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

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

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

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

• 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?

Most Continuing Education

Bujumbura

LifeNet Trains and Mentors

Medical Training

Results in Quality

94%

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

• 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

Before 44% After 79%

Hand-washing

Before 62% After 91%

Clothes to Newborns

Before 29% After 97%

Explaining Treatment to Patients

Before 79% After 100%

Documenting APGAR Scores

Before 21% After 97%

Infant Resuscitation

Behavior

Change

Trust

Majority of Staff On-

site Trained

Personalized Training

Friendship

Language and

Culturally Sensitive Teaching

Why are we effective?

• Photo

“Guherekeza”

4

Growth Goals: Vision 2020

10countries

20MMpatient visits*

1,000clinics

4

* per year

* annual

Today

45 Partner Clinics 850,000+ patients*

* annually

Partnership Transforms Care Walk with us.

10 Countries

1,000 Church-based Partner Clinics

20 million Annual Patient Visits

Transforming African Healthcare

www.LNinternational.org