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
