrated meals
Tanzania – 4 million dehydrated meals
Zambia – 4 million dehydrated meals
Namibia – 4 million dehydrated meals
These Partnerships address healthcare issues by:
Providing immediate special nutrient enhanced food sources to the most vulnerable populations through
a consistent distribution strategy.
Providing easily prepared food, conserving human resources currently devoted to basic food foraging
and preparation.
Providing sufficient quantity/variety of food to periodically replace local meals for targeted
beneficiaries, conserving financial resources.
Providing safe, non-contaminated shelf stable vegetable food, maintaining adequate stores of food and
addressed environmental hazards that cause contamination.
PEDIATRIC HIV/AIDS PHARMACIST TRAINING IN ZAMBIA
Since 2006, CIH has been working to improve the quality of pediatric antiretroviral services in Zambia
through pharmacist training at the Pediatric ART Centers of Excellence in Lusaka and Livingstone, with
funding provided by the Centers for Disease Control (CDC) and the American International Health
Alliance (AIHA). The program has focused on building local training capacity to enable pharmacists,
pharmacy technicians and dispensers in Lusaka and Livingstone to better organize and manage
pharmacy services, thereby enhancing the delivery of quality HIV/AIDS care to mothers, infants, and
children.
As part of the program, CIH is providing technical expertise, training, and mentoring to develop the
knowledge and skills of Zambian pharmacists and other allied health professions staff. CIH is also
assisting in the development of effective pharmacy management systems at the teaching hospitals in
Lusaka and Livingstone.
With an overall goal of improving the quality of care provided by pharmacists working with the
teaching hospitals pediatric anti-retroviral programs, CIH and its Zambian partners have jointly
developed and are implementing a series of in-country training programs. These trainings focus on
equipping pharmacists and pharmacy technicians with the skills they need to better organize and
manage pharmacy services at the Lusaka and Livingstone centers, thereby helping ensure the delivery
of quality HIV/AIDS care to mothers, infants and children. The training programs also include strategies
and methodologies to integrateclinical pharmacists into the multidisciplinary antiretroviral treatment
(ART) care teams practicing at the Lusaka and Livingstone ART Centers.
Additionally, the Center for International Health has conducted a series of intensive short-term trainings
on pharmacy organization and management in Milwaukee for our Zambian colleagues, and working with
designated Zambian counterparts, has initiated efforts to expand the role pharmacists play in the
provision of ART and other care and support for mothers, infants and children in Zambia.
Funded by the United States Agency for International Development (USAID), the Center for
International Health's (CIH) Food Relief Partnerships support the continuation of existing healthcare
and social welfare institutions in meeting the nutritional, medical and social needs of orphans and
vulnerable children, pregnant women, the elderly, rural poor and people living with HIV/AIDS in the
following countries:
Armenia – 4 million dehydrated meals
Kenya – 12 million dehydrated meals
Georgia – 4 million dehydrated meals
South Africa – 6 million dehydrated meals
Tanzania – 4 million dehydrated meals
Zambia – 4 million dehydrated meals
Namibia – 4 million dehydrated meals
These Partnerships address healthcare issues by:
Providing immediate special nutrient enhanced food sources to the most vulnerable populations through
a consistent distribution strategy.
Providing easily prepared food, conserving human resources currently devoted to basic food foraging
and preparation.
Providing sufficient quantity/variety of food to periodically replace local meals for targeted
beneficiaries, conserving financial resources.
Providing safe, non-contaminated shelf stable vegetable food, maintaining adequate stores of food and
addressed environmental hazards that cause contamination.
PEDIATRIC HIV/AIDS PHARMACIST TRAINING IN ZAMBIA
Since 2006, CIH has been working to improve the quality of pediatric antiretroviral services in Zambia
through pharmacist training at the Pediatric ART Centers of Excellence in Lusaka and Livingstone, with
funding provided by the Centers for Disease Control (CDC) and the American International Health
Alliance (AIHA). The program has focused on building local training capacity to enable pharmacists,
pharmacy technicians and dispensers in Lusaka and Livingstone to better organize and manage
pharmacy services, thereby enhancing the delivery of quality HIV/AIDS care to mothers, infants, and
children.
As part of the program, CIH is providing technical expertise, training, and mentoring to develop the
knowledge and skills of Zambian pharmacists and other allied health professions staff. CIH is also
assisting in the development of effective pharmacy management systems at the teaching hospitals in
Lusaka and Livingstone.
With an overall goal of improving the quality of care provided by pharmacists working with the
teaching hospitals pediatric anti-retroviral programs, CIH and its Zambian partners have jointly
developed and are implementing a series of in-country training programs. These trainings focus on
equipping pharmacists and pharmacy technicians with the skills they need to better organize and
manage pharmacy services at the Lusaka and Livingstone centers, thereby helping ensure the delivery
of quality HIV/AIDS care to mothers, infants and children. The training programs also include strategies
and methodologies to integrateclinical pharmacists into the multidisciplinary antiretroviral treatment
(ART) care teams practicing at the Lusaka and Livingstone ART Centers.
Additionally, the Center for International Health has conducted a series of intensive short-term trainings
on pharmacy organization and management in Milwaukee for our Zambian colleagues, and working with
designated Zambian counterparts, has initiated efforts to expand the role pharmacists play in the
provision of ART and other care and support for mothers, infants and children in Zambia.
| PENDING PROGRAMS South Africa Nelson Mandela Children’s Hospital, Johannesburg Vietnam Royal Children’s Hospital, Hanoi India Blood Banking Program Saudi Arabia Blood Banking Program Namibia International Food Relief Partnership Orphans and Vulnerable Children Programs |
| AMERICAN INTERNATIONAL HEALTH ALLIANCE |
| UNITED STATES AGENCY FOR INTERNATIONAL DEVELOPMENT |
© Thom R. Feroah
IMMUNOHEMATOLOGY INITIATIVE IN INDIA
The Indian Immunohematology Initiative aims to improve the safety of transfusion in India by teaching Indian blood bankers, both physicians and
technical workers, to detect and identify blood group antibodies and to treat diseases caused by red blood cell antibodies.
We have identified five ways in which we can promote the understanding and practice of immunohematology in India:
• Conduct hands-on (“wet”) workshops on immunohematology,
• Provide support and consultation for implementation of improved immunohematologic testing at Indian blood centers and hospitals,
• Provide and support immunohematology instruction at meetings and workshops on transfusion medicine,
• Host Indian immunohematologists for technical training in partner blood banks,
• Conduct research that will advance the immunohematology mission of Indian blood bankers.
To date, 7 wet workshops have been conducted, training over 85 blood bank physicians and technical staff at 5 different meetings including:
• A three-day workshop at the Indian Society for Blood Transfusion and Immunohematology meeting in Ahmedabad with 25 students,
• Two, five-day, comprehensive workshops at the Jeevan Blood Center in Chennai, each with 12 students,
• Two, two-day workshops, one basic and one advanced, at the ISBTI meeting in Bhopal with 12 students in each.
• A two-day advanced workshop for staff of the Prathama Blood Center in Ahmedabad.
• A five-day comprehensive immunohematology workshop at the Rotary ttk Blood Bank, Bangalore.
We have also been invited to participate in a new transfusion medicine symposium to be organized by Jeevan Blood Center and to attend the SAATM
workshop in Bhutan in 2010.
OONTE ORPHANS AND VULNERABLE CHILDREN PROGRAM IN NAMIBIA
In Ondangwa, Namibia, the Oonte Orphans and Vulnerable Children Program reaches out to over 500 children and provides them with physical and
psycho-social support. Oonte offers after school programs (that focus on health, personal hygiene, goal setting and leadership), a feeding program (that
the children three meals a week), skills training (in trades such as glass making, construction, and farming) and house visits.
The heart behind Oonte is Ms. Petrine Shiimi, or meme Petrina as she is known by nearly everyone in this community (meme is Oshiwambo for mother).
A teacher and businesswoman by trade, in 2004 meme Petrina found herself troubled by the growing number of orphans in Ondangwa. With a population
of just over 2 million people, Namibia has just under 200,000 registered orphans, 60% of whom live in the northern regions of the country.
She rented out an old, abandoned building, filled it with toys and educational materials, and opened it as a centre for children. She decided to call it
“Oonte,” which in Oshiwambo means the rays of the sun, as she sees it her mission in life to bring rays of sun and hope to needy children.
ADULT AND PEDIATRIC HIV/AIDS TRAINING IN TANZANIA AND KENYA
In Tanzania, thanks to generous funding by Miller Coors, over 40 doctors, nurses and community counselors were able to participate in adult and
pediatric HIV/AIDS training workshops held at the Buguruni Health Centre in Dar es Salaam. Led by Dr. Henry Ziegler and Dr. Sekela Mwakyusa,
thetraining included components involved in both adult and pediatric aspects of HIV/AIDS care. Participants were selected by Tanzania Breweries and
the District Medical Officer.
Miller Coors has previously funded similar training initiatives in Nairobi, Kenya.
When CIH partnered with the Christian Health Association of Kenya to convene a series of pediatric focused HIV/AIDS training seminars, Dr. Peter
Havens volunteered as the Center’s U.S. HIV/AIDS specialist.
Recently, Dr. Havens facilitated the development of an advocacy statement entitled “Increasing Antiretroviral Drug Access for Children with HIV
infection,” which outlines solutions for overcoming barriers that prevent quick diagnosis and treatment of young children with HIV.
The statement was endorsed by an unprecedented 19 other international child and healthcare organizations, including the World Health Organization. For
more information, download the American Academy of Pediatrics article here.
EMERGENCY MEDICAL SERVICES AND EMERGENCY MEDICINE PROJECTS IN POLAND AND CHINA
CIH, in collaboration with the Polish Ministry of Health and Social Welfare, implemented a three year emergency medical services (EMS) development
project in the towns of Bialystok, Krakow and Lodz, Poland.
Addressing the pre-hospital management of patients with critical medical conditions and major trauma, the project strategy encompassed the training of
teams of Polish EMS faculty in the U.S., in-country training of instructor cadres, upgrading of life support equipment in ambulances, establishment of
EMS Information and Learning Resource Centers, and the design of community-based injury control models.
More than 1,100 EMS personnel, including physicians, nurses and ambulance drivers, were trained in appropriate categories and levels of life support
and trauma management interventions.
With faculty support from the Medical College of Wisconsin, Children’s Hospital and Health System, Froedtert Memorial Hospital and Milwaukee
County, CIH is providing training for physicians from Jiao Tong Medical University designed to develop their capacity to strengthen Shanghai's
emergency medical systems in preparation for the 2010 World Exposition.
MATERNAL AND CHILD HEALTH PROJECT IN AFGHANISTAN
Tragically, Afghanistan has the highest rates of infant and maternal mortality in the world.
As Afghanistan struggles to rebuild itself after years of political turmoil, CIH played a key role in lowering the death rate at Rabia Balki Hospital in
Kabul, Afghanistan's largest women's hospital, which treats more than 36,000 patients annually and delivers approximately 40 babies a day.
Over the course of the one-year U.S. Department of Health and Human Services funded project, several medical teams visited the hospital to train
doctors, nurses and other health professionals.
Teams were led by Doug Laube, chairman of the obstetric and gynecological department at the University of Wisconsin-Madison, James Sanders,
physician at the Medical College of Wisconsin, and Donna Harris and Chris Gall, nurses from Children's Hospital of Wisconsin.
PRIMARY HEALTHCARE DEVELOPMENT AND NON-COMMUNICABLE CHRONIC DISEASE CONTROL
IN THE REPUBLIC OF GEORGIA
Milwaukee philanthropist Dan Meehan provided funding to CIH for the construction of the first free-standing family medicine clinic and regional training
center in Mtskheta, Georgia. In 2008, 42,000 patients, one third of whom were children, received care at the center.
The regional training center is officially recognized by the Georgian Ministry of Labor, Health and Social Affairs, the World Bank and the National Post-
Graduate Medical Academy for the graduate training, retraining and continuing professional education of primary care physicians and nurses.
More than 300 physicians and 350 nurses have been trained at the center, all of whom were certified and licensed as family physicians and family health
nurses, respectively.
The Indian Immunohematology Initiative aims to improve the safety of transfusion in India by teaching Indian blood bankers, both physicians and
technical workers, to detect and identify blood group antibodies and to treat diseases caused by red blood cell antibodies.
We have identified five ways in which we can promote the understanding and practice of immunohematology in India:
• Conduct hands-on (“wet”) workshops on immunohematology,
• Provide support and consultation for implementation of improved immunohematologic testing at Indian blood centers and hospitals,
• Provide and support immunohematology instruction at meetings and workshops on transfusion medicine,
• Host Indian immunohematologists for technical training in partner blood banks,
• Conduct research that will advance the immunohematology mission of Indian blood bankers.
To date, 7 wet workshops have been conducted, training over 85 blood bank physicians and technical staff at 5 different meetings including:
• A three-day workshop at the Indian Society for Blood Transfusion and Immunohematology meeting in Ahmedabad with 25 students,
• Two, five-day, comprehensive workshops at the Jeevan Blood Center in Chennai, each with 12 students,
• Two, two-day workshops, one basic and one advanced, at the ISBTI meeting in Bhopal with 12 students in each.
• A two-day advanced workshop for staff of the Prathama Blood Center in Ahmedabad.
• A five-day comprehensive immunohematology workshop at the Rotary ttk Blood Bank, Bangalore.
We have also been invited to participate in a new transfusion medicine symposium to be organized by Jeevan Blood Center and to attend the SAATM
workshop in Bhutan in 2010.
OONTE ORPHANS AND VULNERABLE CHILDREN PROGRAM IN NAMIBIA
In Ondangwa, Namibia, the Oonte Orphans and Vulnerable Children Program reaches out to over 500 children and provides them with physical and
psycho-social support. Oonte offers after school programs (that focus on health, personal hygiene, goal setting and leadership), a feeding program (that
the children three meals a week), skills training (in trades such as glass making, construction, and farming) and house visits.
The heart behind Oonte is Ms. Petrine Shiimi, or meme Petrina as she is known by nearly everyone in this community (meme is Oshiwambo for mother).
A teacher and businesswoman by trade, in 2004 meme Petrina found herself troubled by the growing number of orphans in Ondangwa. With a population
of just over 2 million people, Namibia has just under 200,000 registered orphans, 60% of whom live in the northern regions of the country.
She rented out an old, abandoned building, filled it with toys and educational materials, and opened it as a centre for children. She decided to call it
“Oonte,” which in Oshiwambo means the rays of the sun, as she sees it her mission in life to bring rays of sun and hope to needy children.
ADULT AND PEDIATRIC HIV/AIDS TRAINING IN TANZANIA AND KENYA
In Tanzania, thanks to generous funding by Miller Coors, over 40 doctors, nurses and community counselors were able to participate in adult and
pediatric HIV/AIDS training workshops held at the Buguruni Health Centre in Dar es Salaam. Led by Dr. Henry Ziegler and Dr. Sekela Mwakyusa,
thetraining included components involved in both adult and pediatric aspects of HIV/AIDS care. Participants were selected by Tanzania Breweries and
the District Medical Officer.
Miller Coors has previously funded similar training initiatives in Nairobi, Kenya.
When CIH partnered with the Christian Health Association of Kenya to convene a series of pediatric focused HIV/AIDS training seminars, Dr. Peter
Havens volunteered as the Center’s U.S. HIV/AIDS specialist.
Recently, Dr. Havens facilitated the development of an advocacy statement entitled “Increasing Antiretroviral Drug Access for Children with HIV
infection,” which outlines solutions for overcoming barriers that prevent quick diagnosis and treatment of young children with HIV.
The statement was endorsed by an unprecedented 19 other international child and healthcare organizations, including the World Health Organization. For
more information, download the American Academy of Pediatrics article here.
EMERGENCY MEDICAL SERVICES AND EMERGENCY MEDICINE PROJECTS IN POLAND AND CHINA
CIH, in collaboration with the Polish Ministry of Health and Social Welfare, implemented a three year emergency medical services (EMS) development
project in the towns of Bialystok, Krakow and Lodz, Poland.
Addressing the pre-hospital management of patients with critical medical conditions and major trauma, the project strategy encompassed the training of
teams of Polish EMS faculty in the U.S., in-country training of instructor cadres, upgrading of life support equipment in ambulances, establishment of
EMS Information and Learning Resource Centers, and the design of community-based injury control models.
More than 1,100 EMS personnel, including physicians, nurses and ambulance drivers, were trained in appropriate categories and levels of life support
and trauma management interventions.
With faculty support from the Medical College of Wisconsin, Children’s Hospital and Health System, Froedtert Memorial Hospital and Milwaukee
County, CIH is providing training for physicians from Jiao Tong Medical University designed to develop their capacity to strengthen Shanghai's
emergency medical systems in preparation for the 2010 World Exposition.
MATERNAL AND CHILD HEALTH PROJECT IN AFGHANISTAN
Tragically, Afghanistan has the highest rates of infant and maternal mortality in the world.
As Afghanistan struggles to rebuild itself after years of political turmoil, CIH played a key role in lowering the death rate at Rabia Balki Hospital in
Kabul, Afghanistan's largest women's hospital, which treats more than 36,000 patients annually and delivers approximately 40 babies a day.
Over the course of the one-year U.S. Department of Health and Human Services funded project, several medical teams visited the hospital to train
doctors, nurses and other health professionals.
Teams were led by Doug Laube, chairman of the obstetric and gynecological department at the University of Wisconsin-Madison, James Sanders,
physician at the Medical College of Wisconsin, and Donna Harris and Chris Gall, nurses from Children's Hospital of Wisconsin.
PRIMARY HEALTHCARE DEVELOPMENT AND NON-COMMUNICABLE CHRONIC DISEASE CONTROL
IN THE REPUBLIC OF GEORGIA
Milwaukee philanthropist Dan Meehan provided funding to CIH for the construction of the first free-standing family medicine clinic and regional training
center in Mtskheta, Georgia. In 2008, 42,000 patients, one third of whom were children, received care at the center.
The regional training center is officially recognized by the Georgian Ministry of Labor, Health and Social Affairs, the World Bank and the National Post-
Graduate Medical Academy for the graduate training, retraining and continuing professional education of primary care physicians and nurses.
More than 300 physicians and 350 nurses have been trained at the center, all of whom were certified and licensed as family physicians and family health
nurses, respectively.
