reaping mepi investments: post award sustainability in...
TRANSCRIPT
Reaping MEPI Investments: Post award sustainability in Research,
ICT and Health EducationProf JG Hakim FRCP, DSc(HC), PGDipHPE
University of ZimbabweAFREhealth Symposium, Durban, 7 Aug 2018
Outline
• Brief Description of MEPI programmes in Zimbabwe (2010-2015)
• Sustainability of programmes– Department of Health Professions Education– Research Support Centre– Partnerships– Competitive awards
• Challenges• Conclusions
MEPI in Zimbabwe-NECTAR
• Programmatic Award– NECTAR-Novel Education Clinical Trainees And Researchers
programme
• Linked Awards– CHRIS-Cerebrovascular, Heart failure, Rheumatic heart disease
Interventions Strategy– IMHERZ-Improving Mental Health Education and Research in
Zimbabwe
Objectives of MEPI/NECTAR
• Objectives– Capacity
• Quantity & Quality of Health professions education
– Retention• Retention where they are most needed-faculty/rural areas
– Regionally relevant research– Ensure sustainability of MEPI programmes
PARTNERSHIPS
UZCHS
UCD
UCT
UZCHS
SU
UCD
UZCHS
UCLIoPBU
UCT
NECTAR
IMHERZ
CHRIS
UZCHS-University of Zimbabwe College of Health SciencesUCD-University of Colorado, DenverSU-Stanford UniversityUCL- University College London; IoP-Institute of PsychiatryUCT-University of Cape Town BU-Bristol University
Interdisciplinary Implementation of NECTAR Programmes
Medicine Dentistry Pharmacy Nursing Rehab Lab Sciences
NECTAR Programmatic Activities
Improvement of Quality HPE
Research Capacity Strengthening
ICT, Libraries & eLearning
Community-based Education
Partnerships-Local & External
Monitoring & Evaluation
Research Support Centre/Services
• Established in 2010– UZCHS, MEPI, SACORE, NACCAP– Director & staff appointed
• Activities– Research methodology courses– Grants administration management– Research information dissemination– Research policy– Research Admin handbook in
development
• Achievements– 88% of faculty & students access
pre & post award services
• RSC Building construction completed in April 2013
Department of Health Professions Education
• Established in Mar 2013• Space renovated• Allocated chair & staff
– Chair appointed– Support staff appointed– Part time teaching staff from other
departments
• Challenge– Identification of dedicated staff
Monitoring & Evaluation
• Partnership of UCD & NECTAR evaluators
• Build capacity at UZCHS• Conduct surveys & other
activities• Produce comprehensive reports
Acad Med 2016
Sustainability
• Embed activities in the Curriculum and core activities and financing of UZ & UZCHS
• UZ faculty members to continue to compete for individual and institutional grants
• Maintain & enhance partnerships – Established and New
Health Professions Education Enhancements
DHPE
MCSP
FDW
HEALZ
Mentored ClinicalScholars Program
Health EducationAdvanced LeadershipFor Zimbabwe Pgm
Faculty DevelopmentWorkshops
Department of Health
Professions Education
Research Capacity Strengthening
RSC
MRSP
RMW
CRM
Mentored ResearchScholars Program
Research Methodology Workshops
Centralized ResearchManagement Office
ResearchSupport Centre
Stroke Unit-Ward C7
• Established in 2013• Protocols developed• Training of staff• Database established• More than 2000 patients
admitted to the unit by 2017
Cardiac Training & Research Laboratory• Tests
– ECG, Treadmill stress– Echocardiography (+TEE)– Holter monitoring
• Services– Cardiac clinic– Pacemaker implantation– Bronchoscopy
• Research– RHD survey, AF, PPCM, Stroke,
Arrhythmias, COAD
Research Scholars & Faculty
• Mentored Research Scholars Program– 95 fellows/scholars
• 33 undergraduate scholars – 52 CHRIS and – 12 IMHERZ
– Of the 52 CHRIS and 12 IMHERZ fellows– 11 have joined faculty in the departments of Medicine, Paediatrics and
Psychiatry while the rest have now joined the MOH as specialists – All have remained in the country except for 1 who left the country – Applications for the MMed postgraduate training has risen from 123 in
2009 to 210 in 2015– There have been 53 publications in referenced journals
Bidirectional Exchange Programme Residents & Faculty
Year UCDenver
Stanford Univ
Total
2015 4 4 8
2016 13 5 18
2017 7 4 11
2018 7 2 9
TOTAL 31 15 46
• Fully sponsored by partner institutions
• Assists in sustaining specialist training
• Avails Research Mentorship opportunities
ICT
• The Promoting Research through ICT excellence program (2015-2018)-PRICE– RedCAP (Research Electronic Data Capture)– Advanced EXCEL– EPI INFO– R Statistical software– GWAS
Challenges
• Funding needed:– DHPE and RSC to fully implement their strategic plans– ICT equipment maintenance and replacement– New academic programs and initiatives
• Limited opportunities for local training in some specialist areas
Conclusion
• The MEPI award has been a game changer at the UZCHS
• MEPI enabled establishment of a robust health professions education and research capacity foundation
• The UZ and MEPI Programme leaders proactively established structures and synergies which have enabled sustainability of many projects
• Partnerships are important allies in sustainably– Mutual respect and mutual benefit are critical for a
successful collaboration • Competitive awards-PERFECT, Clayton Dedonder
Acknowledgements• PEPFAR/NIH• University of Zimbabwe
– Prof L Nyagura-Vice Chancellor
• UZCHS– Prof Masanganise-Dean– Prof Chidzonga-Former Dean
• NECTAR/CHRIS/IMHERZ Executive– Thomas Campbell– Michele Barry– Edward Havranek– Frances Cowan– Melanie Abas– Sekai Nhiwatiwa
• UCD & UZ Evaluations Centre– Susan Connors– Bonnie Walters– Simbarashe Rusakaniko
• NECTAR Secretariat• Information Communication Tech
– Tungamirai Simbini
• Curriculum Committee Co-chairs– Godfrey Muguti– Christopher Samkange– Eva Aagaard– Bonnie Maldonado
• Mentored Clinical Scholars Program– Kusum Nathoo– Margaret Borok– Nancy Madinger
• Mentored Research Scholars Program– Mike Chirenje– Tsungai Chipato– David Katzenstein
• Faculty Development Program– Eva Aagaard– Midion Chidzonga
• Visiting Professors Program– Jonathan Matenga