PARTNERS IN HEALTH (PIH)

PARTNERS IN HEALTH (PIH) -with Budapest's special correspondent for EconomistEurope.com

.Without Paul Farmer there would be no PIH (and no hope that poor's or your medical world will ever get less expensive?

DIARY OF WHOS MOST EXCITING YEAR IS 2015 

Millennials POP: PIH culture is designed round Franciscan values  (celebrations Dc September, Peru October)

...so without first follower Jim Kim PIH wouldnt be one of sustainability millennials 2 most famous medical networks along side medecins sans frontieres -PIH map of global social more 

..

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EconomistAmerica.com : Where 2030now could see 4000 times more health than 1946? - associate special correspondent EconomistBangla.com 

-RESOURCES AND MILLENNIALS NEXT SOCIAL MOVEMENT

two sustainability world teaching hospitals -mirebalais haiti, coming soon Rwanda (pih is jewel in crown of kagame's national strategy)

world record jobs questions as at may 2015

asia millennials how can asia pacific link in its pih millennials -map needs japan, korea, china to start

africa millennials :will legacy of ebola be enough african nation leaders wanting to partner pih rwanda (more headlines economistafrica)

    • Editors at The Economist discuss entrepreneurial revolution and why Norman Macrae supported Bangladeshi Microfinance ...

probabilities- jim kim has capability post 2018 to keep asia on track

-africa wont get on track unless open education revolution works on this agenda

health ECONOMISTAMERICA.com

what EconomistAmerica knew in 1984

weatern millennials cannot sustain

4000 times more spend on global commns (2030

versus 1946) unless basic universal health becomes 10 times more

economical for youth and parents of youth

 

the way open education is designed will determine

worldwide sustainability of millennials

what's knowable in 2015

online library of norman macrae--

Longer farmer videos 57.30   farmer starts here from minute 29 gies back to why he adopted liberation theology and haiti and trying to understand violence *and farm slavery) in central america in early 1980s

shorter pop 3.19

xMIREBALAIS : New hospital in Haiti proves that aid done right can change lives

Jim Kim alumni networks include: specific to farmer and Partners in Health up to 2012; selected tour of world bank panelists with jim kim; tedx alumni with jim kim; larger compass of world bank live eventsand webinars -coming soon more details on world bank open learning campus

..http://www.pih.org/blog/in-the-company-of-the-poor.

Philosophy of Farmer and Francis

http://openmrs.org/   

 

I suggest that if any economist from adam smith to keynes came back to earth and looked at what conventional macroeconomists have spun since world war 2 and tv era , they would not recognise  what was going on in the name of economics. If there was an oxford union debate on this house believes macroeconomists 1948-2008 became experts in designing the most costly systems on earth, how would you vote?

Global Health Delivery Project at Harvard University

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Zasheem thank you for your merry xmas phone call and news of your visit diary to Dhaka

THE STORY SO FAR

(Open education channels are at a tipping point- they provide millennials (especially girls and poorest) opportunities to action and learn what neither they (nor their teachers) have ever been permitted to spend time on before. Ultimately this agenda is referred to in last paragraph of this UN report calling for 2015 to be biggest bottom-up change year ever if sustainability is achieved by millennials )

2015's STORY

Does BRAC have a team/process linking it in with the 5 people that millennials most need to learn work with first?  

 
 
image
 
 
 
 
 
2030now ebola kim OR farmer OR soros OR fazle - Google...
Search Options Any time Past hour Past 24 hours Past week Past month Past year All results Verbatim About 4,870 results how, who-what can empower mi...
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Sir Fazle Abed is the number 1 person from the eastern hemisphere whose knowhow millennials (especially girls and poorest) need access to. Over 50% of poorest millennials still grow up in the East.

Right now, out of Africa Ebola has made Jim Kim, Paul Farmer, George Soros three of the other top 5.  (see footnote)

Is Sir Fazle in continuous operational contact with these people as much as need be for BRAC to be most trusted and largest NGO of millennials world?

Unless sir fazle is already operationally connected, such a worldwide collaboration (open learning campus)  team would need to be charged with different hi-level responsibilities than fund raising or issue mediating . Of people I have ever met Naila Chowdhury as informal open learning ambassador would be most able to follow up any connections with these leaders on sir fazle's behalf.  Its what Fashion4Development exists for in linking in her first 20 years of partnerships with poorest village mothers and mobile tech leaders. In January first ladies in Kenya are demanding her connections.  She is also concerned with continuity at the top of the ITU - the retiring Toure family from Mali would fully understand this note, the incoming Chinese staff member may not

Who Most Values Millennials in 2015

Why Sir Fazle, Goerge Soros, Jim KIm , Paul Farmer...?

This is because reporting from West Africa Jim Kim has announced 9 December 2014 a change in world bank policy while he presides- poorest countries served by world bank will be offered community heath training in priority to any other economic aid.  Liberia backed by a hi-trust female leader, Soros and bottom up networks like BRAC had included poorest in star 10% annual growth performance.  But Ebola has proved how unsustainable that was without health valued as being the most trusted of all grassroots service networks

How to do this out of West Africa and Haiti is 2015's most urgent millennial sustainability challenge  (PIH  base with Mirabelais was launched as the number 1 teaching hospital of health for the poorest Budapest Summer 2013) - Open education at all age groups can be the channel that frees collaboration and girls' most purposeful livelihoods. BRAC's interfacing  in both West Africa nd Haiti is desperately needed now because it has longest learning curve of all in para-health community service and unlike pih, BRAC knows how to bank on earning opportunities through every communty it links in

 

 
 
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Partners In Health
Partners In Health is a global health organization relentlessly committed to improving the health of poor & marginalized people.
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What every teacher and child from 9 up needs to know for 21st C sustainability is : healthy societies generate strong intergenerational economies not vice versa, #2030now

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2 Greatest disasters possible to orbit out of end 2015

IF the opportunity to lead 21st C global social value of health through open education channels will be lost-elearning will be filled up with the same mindless stuff as mass tv channel age mediated

SECOND EMERGENT DISASTER IS LIKELY TO BE

USA will decide to look south to the exclusion of east. Only positive leadership from the east can prevent this 2 hemisphere scenario from chaining all millennials in loss of sustainability

Unfortunately what youth in the west needed to learn from Bangladesh's first 45 years has been completely mistaught due to microcreditsummit PR. Microeducation summits celebrating 4 hemisphere youth understanding are needed post 2015 if the UN report is to be the basis for real social movement not coroprate greenwashing and the sort of european politics the pope has recently described as fit for haggard infertile grandmothers

chris macrae dc region 301 881 1655   skype chrismacraedc

 
Jacqueline DePasse
Replied at 9:24 AM, 13 Dec 2014

Jacqueline DePasse here with live updates on the MGH CAMTech Ebola Hackathon. Follow us on Twitter at #HackEbola. 

The weekend starts off with David Bangsberg introducing Elizabeth Bailey, director of CAMTech. She spoke about the urgency of this issue, and our ability to make a difference with the powerful minds coming together. She ended with a Japanese proverb, "None of us is as smart as all of us."

Next, Dr. Hilarie Cranmer, Director of Global Disaster Response at the Center for Global Health, speaks about the MGH response to Ebola. She says “Ebola is a treatable disease. If you are identified early and get treated with a hydration, you have a 10-20% chance of dying. That’s better than an 85 year old with the flu…but we are also seeing 90% mortality in patients who don’t get early access to care.” MGH has volunteers in many countries in West Africa.

Attached resource:

 Jacqueline DePasse
Replied at 10:10 AM, 13 Dec 2014

Mr. Rabih Torbay, the senior vice president of international operations at International Medical Corps, shows a film about the challenges of working in West Africa. "We have doctors, we have nurses, but we need ideas." International Medical Corps has two Ebola treatment centers in Liberia and two in Sierra Leone, and is setting up a fifth Ebola treatment center in Mali. 

Deborah Wilson, RN with Doctors Without Borders speaks after returning from Liberia, where she was working at a 120 bed Ebola treatment unit. She speaks about a day in the life of an Ebola treatment center, where she worked at the epicenter of the outbreak after receiving 30 minutes of PPE training. She discussed many issues, including: families thought that the healthcare workers were stealing organs because they couldn't see the bodies of their loved ones; batteries didn't work most of the time; the vital role of the social workers and mental health professionals; the ethical issues with mothers and babies, "I was delivering babies to sixteen year old women who were dying of Ebola"; trying to put in IVs double gloved; the stigma of patients who were cured but no longer accepted by their community; constantly changing scrubs after they became soaked with sweat; when spraying chlorine to disinfect patients, patients thought they were being sprayed with Ebola; local healthcare workers not yet being paid by the Ministry of Health because of decompensation of the healthcare system. She received a standing ovation from the crowd. 

Dr. Michael Callahan, Infectious Disease physician at MGH, discussed the technology and process gaps in Ebola Clinical care. "The African to African response should not go unacknowledged" However, our problem is that we have centralized our assets. We are moving from high concentrations of patients in city centers to smoldering rural infections which are much harder to treat...Understand that you are not just here for Ebola, you are here for post-Ebola demise.

 Jacqueline DePasse
Replied at 10:56 AM, 13 Dec 2014

Dr. Miriam Aschkenasy takes us through some of the challenges of donning and doffing of PPE. There have been many instances of syncope, or passing out from the heat. She demonstrates the danger of cleaning up vomit, which has a high viral load. She describes the challenges of monitoring a patient without the ability to use a stethoscope and in an environment where power/batteries work inconsistently. She points out that PPE creates an artificial barrier that reduces the "human touch," which can be as important as IV fluids to reducing stigma and optimize healing. 

The last keynote speaker is Elizabeth Johansen, the director of product development at Design that Matters, as she discusses human-centered design using Firefly, a low-cost UV lightbox for neonatal jaundice, as an example. In design, step 1 is to create a Focus problem statement; start with a need, think about the users, and be inspired by the broader context. For Ebola, that might mean "local healthcare providers working in remote, rural clinics with intermittent power, and wearing restrictive PPE need an intuitive, rapid Ebola diagnostic that cost less than $10/test, requires no more than a finger prick of blood, yields results in less than 1 hour, and keeps patients and workers safe during testing, waiting for results and disposal." Step 2 is Insight, which includes asking stories to place the problem in context, showing pictures of the place, and creating a product map of the user experience. Step 3 is Prototype, or creating a tool for answering a critical question. The prototype should address the stakeholder desirability, the technical feasibility, and the financial viability.

 Jacqueline DePasse
Replied at 12:24 PM, 13 Dec 2014

We start the pitches, here are some highlights (just a few out of many):

-adding a drink holder to PPE with a long straw or a camel-back/cooling jacket to hydrate the healthcare workers-->edit: these have been tried but it is difficult to not disrupt the integrity of the PPE ventilation systems
-wireless/bluetooth patient data monitor
-using traditional healers as agents of healthcare delivery
-water resistant electronic medical record device
-increasing facial visibility within PPE for increased rapport between patients and healthcare workers
-solar power for electronics and battery charging systems
-automated triaging systems on mobile phones
-local production of safe IV fluids 
-using UV light to identify bodily fluids
-reducing isolation of the sickest patients
-creating a traveling ebola unit
-training local healthcare workers
-low tech 911 system

Keep the ideas coming!

Khan academy announces development of free mcat (medical college admission curricula ) 
Blum centre homepage on health and poverty curricula across americas - how can we make more connections with blum
thanks chris macrae

BOSTON — Among the groups on the forefront in the international effort to address the Ebola crisis in West Africa is Boston-based Partners in Health (PIH). The group is promising to keep staff and volunteers in Liberia and Sierra Leone for several more years to fight Ebola and address other public health concerns in those countries.

Helping to lead the PIH initiative is chief nursing officer Sheila Davis, who returned to Boston earlier this month and remains largely confined to her home in Roslindale.

She joins Morning Edition Wednesday to talk about how the ongoing crisis reveals how vital public health infrastructures are.

Interview Highlights

Sheila Davis: Many times more people are dying, not because of Ebola, but because of this weakened health system. So even the facilities that have been open to provide care for other things — such as malaria, safe child birth — those in most counties are closed. So more people are dying, because they’re not being able to get health care for other, non-Ebola reasons.

A lot of the attention to both countries has been just treating the acute Ebola. But, if we don’t work at the same time to build up this system, we’re going to see these acute outbreaks or hotspots for quite a long time.

On whether PIH had any idea how serious the Ebola outbreak would become: 

SD: I don’t think we did. The first cases we heard about in probably March, April or May. Like all of the other previous Ebola outbreaks, the thought was it would show up and it would be quickly gone and a few hundred cases would be there worldwide, and we would stop hearing about it very quickly.

And then, during the summer, when we were hearing more and more about cases being found in Liberia, Sierra Leone, Guinea, we had two smaller nonprofits that we worked with in those areas, and we had been in contact with them. And they, as well as the governments of Liberia and Sierra Leone, asked us to come in and help.

On whether an opportunity was missed early on to stop the Ebola outbreak near its beginning:

SD: I think when we look back there were a lot of opportunities where interventions or things could have happened where this could have changed the outlook of this.

Chronically, the World Health Organization is not well-funded. We don’t really have, I think, a global approach to health in a very proactive way. Areas where outbreaks have taken place, they are places where there’s little to no health care that’s available.

If we had spent a lot of the money that we’ve spent now fighting this two years ago, three years ago, and had this health system be built in a very different way, this outbreak, I’m sure, would be nothing like it is now.

On whether she sees progress after these many months:

SD: Liberia — there’s certainly progress. We certainly have seen declining cases. Over the past few days there has been a small hotspot that’s appeared in Liberia — 49 cases over the past 10 days or so, which is very worrisome. In Sierra Leone, I have to say, it’s been very, very challenging. The epidemic has taken a different course there, and we’re continuing to have hotspots in different areas around the country at the same time.

Atlanta May 2015 millennials for health education and open tech - main host muhammad yunus -partner  in series of nobel peace summits atlanta nov 2015, rome 2014. warsaw 2013

1 

...part of discussion between

atlanta tokyo dc

dear hiro
I got a phone call today from BHUIYAN - yunus man in atlanta
as well as nobel summit in november, bhuiyan is fully responsible for may conference details attached
he is asking that I reintroduce the two of you by email; this is fine by me if it suits you though currently I believe the best thing for medical millennials who wish to impact end of poverty is wide distribution of kim and farmer and abed's knowhow as it impacts community health training capacity in poorest places
its not clear to me how connections through yunus add to rapidly celebrating this particular open learning revolution- of course there are many other areas of medical millennials work but I have no ability to analyse whose leading these once they get outside the areas kim, farmer or abed are interested in 
happy 2015 chris
----- Forwarded Message -----
From: Mohammad Bhuiyan <atlantanobel@gmail.com>
To: christopher macrae <chris.macrae@yahoo.co.uk> 
Sent: Saturday, 29 November 2014, 14:29
Subject: Pre Summit May 10-13, 2015

Please see attached. 
Thanks.
Mohammad Bhuiyan, Ph.D. 
CEO, Atlanta Summit Organization for the Nobel Peace Laureates
President & CEO
Yunus Creative Lab, Inc. 
404-441-7881
Attachments:

The focus on developing health literacy initiatives is crucial in improving health care delivery, but enhancing patient knowledge must lead to engagement and action in order to improve health outcomes. While many tools exist to aid providers in ensuring patients have a better understanding of their health conditions and treatment options (see our previous Expert Panel on implementing health literacy initiatives), many providers and practices lack the ability to determine if that increased knowledge will lead to action.

Fortunately, tools like the Altarum Consumer Engagement (ACE) Measure, Patient Activation Measure (PAM), ReEngineered Discharge (Project RED), and the Merck Adherence Estimator are available to measure patients’ management of self-care post clinical assessment. The development of these and other tools can better measure the effectiveness of health literacy initiatives and ultimately improve health outcomes.

In this virtual Expert Panel, panelists will share their experiences using these and other methods of measuring the effectiveness of health literacy in enabling patient self-care and navigation of the health care system. We are please to welcome our panelists for this discussion: 

• Tom Bauer, MBA, RT®, HFA - Corporate Director Health Literacy and Patient Engagement at Novant Health
• Heesun Chang - Senior Manager of Business Intelligence at Sanofi 
• Chris Duke, PhD - Senior Analyst with Altarum Institute’s Survey and Patient Engagement Research Group
• Wendy Lynch, PhD - Director, Altarum's Center for Consumer Choice in Health Care
• Bruce Sherman, MD, FCCP, FACOEM - Medical Director with the Employers Health Coalition of Ohio

Our panelists will offer insight into the following questions:

1. What kinds of efforts have you implemented in your work to bridge the gap between health literacy and patient engagement? 
2. How do you address the obstacle of time in patient education? In what ways is technology leveraging the transfer of knowledge?
3. What are the specific patient engagement outcomes you are looking for as a result of health literacy initiatives? Patient satisfaction, adherence to treatment plans and self care, etc?
4. What are the best methods for measuring patient engagement? What kinds of metrics or indicators do you find most informative?
5. What changes have you implemented in your practice to support patient involvement? How do you ensure these are sustainable? 

This panel is part of our US Communities Initiative, which is supported by the Agency for Healthcare Research and Quality (AHRQ), and aims to foster discussions between health care professionals on evidence-based practices, and translating these practices across disparate settings, to improve health care delivery in underserved populations in the US.

In an effort to understand the impact of our Expert Panels, we’ve created a short (4 question) survey. Your responses are greatly appreciated—please take the survey before the discussion begins: http://www.surveymonkey.com/s/H56BCB5

We look forward to a rich discussion next week – please join the conversation and share your questions or comments!

 

interesting

Community moderators

Inge Corless - MGH Institute of Health Professions School of NursingSheila Davis - Massachusetts General Hospital - MGH; Partners In Health - PIHElizabeth Glaser - Brandeis University; Global Nursing CaucusMaggie Sullivan - Boston Health Care for the Homeless; Global Nursing Caucus; Partners In Health - PIH; University of California San Francisco - UCSF
You may use this brief for informational, non-commercial purposes with credit attribution: The Global Health Delivery Project, GHDonline.org, Nov 16, 2011. Please see our Terms of Use for more information.

Nurse Mentoring Program for Quality Improvement

Added on 16 Nov 2011

Authors: By Anatole Manzi and Sophie G. Beauvais

The 64th World Health Assembly held by the World Health Organization in May 2011 reaffirmed the crucial contribution of the nursing and midwifery professions to strengthening health systems and recognized the need to support nurses and midwives through coordinated training and human resources programmes. (Sixty-Fourth World Health Assembly. Agenda item 13.4. WHA64.7. 24 M...) Implementing nurse mentoring and quality improvement initiatives is an important strategy to improve care, particularly in sub-Saharan Africa where patient care is being shifted from physicians to nurses, especially in HIV care and treatment (Kanchanachitra et al. 2011).

In 2010, Partners in Health in Rwanda/Inshuti Mu Buzima started a collaboration with the Ministry of Health in hospitals in two rural districts to create the Mentoring and Enhanced Supervision at Health Centres (MESH) program. This program aims at strengthening clinical service delivery through ongoing clinical mentoring of nurses, continuous quality improvement initiatives, and decentralized training of nurses. Led by Manzi Anatole, Director of the MESH Program, this expert panel discussion focused on clinical mentoring initiatives for nurses and touched upon issues ranging from monitoring and evaluation to integration in the health system.

Key Points

  • The classic definition of a mentor is someone with expertise but also who is able to bring about personal guidance beyond the technical including professional development, life skills, and other areas.
  • The skills of mentoring and coaching are not usually taught in pre-service training or in lectures.
  • Consistent and thorough documentation and record keeping is needed to support quality improvement initiatives.
  • Mentoring contributes to nurses’ professional development by teaching skills in new areas and encouraging growth. Mentoring has the potential to sustainably contribute to high-quality clinical care (WHO 2005).
  • A mentoring approach that leads to improved quality of care must focus on both individuals through side-by-side teaching and on systems through supportive supervision.
  • In addition to the tailored clinical training, mentors need to receive hands-on training in supportive supervision techniques, approaches to adult learning, and implementing Continuous Quality Improvement models.
  • Mentors need to be trained on how to use existing data sources/reports to inform their mentoring interventions. They can then teach their nurse mentees how to effectively utilize data to improve patient care.
  • Mentors should provide regular feedback to their mentees, supervisors and stakeholders. Similarly, mentors should receive regular feedback from these parties.
  • Local and national government bodies should be involved early in the process of designing and implementing a mentoring program.
  • Lack of management skills has been shown to affect mentoring and training outcomes. Thus, training health center managers could sustain improvements brought about through clinical mentoring. (Rowe et al. 2010)
  • Nurse attrition rates and lack of motivation have been identified as challenges to implementing mentoring programs at health centres. The WHO proposes the following measures to address this challenge: recognition schemes, performance management, training and professional development, leadership, participation mechanisms, and intra-organizational communication processes.
  • In Rwanda, nurses receive basic training in secondary school and some pursue additional training in post-secondary institutions. Traditional efforts to support ongoing nurse training have included costly centralized training workshops and sporadic supervision visits, which are often consumed by data collection and reporting.
  • MESH mentors, who are higher level Rwandan nurses and part of the district hospital team, make monthly visits to health centers to provide one-on-one mentoring during patient consultations, lead teaching sessions, and help to identify and address operational and facility issues with the health center staff.
  • One challenge identified is the reliance on short-term visiting mentors which does not always prove very effective over time due to intermittent contact and lack of knowledge of the local context by mentors.
  • Clinton Health Access Initiative: The Ministry of Health of South Africa has recently produced a manual called "Clinical Mentorship for Integrated Services" (January 2011. PDF), which lays out the national policy on clinical mentorship. It defines the qualifications of a mentor and more importantly the clinical competencies that must be met by the mentees. Mentors grade mentees on competency, and mentees grade themselves on confidence to perform a task or apply specific knowledge.
  • In the U.S.A., there is little emphasis on coaching and mentoring in nursing programs.
  • I-TECH (International Training and Education Center for Health) built an intensive clinical mentoring component into its advanced training provided to nurses. Some challenges were met when transitioning mentoring to local or regional sites. At I-TECH, mentors support and encourage the collection, review, utilization and integration of data that includes not only clinical information but systems challenges identified by the staff, administration and/or mentors. They work closely with staff to review the information collected and help them recognize and understand the importance of the findings and how the information directly impacts the care provided.

Key References

Enrich the GHDonline Knowledge Base
Please consider replying to this discussion with the following information

  • Share details about the implementation of a nurse mentoring program at your health center or organization.

Download: 11_16_11_Nurse_Mentoring_Prg.pdf (89.8 KB)

extraordinary work of www.pih.org 

ee Our Impact http://www.pih.org/priority-programs/ebola?subsource=homepage_take_... 

Jan 14, 2015

Recruiting Ebola Survivors in Sierra Leone

Dec 22, 2014

Updates from West Africa

Nov 25, 2014

Ebola Stems Economic Growth in Liberia and Sierra Leone

Nov 21, 2014

In Liberia, Rapid Response Teams Look to Get Ahead of Ebola

Nov 14, 2014

Treating Ebola in Port Loko Town, Sierra Leone

Nov 05, 2014

Count Survivors: Survivors Count

Oct 16, 2014

Dr. Paul Farmer: ‘An Ebola Diagnosis Need Not be a Death Sentence’

Oct 11, 2014

Need to Know: How Contact Tracing Can Stop Ebola

What is contact tracing?

Contact tracing is a simple concept that is vital to stopping the spread of deadly infectious diseases such as Ebola and drug-resistant tuberculosis. When a patient is diagnosed, community health workers will speak with the patient to learn who may have come into contact with him or her and been exposed. A community health worker will then travel to screen the family members, friends, or neighbors to make sure they’re not infected. If one of these contacts is presenting symptoms, he or she will be accompanied for further evaluation and monitoring.

Why is it important?

The status quo in the public health world is “passive case finding,” or, in other words, waiting until a patient is sick enough to seek care on his or her own. As we know, poverty, lack of transportation, stigma, and countless structural barriers prevent patients from doing this, which results in delayed—or no—access to care.

PIH has long championed the opposite approach: “active case finding.” Contact tracing, one component of an active case finding strategy, is a cornerstone of any well-coordinated health system. It helps us diagnose patients earlier in the course of their illness, improving the likelihood that they will be cured and reducing the chance they’ll infect others.

Contact tracing also helps usbetter understand the social determinants of a patient’s illness. A community health worker may notice that the family of a drug-resistant TB patient is living in a crowded home with no windows or has very little access to food. If that’s the case, the health worker can determine how best to provide the necessary social support—renovating the house or helping the family start a kitchen garden—in addition to delivering clinical care.

Can contact tracing help stop the spread of Ebola?

Contact tracing is key to stanching the Ebola outbreak in West Africa. Our partners Last Mile Health in Liberia and Wellbody Alliance in Sierra Leone have community health workers on the ground presently conducting contact tracing. Partners In Health will help them strengthen their work and link the patients they are finding with Ebola Treatment Units so they get the care they need.

Contact tracing is especially important with regard to Ebola because if we can find patients early in their course of illness, before they’re vomiting or suffering from diarrhea, we can significantly reduce the risk of exposure to family members and community health workers.

That said, we are aware of the risks health workers face in doing this work, and we are working to ensure they have proper protective equipment, proper training, and proper support. We are also committed to working with local health workers who understand the cultural context and are trusted in the communities they serve.

Is contact tracing the only way PIH finds patients who may need care?

No. It’s important to note that contact tracing is just one part of our active case finding strategy. As mentioned above, active case finding is central to PIH’s mission and it’s critical for several reasons, including the fact that many patients are too sick to seek care and would be connected to the health system if it wasn’t for dedicated community health workers.

In addition to contact tracing, PIH conducts active case finding in many different ways, and not just for sick people. At PIH sites in Lesotho, for example, specially trained maternal health workers make monthly door-to-door visits to see if women may be pregnant. If a woman has had morning sickness or her menstrual cycle is late, she will be accompanied to a nearby clinic for a pregnancy test that day. If she’s pregnant, she’s enrolled in a comprehensive maternal care program that provides ongoing clinical and social support.

How do you know you’ve screened everyone who needs to be screened?

Often we don’t. That’s why contact tracing is just one part of our comprehensive approach to active case finding. It’s also why PIH is committed to hiring health workers from the communities we serve.

Oct 08, 2014

Training for Ebola: An Interview with PIH’s Dr. Sara Stulac

Oct 07, 2014

JAMA: ‘The Ebola Outbreak, Fragile Health Systems, and Quality as a Cure’

Sep 24, 2014

Ebola: Countries Need ‘Staff, Stuff, and Systems’

Sep 19, 2014

Ebola: A Call to Action from PIH’s Dr. Joia Mukherjee

Sep 11, 2014

Partners In Health Ebola Response

Sep 02, 2014

Drs. Paul Farmer and Jim Yong Kim: What’s Missing in Ebola Fight

Sep 01, 2014

Key Principles on the Ebola Response

Aug 15, 2014

Dr. Paul Farmer Discusses Ebola Outbreak with PRI’s The World

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abby , divya  friends of empowering womens health and development of sustainable nations /youth

-my washington dc neighbour naila Women4Empowerment will be in kenya first 3 days of next week speaking to first lady of kenya about what health and financial inclusion info to beam down first to rural mothers through nanocredit mobile partners or elearning satellite YAZMI or with other leaders of ITU  - if ypchronic or other boston youth partners in health inspired movements etc have some info or womens empowerment networks naila should know about pls mobile phone or text her at 202 777 3637 this week

we are extremely sorry we havent got to boston yet since your wonderful june 2014 celebration at Weill NY- 20 years ago mobile women empowerment partnerships were started by open tech wizards now in boston

chris macrae bethesda 301 881 1655 partners in publishing world record job creators

 do you also know lauren galinski - we met when she was chief  youth connector of peters microloan foundation one of only 2 microcredits I fully understand/value in africa -the other being Jamii Bora Bank | Jamii Bora, Tunaamini ni Wakati Wako still the benchmark of microcredit run by youth as far as I can search

==============================================

previously paul farmer recommendation budapest 2013 see mirabelais

Thank you for joining us for the Celebration of Partnership ceremony at Hôpital Universitaire de Mirebalais. 

Important Background Haitian Embassy – U.S.A – www.haiti.org Encyclopedic Background - http://en.wikipedia.org/wiki/Haiti LANIC – Academic info - http://lanic.utexas.edu/la/cb/haiti/ Emergency Contacts: During your time with us in Haiti, you will be hosted by a member of our PIH/ZL staff who will be your main contact person. If this person becomes unavailable, and there is an emergency, please contact: Haiti: Cate Oswald (coswald@pih.org) – +509 3701-7436 Daniel Eisenson (deisenson@pih.org) – +509 3170-2781 Ali Lutz (alutz@pih.org) – +509 3125-7149 Loune Viaud (lounehaiti@aol.com) – +509 3687-7382 Boston: Kyla Ellis (kellis@pih.org) – (360) 909-3810 Lauren Galinsky (lgalinsky@pih.org) – (617) 998-6512

 

 

 

Outlined below is essential information to help visitors prepare for this trip. If you have any questions, please do not hesitate to contact Laura Soucy (HUMevent@pih.org) or (617) 998-0196. Please complete a Visitor Release Form (available at http://www.pih.org/hum-event) before your departure to Haiti and submit it along with your flight itinerary via email to HUMevent@pih.org. As the ceremony approaches, we will send a more detailed event schedule to all attendees. Important Medications and Immunizations See your doctor as soon as possible to allow time for inoculations to take effect. Check with the CDC for vaccination recommendations and updates: http://www.cdc.gov/travel/caribean.htm. Hepatitis A and B and Typhoid are required, and the Rabies vaccine is recommended. Boosters for tetanus-diphtheria and measles may also be necessary depending upon your last immunization. For Malaria prevention, Chloroquine is the recommended and it must be taken one week prior to departure, during your trip, and for 4 weeks after you return. Proper dosage information can be provided by your physician. You may also want to bring Cipro, Immodium, Dramamine, Pepto Bismol or other related medicine for motion sickness. Clothing and Dress Haitians wear business-style clothing during the work day, and reserve casual clothing for outside of work. Shorts are not worn by Haitian men or women. Please be mindful of this when packing. April marks the start of the rainy season in Haiti, so please come prepared for wet weather and mud. Temperatures throughout the day are hot, often reaching the mid-90s, but nights, especially in the Central Plateau, cool down significantly, so a long sleeve shirt or light sweater is recommended. Packing List Cash in small bills (USD widely accepted) Passport Sneakers Shoes/sandals that can get wet Raincoat/poncho/umbrella Sunglasses Sunscreen Bug spray Hat Refillable water bottle Toiletries Towel Earplugs Flashlight Camera and extra memory Extra batteries for electronics Wetnaps/face wipes/hand sanitizer No electrical adapter necessary Arrival/Airport Upon arrival, a PIH or Zanmi Lasante (ZL) representative will meet you at the airport outside of customs. If you have any problems getting through customs, call Daniel Eisenson: +509 3170-2781. Do not take a ride from a taxi driver or anyone else you do not know. Ride with ZL arranged drivers ONLY. If you have your own transportation arranged through a private security firm, please let Laura Soucy know for planning purposes.Safety and Security All travel related to the Celebration of Partnership ceremony will include PIH or ZL accompaniment. We ask that you not explore the area or venture off the hotel property after dark. Exceptions to these rules will only be made in the case of an emergency. Although we venture to work in a way that keeps our employees and visitors out of harm’s way at all times, there remain security risks for visitors to Haiti. If at any time you are confronted, surrender valuables, defer to Haitian staff/native speakers, and remain calm and non-threatening. Accommodations Karibe Hotel in Port-au-Prince: Accommodations include private rooms with bathroom and shower facilities. Meals will either be served at the hotel or arranged at one of the PIH sites. Bottled water will be provided throughout the trip – please avoid drinking tap water at all times. Wireless internet is available at The Karibe and all functional PIH sites in Haiti, but can be temperamental at times. PIH/ZL will provide transportation from Port-au-Prince to Mirebalais and back, as well as to and from the airport. Communication Viber (www.viber.com) and Skype (www.skype.com) are the best options for voice communication, although cell phone service is available in many parts of the country and coverage in Mirebalais is very good. Make sure you contact your service provider if you plan to use your personal phone in Haiti. To make calls from Haiti to Boston dial 001+Number, and the country code for Haiti is 509. 

Log of Boston Millennials starting 2008- Lautren Galinski

Other 

International Procurement Specialist

Partners In Health
June 2014 – Present (8 months)Boston, MA
Partners In Health

International Operations Coordinator

Partners In Health
December 2012 – June 2014 (1 year 7 months)Boston, MA
Partners In Health

International Operations Assistant

Partners In Health
December 2011 – December 2012 (1 year 1 month)Boston, MA
Partners In Health

Procurement Assistant

Partners In Health
June 2010 – December 2011 (1 year 7 months)Boston, MA

Supply chain management support for a network of hospitals and health care facilities in 4 countries - Haiti, Rwanda, Malawi, and Lesotho, including clinical and IT procurement, logistics, and operational/programmatic support. 

www.pih.org

John Snow, Inc

Program Coordinator, AIDSTAR-One

John Snow, Inc
January 2010 – June 2010 (6 months)Washington D.C. Metro Area

Created and implemented systems to manage timely completion of HIV Prevention deliverables and accurate reporting to USAID

Liaised with diverse and competing stakeholders to plan and coordinate international Technical Conferences

www.aidstar-one.com

Program Assistant and Executive Assistant to Erica Ariel Fox

Mobius Executive Leadership
August 2008 – December 2009 (1 year 5 months)Greater Boston Area

Supported an international team of program managers, trainers, and consultants to ensure the success of a variety of professional skills training, coaching, organization building, and personal mastery client engagements. 

www.mobiusleadership.com

Program Manager, Small Change Big Changes

MicroLoan Foundation
February 2008 – May 2009 (1 year 4 months)

Developed curriculum for high schools on topics of global poverty, social justice, and microfinance
Hired and supervised student interns who educate and fundraise in high school classrooms and clubs.

Traveled to 7 field offices in Malawi to conduct interviews with loan officers and clients; observed loan group training, loan repayment and disbursement meetings; consulted loan groups about loan products & services.

www.microloanfoundation.org.uk

International Disaster Response Volunteer

Hands On Disaster Response
December 2008 – January 2009 (2 months)Gonaives, Haiti

Volunteered for two weeks in Gonaives, Haiti following a series of hurricanes, working with a local and international team of volunteers and employees. 

Cleaned mud and debris from homes, built and installed wells, and tested water samples from newly installed wells.

www.hands.org

Marketing Intern

cMarket, Inc
February 2006 – May 2006 (4 months)

Registered accounts for non-profit training; followed-up with clients to assure satisfaction with services
Acquired new clients for online auction services by communicating with national non-profit organizations

Charity Fundraising Auctions for Schools & Nonprofits | Bidding...

 

From: Desiree Neufeld via GHDonline <yp-chronic@>
To: chris macrae <chris.macrae@yahoo.co.uk> 


Desiree Neufeld replied to a discussion in Young Professionals Chronic Disease Network:

Greetings Everyone,

The 'YP Speaks' session today has been rescheduled.

Please note the updated time: Wednesday, February 4th from 12-12:30pm EST.

This date, World Cancer Day, will present a great platform for Mellany Murgor to lead us in conversation regarding NCD action in Kenya. Visit our Google Plus event page (https://plus.google.com/events/ctv86krqqf62vjulfs75ojscukk ) or connect with ypchronic@gmail.com to receive an invitation to the YP Speaks Hangout. See you Wednesday!

Best, 
Desiree Neufeld
'YP Speaks' Coordinator

--

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some health modeling from grameen america is attached

Shelly, Naila everyone IN DC- this is fantastic news shelly "shall be in the US March 10- 25 this year. I am on the Paedatric Advisory Committee of TB Alliance so must attend the board meeting, among other meetings and will also visit DC, invited to do a presentation on TB to the US Senate and the US House of Representatives, if finalised". 
 
Mostofa regarding tokyo or other japan university or embassy health millennials exchanges at most urgent networks like BRAC villages  please tell me/us at any future time if you need more info 
Shelly I think yazmi.com  elearning satellite friends headquartered over here can be a few weeks away from a process where disease by disease for the poorest we identify who knows most to share at grassroots level of efficacy and joy. Naila who is making/linkimg the leadership visits across Africa, Americas and first ladies networks to doublecheck that (her firends include top people at itu concerned with maternal or infant health 
Keynsian economists dream editorial panel for many village diseases of poorest would be farmer, kim, sir fazle abed, soros- but who's yours?
 if you like what khan academy has started to do one experiment of at a general knowledge level https://www.khanacademy.org/test-prep/mcat it seems high time to do for extreme local poverty situations. TB seems to me the simplest nomination process of who millennials of global social health would like to MOOC with first .. 
Dr Ranga and Sunita do a lot of work out of India; I am not sure whether they have contacts in medical education
I expect other people have lot more info on who's who of ending diseases of the poorest. Ideas on how to link this in always welcome.  I guess James was the first person who started changing DC from a worst in world capital for linking this in to best but I am just a statistician with no medical knowhow- happy to learn. It amazes me how DC got the wrong end of every bottom up stick by launching microcreditsummit in 1997 instead of microhealth summit as the practice area whose attainment of impact goals is easier for worldwide female millennials to track first. I have always wondered why LB and google.org didnt change this with a FaceHealth at its founding in 2004 
chris macrae bethesda  us 1 240 316 8157



----- Forwarded Message -----
From: Shelly Batra <shelly.batra@opasha.org>
 
Sent: Saturday, 31 January 2015, 2:28
Subject: Re: millennials of grassroots health training and global social value of health connectionsRe: Important Updates on Japan Exchange

Dear Christopher,
Delighted to get a mail from you! Thank you for all the updates.
You will be happy to know that this month I have been invited by the prestigious  IIM ( Indian Institute of Management ) to do another TED talk. I shall share the link soon.
About Operation ASHA. Though we had been getting summer interns for the past several years from the best colleges, including Ivy league universities, this year marks a new beginning. We are accepting students for Medical electives from Med schools, and also for a proper structured internships. Here, interns and medical students will get an all encompassing knowledge of Global health, with plenty of lectures, field visits, visits to hospitals all added to the curriculum. Right now I have an Intern from Dartmouth College, and a med student from Imperial College london will be joining in 2 months. 
So if any one is interested in exploring opportunities with OpASHA, please get back.
I shall be in the US March 10- 25 this year. I am on the Paedatric Advisory Committee of TB Alliance so must attend the board meeting, among other meetings and will also visit DC, invited to do a presentation on TB to the US Senate and the US House of Representatives, if finalised. 
I will be delighted to meet and discuss further.
Yours, in His work
shelly
=========================related from friends of PIH

On Sat, Dec 20, 2014 at 6:46 AM, christopher macrae a rel="nofollow" shape="rect" class="yiv6598660666" target="_blank" href="mailto:chris.macrae@yahoo.co.uk" id="yui_3_16_0_1_1422650925979_63652">chris.macrae@yahoo.co.uk> wrote:
Dear M & H- do you know if and when there will be a bookmark for relaying the conference call 
Tuesday, Dec. 9 at 7 p.m. ET with Dr. Paul Farmer (& Jim Kim), who will share more on the PIH 

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