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Partnership Creates Change:
Why one-time educational training
interventions in primary care are just not
enough in rural East Africa
Dr. Maggie Ehrenfried, PT, DPT Development Officer LifeNet International
CCIH Conference June, 2014
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LifeNet International transforms African clinics to provide quality, sustainable care.
Life expectancy = 53 years 14% of children die before age 5 Maternal mortality 5th worst 350 doctors for 8.5 million
BURUNDI
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94% average improvement
in quality of care since beginning of partnership
Less than $ 1 per patient
annually
INNOVATIONINCREDIBLE IMPACT
!
!
45 clinics
850,000 patients/year
6 denomination
s
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Whenever you enter a town…Heal the sick in
it and say to them, ‘The Kingdom of God
ahs come near to you.’
Luke 10:9
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• Nurses make up 50-80% of the health care work force worldwide (PIH, WHO)
0
1000
2000
3000
4000
5000
6000
7000
In Buj
In Rural
4728 in Rural /1229 in Bujumbura
Why Nurses?
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Most Continuing Education
Bujumbura
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LifeNet Trains and Mentors
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Medical Training
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Results in Quality
94%
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Average increase of 42% in pre/post test scores for LN medical training lessons in 2013
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
Jan-13 Feb-13 Mar-13 Apr-13 May-13 Jun-13 Jul-13 Aug-13 Sep-13 Oct-13 Nov-13 Dec-13
Pre/Post Test Score % Change 2013
Results in Knowledge
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• 86% of LN partners increased their patient volume over the course of their LN partnership
• Patient volume increase in first year of partnership
• Monthly average Clinic volume: ~1,580
LN Partner Clinics Non-Partners
52% 30%
Results in Numbers
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Before 44% After 79%
Hand-washing
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Before 62% After 91%
Clothes to Newborns
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Before 29% After 97%
Explaining Treatment to Patients
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Before 79% After 100%
Documenting APGAR Scores
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Before 21% After 97%
Infant Resuscitation
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Behavior
Change
Trust
Majority of Staff On-
site Trained
Personalized Training
Friendship
Language and
Culturally Sensitive Teaching
Why are we effective?
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• Photo
“Guherekeza”
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4
Growth Goals: Vision 2020
10countries
20MMpatient visits*
1,000clinics
4
* per year
* annual
Today
45 Partner Clinics 850,000+ patients*
* annually
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Partnership Transforms Care Walk with us.
10 Countries
1,000 Church-based Partner Clinics
20 million Annual Patient Visits
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Transforming African Healthcare
www.LNinternational.org