World Impact Map

For more than a decade, IU has led the East Africa International Epidemiology Database to Evaluate AIDS (IeDEA) consortium – one of seven regional data centers funded by the National Institutes of Health to provide a rich resource for globally diverse HIV/AIDS data.

IeDEA East Africa is led by Kara Wools-Kaloustian, MD, IU School of Medicine, in partnership with Constantin Yiannoutsos, PhD, Richard M. Fairbanks School of Public Health. It has expertise in merging, sharing, and analyzing routine data collected within HIV care and treatment programs, as well as proficiency in the design, conduct and analysis of implementation research. 

The East Africa Consortium includes partners from nine active HIV-treatment programs in Kenya, Tanzania, and Uganda and five universities in the United States (IU, Brown, Columbia, Ohio State, and University of California San Francisco).

Contact: Kara Wools-Kaloustian, MD and Constantin Yiannoutsos, PhD

CARE IMPACT

Last year, AMPATH served a population of more than 4.5 million people in western Kenya in partnership with Kenya’s Ministry of Health (MoH). This AMPATH-MoH system aims to deliver a package of primary care services inclusive of HIV/AIDS care and control, maternal-child services, and essential/basic prevention services and medical care for burdensome health problems. In 2017-18 AMPATH provided care or services to:

• 85,000+ HIV patients
• 34,000+ patients with chronic diseases
• 6,000+ cancer patients
• 30,000+ people mobilized in community lending groups

AMPATH is developing an integrated health system in the public sector across all levels of the health system using a community-based, population health approach. The system, inclusive of both primary and specialty care services, is designed to host and nurture training and research activities. Specialty care services, centered on the campus of Moi Teaching and Referral Hospital in Eldoret, consist of emerging Centers of Excellence in cardiopulmonary diseases, diabetes, mental health, and oncology. 

Additionally, AMPATH is developing a replicable model of universal health coverage by (1) building a health care system in western Kenya that delivers quality health services effectively and efficiently; (2) developing community-based and group-based mechanisms of wealth creation; and, (3) collaborating with Kenya’s National Hospital Insurance Fund (NHIF) to ensure that that health care delivery system is financially accessible to all people. 

RESEARCH IMPACT

Coordinated by the IU Center for Global Health, the AMPATH Research Network seeks to improve the health of the Kenyan population through the identification, development and dissemination of health systems information to influence the medical care, public health and public policy in Kenya and other resource-constrained areas of the world.

In the 2017-18, the AMPATH Research Network accomplished the following:

• More than 70 active studies and a network of collaborators from 20 institutions in North America, Europe, and East Africa.
• Robust infrastructure for research including a system of peer research development groups to assist in mentoring new investigators and developing new research, an ISO-accredited laboratory, an Institutional Review Board (IRB), a research and sponsored projects office, and cores in biostatistics, data management, informatics and bioethics.
• $125 million in cumulative direct research awards from the National Institutes of Health (NIH), Centers for Disease Control and Prevention (CDC), the Bill and Melinda Gates Foundation, USAID and others. Seventy-three percent of these awards came from the NIH.
• More than 620 cumulative publications in top-tier, peer-reviewed journals 

Learn more

Contact: Robert M. Einterz, MD

Seven fourth-year medical students participated in the “Domestic Global Health Experience” elective during the 2017-2018 academic year. The students worked around Indianapolis in clinics serving multicultural populations, including those serving refugee and immigrant populations, such as the Latino Health Organization, Immigrant Welcome Center and the Marion County Health department.

Dr. Colin Ray, who participated in 2018, reflects on his experience: "I deeply appreciate the eye-opening experiences of addressing the health care needs of people of various global backgrounds. On this rotation I was able to understand the lasting effects of adverse events such as living in refugee camps, and the chronic stress related to fear of imprisonment or deportation.”

Contact: Ruben Hernandez, MD