Training Health Staff to Implement Differentiated Ways to Provide ART

With support from the U.S. Presidents Emergency Plan for AIDS Relief and CDC partnership, CIDRZ is conducting a Training of Trainers workshop on how to implement a differentiated care model for people on Antiretroviral Treatment (ART).

The training is aimed at preparing the community outreach teams to roll out the implementation of the Community Adherence Groups (CAGs) and the Urban Adherence Groups (UAGs) following the approval by the Ministry of Health to roll out differentiated care models.

With this model, clinically stable patients who have been on ART for a minimum of six months, can form a group of six members. The members of these groups in turn select one person per month to go and collect ARV’s on their behalf. This means that each member of the group is expected to visit the clinic twice a year – to collect drugs for their colleagues – but also to fulfil their clinical appointments as well.

This model will help reduce congestion in clinics, and give time for other members of the group to engage in other activities. With this model, we expect more retention of stable clients on ART as well as reduction in the workload for the existing health workers in healthy facilities.

This type of differentiated care programming will help Zambia to achieve the UNAIDS 90:90:90 treatment targets.

CIDRZ – SHARE LSHTM Support UNZA Civil Engineering WASH Research

CIDRZ through the LSHTM – SHARE Consortium recently awarded research grants to Changwe Mafuta and Simapimbi Munaye, both 5th year University of Zambia (UNZA) School of Engineering Scholars to finish their research on sanitation engineering projects that will benefit Zambia.

CIDRZ and the Sanitation and Hygiene Applied Research for Equity (SHARE) Consortium of the London School of Hygiene and Tropical Medicine (LSHTM) collaborated on the Creating Demand for Sanitation (SanDem) project with funding from the UK Department for International Development. It is through this project that CIDRZ was pleased to award 2000 British Pounds Sterling each to deserving UNZA Civil Engineering students Mr Changwe Mafuta and Mr Samapimbi Munaye. The research projects of these two gentlemen rose about the others in their specific aim to address local sanitation challenges from an engineering perspective. These grants will support the completion of these student’s research project work. Funding was made available by the UK Department for International Development (DFID).
Mr Mafuta’s project is titled “Developing a lever, eco-sanitary toilet that does not use water to fush faecal matter, and use solar energy to treat waste, while Mr Munaye’s project is “Improving sanitation through recycling of plastic solid waste materials.”

Attending the event on behalf of CIDRZ – which was part of the University of Zambia 2016 Academic Year prize giving ceremony – was Chief Scientific Officer Dr Roma Chilengi, Director of Human Resources, Roselyne Raelly and Coordinator of the CIDRZ SanDem project, Joyce Chinyama Chilekwa. The Vice Chancellor of UNZA, Dr Luke Evuta Mumba, officiated the event and wanted to recognize and appreciate all stakeholders in the engineering training. “This country cannot develop without a sound engineering desk,” he emphasized.

Meharry Medical College and Morehouse School of Medicine: Focusing on Adolescent Health and Empowerment

With support from PEPFAR and the U.S. Centers for Disease Control and Prevention (CDC) partnership, we were honoured to host a site visit to the Chainda South Clinic and Kamwala Health Centre Youth Friendly Rooms (YFR) with Dr James Hildreth, President of the Meharry Medical College and Dr Valerie Montgomery Rice, President of the Morehouse School of Medicine, both in the USA.

The purpose of the visit was to explore how these American Historically Black Colleges and University medical schools can become involved in PEPFAR and CDC-supported programmes in Zambia to specifically address the HIV epidemic amongst adolescents as these are high-risk populations for acquiring HIV and STD infections.

Drs Hildreth and Montgomery Rice are both educationalists and researchers and were very interested to learn more about the CIDRZ youth outreach programmes and how they offer HIV counseling and testing as well as sexual and reproductive health information to adolescents as well as encourage healthy social activities and academic engagement.

Vincent and Maxwell Mumba, trained Peer Educators explained what takes place at the Kamwala YFR, as well as during outreach programmes in communities and churches. “We can test as many as 200 youth during one outreach programme,” they explained.
Dr Montgomery Rice who is also Dean of the Morehouse School of Medicine remarked, “This adolescent programme is clearly impressive. Dr Hildreth and I will see how we can work with the programme to support their activities through an increased use of technology. We will also provide resources and support for career progression for the youth volunteers that are working under this programme.”

During their time in Lusaka the guests also had meetings with the Minister of Health, the Minister of Higher Education, Deans of the Health Sciences divisions at University of Zambia, and PEPFAR and CDC Representatives.

Providing Health Services and Sensitisation at Zambian Traditional Ceremonies

In the photo CIDRZ Senior Community Advisor Mr Fresher Maphiri and MC Community Coordinator Bright Jere meet with his Royal Highness Senior Chief Nacilele of Kaoma at his Royal Palace. Chief Nacilele is an advocate for medical male circumcision and encourages all men in his chiefdom to have the procedure. He says that all seven of his grand sons have been circumcised.

Zambia is blessed with over 70 distinct tribes and many have annual traditional ceremonies that bring throngs of tribesmen together to celebrate their cultural diversity. Events such as these provide an excellent opportunity to reach people with health services, accurate health messages, and dispel misconceptions.

With the support of the US PEPFAR and CDC partnership, CIDRZ community teams attend these events, and recently they traversed the country to provide HIV testing and counselling, and provide information and health messages about medical male circumcision, ART adherence and tuberculosis screening at the Nc’wala Traditional Ceremony of the Ngoni people of Eastern Province, followed by the Kuomboka Traditional Ceremony of the Lozi speaking people of Western Province.  Over 2000 people received HIV testing and counselling at these two events, and interested men were booked for medical circumcision at the nearest health facilities offering the service.

After the Kuomboka Traditional Ceremony, the CIDRZ team also were privileged to meet with six of the local Lozi traditional leaders, or their representatives, to seek the intervention of the Royal Highnesses to assist in increasing the uptake of health services, particularly of HIV testing, male circumcision (MC) and antiretroviral therapy (ART) adherence, amongst their people.

In addition to meeting with the KUTA, full cabinet of the Lozi Paramount Chief, the Litunga; they visited the Chiefs in Senanga, Kalabo, Mongu, Limulunga and Kaoma.

Construction of Nachitete Mini Hospital Gives Hope to Chongwe Community

 

Over the years, I have donated land for the construction of various government institutions including the Chongwe District Hospital and schools. All these have been done after seeing the need and demand for the critical services in my chiefdom,” expressed Her Royal Highness Senior Chieftainess Nkomeshya Mukamambo II.

The Nachiteti Mini Hospital

Our healthcare system must be effective, efficient, accessible, acceptable, equitable and safe to deliver quality service that improves patient outcomes.” Minister of Health, Hon. Dr. Chitalu Chilufya as he officially commissioned the health facility.

The facility was upgraded by the Zambian government. Speaking during the  event, Lusaka Provincial Minister, Hon. Japhen Mwakalombe said “the most vulnerable people who are in most cases – women and children – especially in rural areas, need well-designed healthcare and education systems closer to their households. This will not only make their lives better, but it will also encourage them to seek early medical care whenever they need it.

With support from the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) and the CDC partnership, CIDRZ is proud to have been part of the official opening of the Nachitete Mini Hospital in Chongwe District where we were on-site to provide HIV testing and counselling, and screening for cervical cancer.

In addition, CIDRZ will continue to provide HIV testing and counselling, Voluntary Medical Male Circumcision, and support the Option B Plus programme for HIV-positive pregnant or breastfeeding women offering them life-long antiretroviral treatment (ART). At the event we reiterated our commitment to work with the health facility to provide quality health services to the Nachitete area, including parts of Lusaka and Chilanga Districts which previously used to access services from other distant facilities. CIDRZ will continue to support and and strengthen the health system to ensure that the clinic becomes one of the ART centres in the District.

CIDRZ Joins the HIV Coverage, Quality and Impact Network (CQUIN) Learning Network

Dr Sikazwe fourth from left on the panel “Implementing Differentiated Care: Innovations and Challenges”

Last week CIDRZ CEO Dr Izukanji Sikazwe attended the HIV Coverage, Quality and Impact (CQUIN) Learning Network meeting Partnering to Advance Differentiated Care in Umhlanga, South Africa  The event was supported by the Columbia University, Mailman School of Public Health ICAP program and the keynote address was delivered by the ICAP Global Director, Dr Wafaa El-Sadr. The participating countries of South Africa, Zambia, Kenya, Mozambique, Zimbabwe, Swaziland, and Malawi were represented by members of their Ministries of Health, national AIDS program and other key stakeholders. Dr Sikazwe sat on the panel “Implementing Differentiated Care: Innovations and Challenges” as well as presenting a Zambia country update about our CIDRZ experience. CIDRZ is currently conducting a differentiated care implementation study called Community ART for Retention in Zambia or “Community ART” with grant support from the Bill & Melinda Gates Foundation. Other Zambia representatives were: Dr Bridget Mugisa, CDC Branch Chief Care and Treatment, Dr Ignace Gashongore University of Maryland Chief of Party, Dr Daniel Makawa Deputy Director Clinical Care Ministry of Health, Theresa Sikateyo Country Director ICAP, and Angela Taylor, Acting Country Director Equip.

The purpose of CQUIN is to foster a learning network of countries interested in partnering to enhance and accelerate the implementation of high-quality differentiated service delivery for HIV. The ultimate goal is to increase the number of people living with HIV initiating and sustaining highly effective HIV treatment with sustained viral suppression.

 

 

 

Call for Abstracts: 36th Annual Pharmacy Scientific Conference: Shifting Paradigms Towards Pharmaceutical Research in Disease Prevention and Anti-Microbial Resistance

CALL FOR ABSTRACTS : 36th Annual Pharmacy Scientific Conference
SUBMISSION DEADLINE: 12 May 2017  23:59 Central Africa Time
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36th Annual Pharmacy Scientific Conference
Theme: Shifting Paradigms Towards Pharmaceutical Research in Disease Prevention and Anti-Microbial Resistance
15-16 June 2017
Chrismar Hotel
Livingstone, Zambia

The Annual Pharmacy Scientific Conference enables dissemination of current, original pharmaceutical research and practice that introduces new ideas, concepts and understanding in the these four sub-themes:

  • Pharmaceutical Technology and Innovation 
  • Disease Prevention and Health Promotion
  • Rationale Use of Medicine
  • Pharmaceutical Practice and Policy

The Pharmaceutical Society of Zambia Journal Committee and the Conference Editorial Committee will review submitted abstracts and evaluate them based on the following criteria:

 – Direct relevance to the selected sub-theme
 – Scientific merit
 – Submission of a clearly written, well organized and structured abstract

Abstracts should be no more than 500 words and should concisely describe:

 – Background
 – Aims/Objectives
 – Methodology
 – Results/Findings
 – Conclusion(s)

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GUIDELINES FOR ABSTRACT SUBMISSION:

Submission Deadline: 11:59 pm CAT   on  May 12, 2017
Please do not submit an abstract if you are not confident that you will be able to attend the conference and make the presentation.

GENERAL INFORMATION: 

– All abstracts should be in English.
– Incomplete or inaccurate abstracts will be rejected.
– Each attendee may present no more than two abstracts.
– Presenting an abstract is a voluntary effort and attendees will not be paid to present.
Abstract acceptances will apply only to the presenting author. Acceptances are not transferable to co-authors.

ACCEPTED ABSTRACT STYLE:

Title:
Only capitalize the first word, the word following a colon, and all proper nouns and adjectives as shown in the example below. Italicize Latin species names.

Example: Combating antimicrobial resistance (AMR) through improved rational drug use in Chongwe District”

  • The first word of the title should not be A,  An, or The.
  • Spell out acronyms and symbols such as equal, plus and minus.
  • Do NOT use brand names of medications or other products in the title
  • Abbreviations may be used in the title, provided the name in full is outlined in the body of the abstract.

Text:
A concise statement of no more than 500 words describing the:

Background, Aims/Objectives, Methodology, Results/Findings and Conclusion(s)

– Arial, 12pt font, single-spaced and left aligned.
– DO NOT use all caps.
 – Use standard abbreviations only.
– Spell out a proper name in full at the first mention, followed by the abbreviation in parenthesis.
– The abstract title, author names, affiliations and references are not included in the 500 word limit.
– Include no more than five key words in a separate line at of your abstract.

To Submit Your Abstract:

Email it to BOTH:  pjzeditor@gmail.com     and     machihamps@gmail.com 

In the subject line:
– Write the Title of your abstract

In the body of your email include in this order:
– Specific sub-theme
– Oral, or Poster presentation
– Abstract Title
– Presenting Author, institutional affiliation, contact details, including email
– Name and Organisation of Co-Authors in the order they should appear in the Abstract book
– Brief biography (no more than 50 words) of the Presenting Author

PLEASE NOTE:
If after you have submitted your abstract you choose to withdraw your submission, email  pjzeditor@gmail.com     and     machihamps@gmail.com and type WITHDRAWN and the Title of your abstract in the subject line.

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Abstract Evaluation Process and Criteria:

The Pharmaceutical Society of Zambia Journal Committee and the Conference Editorial Committee will review the abstracts based on the following criteria:

  • Direct relevance to the selected sub-theme
  • Scientific merit
  • Submission of a clearly written, well organized and structured abstract
  • Strict adherence to the submission guidelines outlined above

The Committee will notify authors with formal acceptance or rejection notices sent to the email address provided during the abstract submission process.

Note: If your abstract is accepted, the Committee will indicate if it will be an oral presentation or poster.

Dissemination of Abstracts:

Accepted abstracts will be published in the Pharmaceutical Journal of Zambia, June 2017 Edition [ISSN-2520-4327 (Print)] and disseminated to all conference attendees in print format.

PREEMI – Working with Communities to Increase Facility Deliveries

In the densely-populated compound of Chawama in Lusaka, CIDRZ recently presented findings of an assessment that explained reasons why up to 80% of women living in Zone One were choosing not to go to the local health centre to deliver. In attendance at the presentation were hospital staff, community members and representatives from the Lusaka District Health Office.

The Zone One assessment concluded that most pregnant women in this area of the Chawama compound are knowledgeable about the risks and complications of pregnancy and labour, but cultural and religious barriers to early health-seeking and facility deliveries are still strong. Family members, and especially spouses, play a major role in women making decisions about their healthcare, including delivering at a health facility. In addition, the type of service and support a woman receives from the facility provider either motivated or demotivated her to access the health facility in her time of need.

With generous funding from The ELMA Foundation, CIDRZ is conducting a programme called Preterm Resources, Education, and Effective Management of Infants, or PREEMI. The CIDRZ PREEMI team are working with local Safe Motherhood Action Groups (SMAGs) to help sensitise members of the community about important health issues as they relate to pregnant mothers, unborn babies and infants. Using drama performances, one-to-one and group meetings, trained SMAG members explain the importance of early healthcare seeking in pregnancy and labour, and challenge some of the cultural, religious, and healthcare service communication and provision barriers that prevent this.

35 Local Chawama Women Trained as SMAGs

Thus, women in the community with SMAG training can be excellent local resources to pregnant women and their families by providing information, encouraging facility deliveries, and demystifying community perceptions about the health facility. But clearly, good communication skills and care provided by health facility staff to pregnant and labouring women play a major role in the success of this initiative. Moving forward  more community education on the importance of facility delivery targeting spouses, family members, traditional elders and church leaders is required, as well as training and systems approaches to improving the quality of care provided at local health facilities.

During the event, 35 SMAG members based in Chawama were presented with certificates of achievement at the Chawama Mini Hospital.

With PEPFAR and CDC Support, CIDRZ working towards strengthening TB management in Zambia

Photos: Dr Natalie Vlahakis, CIDRZ Clinical Care Specialist;
Outpatients registering for TB screening in Kanyama, Lusaka

CIDRZ, with the support of the United States President’s Emergency Plan for AIDs Relief (PEPFAR) and the Centers for Disease Control and Prevention (CDC) partnership, has been implementing the ‘Scaling-Up TB prevention, screening, diagnosis and care programme by rolling out the WHO 3″I’s strategy in 154 sites in Western, Eastern, Lusaka and Southern Provinces. This strategy entails Intensified TB Case Finding (ICF), provision of Isoniazid Preventative Therapy and TB Infection Control in HIV settings.

To achieve all this, with PEPFAR funding, CIDRZ has this year alone, procured two GeneXpert machines, facilitated installation of five other machines and is maintaining 15 GeneXpert machines in 4 provinces. We are also supporting 3 digital chest x-ray machines in Lusaka. Additionally, CIDRZ is engaged in TB/HIV service provision and linkages: over 352 healthcare workers and 182 Peer Educators have been trained in TB/HIV service provision,” says Dr Natalie Vlahakis, CIDRZ Clinical Care Specialist during the commemoration of this year’s World TB Day commemorated under the Global Theme: Unite to End TB.

CIDRZ programmes are Inclusive 

Since 2010, the CIDRZ TB department has worked closely with Zambia Correctional Services to support entry and exit screening for TB and HIV in prison inmates and remandees, implement the 3’I’s and to provide TB and HIV prevention, care and treatment services in prisons,” Dr Vlahakis added.

CIDRZ also works with the National TB programme in the revision of TB guidelines, manuals and recording tools to strengthen the healthcare interventions against the disease.

Gracing the WTB Day event, Chongwe Mayor, His Lordship Geoffrey Chumbwe said “TB remains a major public health problem hence the World TB Day Commemoration provides a big opportunity to make all Zambians aware about the causes and precautions of TB.”

As a lead up to this WTB Day, CIDRZ provided screening services for inmates at the Lusaka Correctional Facility, as well outpatients at the Kanyama First Level Hospital in Lusaka.

2013-2014 estimates indicate that for every 100,000 Zambians, 455 have TB. The vast majority of TB is curable if found and treated.

Employment Opportunity: CIDRZ ICT Director

ICT Director   –  Reference No. DR/IT/06/03/17

Closing date for applications: 22 March 2017

This position is a direct report to the Chief Operating Officer and provides leading-edge ICT services to the functional units of CIDRZ. S/he leads the ICT team in the delivery of services, supports the computing hardware, networks, and software needs of numerous departments and provides both strategic and operational guidance to the dynamic ICT team.

Main duties

  • Spearheads the development of the ICT Department’s balanced scorecard strategic plan and cascades it to departmental level.
  • Ensures individual balanced score cards for all department members are done at beginning of each year, and performance is managed accordingly by supervisors through the tool.
  • Develops standards and processes that optimise and leverage technology to reduce operational costs and enhance efficiency.
  • Ensures ICT infrastructure is protected by updated BC/DR systems and policies.
  • Negotiates and manages service level agreements (SLA) to ensure full delivery of service provider services.
  • Plays a leading role in the procurement processes of all ICT services, hardware and software.
  • Oversees the implementation of and adherence to the internal ICT policy and other state regulations related to ICT.
  • Responsible for the development and tracking of ICT budgets.

Qualifications

  • Master’s Degree or higher in relevant IT field
  • At least 5 years’ experience at Senior Leadership level with practical demonstrable accomplishments in development, deployment, implementation and maintenance of IT systems
  • Proven leadership and strong management skills
  • Proficient at establishing IT services framework and IT security policies
  • Must possess project and budget management skills
  • Strong grasp and understanding of ICT with forward-looking preparedness of the changing ICT environment
  • Proficient with integrated workflow based financial, supply chain, manufacturing, sales and inventory control systems such as Sage X3, SAP, Microsoft Dynamics
  • Good understanding of wired and wireless networking technologies
  • Highly innovative with knowledge of Linux/Unix, Mac OSX and Windows OS
  • Able to communicate effectively at all levels of the organisation; able to build meaningful internal and external relationships
  • Highly motivated; and able to work independently
  • High levels of integrity, optimism, and good sense of humour
  • Commitment to teamwork and motivation; strong Leadership and interpersonal skills.

Closing Date for receiving applications is  22nd March 2017

Suitably qualified candidates are invited to apply; however only shortlisted candidates will be contacted. Please send application letter and detailed CV quoting Reference Number and day-time telephone number to:

CIDRZ Human Resources Director              PO Box 34681, LUSAKA or email: jobs@cidrz.org