1

Overview of Program

• Representatives from the Medical and Nursing Schools of the 8 partner institutions

• Currently a group of 20 individuals– Growth over time from initial 8 representatives

• Meet weekly via conference calls and 2-3 times annually in person for last 2 years

• Meetings now include support personnel for M&E and curriculum development

Afya Bora Consortium: Who are we?

• Selected from 4 US institutions and 4 African partner countries– 4 Uganda, 4 Tanzania, 4 Botswana– 6 Kenya (2 funded through UON MEPI)– 2 US

• Multidisciplinary group– 12 Medical post-graduates and post-residency physicians– 8 Graduate nurses– 12 with public health degrees (4 PhD; 8 MPH)– 10 men and 10 women

• Highly competitive process with 62 applications

Afya Bora Fellows 2012

11.5 month fellowship• First phase: 3 months (nine 1-week modules)

– Core courses, skills building, project planning– Cohorts train together

• Second phase: 9 months (two ~4.5 month blocks)– Individualized training with mentoring– Experiential work in local government or non-

government organization– Project implementation and final report

• Focus is on learning practical skills• Project to directly benefit site

Training Program Structure

Timeline and Activities

Attachment I(~3 months)

Modules address 9 highly relevant topics in program leadership

Topics not necessarily part of traditional medical, nursing or public health school curricula

•Leadership Skills•Communications and Media Skills•Monitoring and Evaluation•Effective Writing and Grant Proposals•Program and Project Management•Implementation Science and Health Systems Research•Health Informatics•Human Resources and Budget Management •Global Health Policy and Governance

Curriculum for Core Training

Modules

• Interactive, dynamic sessions• Led by Afya Bora members

and local experts• Local and outside speakers,

some presenting remotely• Final project

July 2012– in Gaborone

January 2013– in Nairobi

June 2013– in Kampala

• 5-days each topic• Full day schedule• In class and out of class

assignments

Purpose is to gain practical skills and realworld leadership experience Attachments in African partner countries• First rotation in home country• Second may be in a different country

Sites include:– Ministries of Health– NGOs (e.g., AMREF; I-TECH)– Universities and academic hospitals (e.g., BUP)– PEPFAR sites/offices– CDC field stations

Experiential Training

• A strong mentoring program is essential and constitutes an important step toward a self-sustaining South-South training consortium

• Team Approach: Each trainee will be supervised by a team of mentors throughout fellowship

• Mentors chosen from – Eight Consortium institutions– Participating non-academic entities

Mentoring

Three-step Process:1.Fellow identifies sites and projects in conjunction with Primary Mentor

– All Fellows initiated this process with forms received by email

2.Site representatives are sent applications and forms for review

3.Sites identify fellows best-suited for projects currently available

Matching to Site

• Identification of Attachment Site Mentor

• Introductions at Attachment Site– by Primary Mentor or In-country Lead

• Discussion of Project with mentors– Project suited to Fellow’s interests, strengths and goals– Must also address needs of host attachment site and country

agenda

• Identification of other mentoring team members– At attachment site– At academic partner institutions

Project and Mentor Selection

Activities During the Rotation

 1-day workshop for Mentoring Teams within first 2 weeks This meeting includes Fellows

As needed meetings with Attachment Site Mentor

Weekly meetings with Primary Mentor

Semi-monthly meetings with Country Lead and Fellows in-country

Monthly meetings with Mentoring Team

Project report and evaluation due last day of rotation

Project Report and Evaluation

• Project Report– Written

• Format to be determined with input from Mentoring Team

– Oral presentation

• Evaluation– Critique of the value of rotation– Strengths/weaknesses of

experience– Feedback on site and

mentoring team

• Establishing and conducting M&E is critical to success of program– To capture short- and long-term impact– To provide immediate feedback to optimize program– Future funding depends on success of this Pilot

• Conducted by International Training and Education Center for Health (I-TECH)

– Gabrielle O’Malley, PhD - Director, Operations Research & Quality Improvement

• M&E of modules and all activities– Full cooperation with requests for information are mandatory

Monitoring & Evaluation

• Two-day conference at end of Fellowship– June 24-26, 2013– Location Kampala, Uganda– Fellows, Afya Bora team, and mentors invited

• Activities to include:– Presentations by Fellows – Final written evaluations and assessments– Exit interviews with all participants and mentors

Wrap-Up Session