University ProgramsUniversity of Michigan Health System
Department of Obstetrics & Gynecology, Von Voigtlander Women's Hospital
1500 East Medical Center Drive, Ann Arbor, MI 48109
More than ten Schools and Colleges across the University of Michigan have collaborative projects underway with colleagues in Ethiopia, making it one of the fastest emerging platforms of engagement in both the Medical School and the broader University. The original collaborations between St. Paul Hospital Millennium Medical College (SPHMMC), the Federal Ethiopian Ministry of Health, and UMMS have expanded to include the Schools of Business, Natural Resources and Environment, Graduate Studies, and Nursing, as well as the College of Engineering.
The partnership with the University of Michigan has helped to initiate an Ob/Gyn residency program that is competency-based and focuses on developing the skills, knowledge and leadership ability of the residents through exposure to a wealth of national and international expertise and improving access to information. It also helps to build faculty capabilities through development of teaching and leadership skills, and increasing connectivity with the international academic community through a two-fold approach:
Ensuring state-of-the-art technical assistance, training and mentoring in women’s health care and treatment through staff exchange programs where faculty come from the University of Michigan to St Paul to train faculty and teach residents/students, and faculty from St Paul visit UM for training and observation.
Designing strategic interventions with local staff to increase the capacity, improve the organization, and strengthen overall Ob/Gyn department services and management. In addition, the partnership has expanded to other areas such as the institution of residency programs in Surgery and Internal Medicine, and the development of Ethiopia’s first Kidney Transplant program.
Family Training Program: The University of Michigan, in association with St. Paul Hospital Millennium Medical College (SPHMMC) in Addis Ababa, launched Ethiopia’s first formal training program in family planning. Made possible by the generous support of an anonymous donor, the two-year, $1.5M project is establishing a three-prong training program to improve and expand the provision of family planning and comprehensive abortion services in Ethiopia through the targeted education and team training of midwives, general medical practitioners, OBGYN residents and SPHMMC faculty.
Residency and Subspecialty Training Programs: Through collaboration with UMMS, new programs have been developed at SPHMMC in Internal Medicine, Pediatrics, Surgery, Ob/Gyn, and Radiology. Subspecialty / fellowship training programs have been developed at SPHMMC in: Maternal Fetal Medicine/High risk OB, Cardiology, Gastroenterology, Nephrology, Transplant, Pediatric Cardiology, Pediatric Neonatology, In-Vitro Fertilization, and Radiology (Body Image, CT, Musculoskeletal, Interventional).
The Center for International Reproductive Health Training (CIRHT)
The Center for International Reproductive Health Training (CIRHT) works with medical schools to integrate hands-on, clinical training in comprehensive reproductive health care, including family planning and safe abortion. Together we are committed to training the next generation of doctors, nurses and midwives to be confident, compassionate leaders in their communities.
To increase the number of skilled reproductive health professionals, CIRHT focuses in three areas:
Medical Education and Training: Working with faculty to implement an integrated, competency-based reproductive health curriculum, offering medical students/residents clinical instruction and supervised hands-on training in family planning, comprehensive abortion care and other critical areas.
Clinical Service: Helping partner medical schools upgrade on-site family planning facilities, equipment and services to support student engagement and learning through provision of effective first-hand client care.
Research: Fostering a culture of inquiry to contribute to the creation, dissemination and application of healthcare knowledge and practice, while measuring the impact of efforts.
Albert Einstein College of Medicine and Montefiore Medical Center
1300 Morris Park Avenue Bronx, NY 10461
The Department of Obstetrics & Gynecology and Women's Health
Women's Global Health Programs
The Division of Family Planning and Women’s Global Health in the Department of Obstetrics & Gynecology and Women’s Health at the Albert Einstein College of Medicine and Montefiore Medical Center began its global health initiatives in 2006 with the generous support of the Einstein Global Health Center.
The institutional mission of the Albert Einstein College of Medicine's Global Health Center is to promote the ideal of health for all. The center's goals and objectives include the domains of education, research and service with the ultimate goal of reducing disparities in health and alleviating human suffering.
The focus of the program has been on teaching obstetric care to medical providers, including health officers, nurses and midwives. They have worked at three primary sites, all in rural Ethiopia: a newly launched medical school, a publicly supported maternity center and a more rural donor-funded community maternity center.
A yearly conference, large portions of which are devoted to obstetrics, has been held at the Hawassa Medical School with enormously positive response.
Current research proposals include measuring the effect of transportation (or lack thereof) on maternal and fetal outcome, review of the causes of stillbirth with the goal of informing the design of prevention strategies, and the introduction of a training program for recognition of obstetric emergencies by health extension workers.
201 Dowman Drive, Atlanta, Georgia 30322 USA
Maternal and Newborn Health in Ethiopia Partnership
The Maternal and Newborn Health in Ethiopia Partnership began in 2010 to increase maternal and newborn outcomes and health. The goal is to increase survival among newborns and mothers. The project was initially funded by the Bill and Melinda Gates Foundation, but is now funded by Micronutrient Initiative.
School of Medicine Global Health Residency Scholars Program
The Emory University School of Medicine (SOM) Emory Global Health Residency Scholars Program (GHRSP) was established in 2012 and includes a year-long curriculum (consisting of monthly lectures, seminars, and discussions) and a one-month clinical rotation in Ethiopia. The program aims to enhance and expand ongoing collaborations between Emory and Ethiopian institutions, in particular Addis Ababa University (AAU) and its main teaching hospital The Black Lion.
Global Surgery Program
In 2011, the Emory Department of Surgery established its Global Surgery Program — one of the first American Board of Surgery-approved international surgical training experiences — at Soddo Christian Hospital in Soddo, Wolaita, Ethiopia. In addition to providing medical services, the hospital partners with the Pan-African Academy of Christian Surgeons (PAACS) as one of nine PAACS academic centers that train national doctors over a five-year surgical residency program.
Ethiopian Public Health Training Initiative (1997-2010)
This program, jointly sponsored by the Carter Center and the Emory Global Health Institute, ran from 1997 – 2010, and focused on training healthcare workers throughout Ethiopia to aid in improving the quality of healthcare delivery.
The Ethiopian Public Health Training Initiative worked in partnership with seven Ethiopian universities and the Ethiopian government (the ministries of health and education) to address the void in rural health services for 75 million Ethiopians. In late 2010, the EPHTI was officially transferred to Ethiopia's Federal Ministries of Health and Education.
Oregon Health & Science University
3181 SW Sam Jackson Park Rd, Portland, OR 97239
Footsteps to Healing project
Founded in 2010, Footsteps to Healing is a collaborative project between Oregon Health & Science University (OHSU) and Gimbie Adventist Hospital (GAH) in Ethiopia.
OHSU’s Footsteps to Healing initiative was established to improve women’s health in Ethiopia through partnerships dedicated to clinical service and health care capacity building. It does this through:
Collaborating annually with Gimbie Adventist Hospital, a rural hospital in Western Ethiopia, to provide over 200 pelvic organ prolapse surgeries
Partnering with Mekelle University and the Hamlin Fistula Center as well as other stakeholders to strengthen their capacity to provide surgical and clinical care for women with pelvic floor disorders
Helping build one of the strongest educational, clinical and research institutions in sub-Saharan Africa through an obstetrics and gynecology residency program at Ayder Referral Hospital at Mekelle University College of Health & Sciences in response to the shortage of ob/gyn providers
OHSU also works with Ethiopian partners to build their capacity in surgical and clinical care as well as in nursing and midwifery education. OHSU medical students travel to Ethiopia every summer and are an integral part of the project and provide community outreach research in the communities.
Partnership with Mekelle University, College of Health and Science
In 2015, OHSU expanded the women’s health project by creating a partnership with Mekelle University, Ayder University Hospital in Northern Ethiopia.
The founder of Footsteps to Healing, Dr. Rahel Nardos, joined the board of directors for the Worldwide Fistula Fund (WFF) in 2014. WFF launched the Mekelle Medical Education collaboration (MMEC) at Mekelle University in Ethiopia in 2013, in response to a shortage of expertly trained Ob-Gyns. In 2014, WFF founder Lewis Wall developed key collaborations with partners like OHSU to enhance Mekelle's existing obstetrics and gynecology residency program, help conduct research, and establish Ethiopia's first fellowship training program in urogynecology.
University of Illinois, Chicago
1940 W. Taylor M/C 584, Chicago, IL 60612
(312) 355-4116, http://globalhealth.uic.edu
Center for Global Health
Global Women's Health Fellowship
The UIC Global Women’s Health Fellowship is a two-year program that provides a unique opportunity for an obstetrician/gynecologist (OB/GYN) by combining one year of global women’s health based in Mekelle, northern Ethiopia, with one year of a clinical faculty appointment. The global women’s health component can consist of clinical research, education and/or clinical services.
In this fellowship, mentorship, opportunities and resources are provided in order for the fellow to develop educational initiatives, improve clinical services, and lead clinical research in global women’s reproductive and gynecologic health.
University of Wisconsin, Madison
1050 Medical Sciences Center, 1300 University Avenue, Madison, WI 53706
(608) 265-9299, ghi.wisc.edu
Ethiopia Global Health Twinning Partnerships
In response to the request by the Ethiopian Federal Ministry of Health to build medical capacity and provide quality care, Addis Ababa University/TASH, the University of Wisconsin-Madison, and People 2 People collaborated to design both Adult and Pediatric Emergency Medicine Partnerships. These relationships were established in order to strengthen emergency care infrastructure and human resource capacity at AAU/TASH in Ethiopia.
Activities included in the partnership, such as bidirectional exchanges of physicians and nurses as well as the development of emergency medicine fellowship training programs, have contributed to increased knowledge and abilities among Ethiopian health professionals. Training local instructors to deliver high quality care and pass their skills onto others has been instrumental to the sustainability and success of these partnerships.
The goal of the partnership is to build human resource capacity in emergency medicine. The original partnership objectives include:
Strengthen the capacity of AAU/TASH and the AAU/Faculty of Medicine to provide emergency medicine and critical care by improving the organization of the emergency department;
Develop continuing education opportunities for AAU/TASH faculty and staff and a related mechanism for ongoing training of health care and other allied health professionals;
Strengthen the coordination of health care services at AAU/TASH to increase client retention in antiretroviral treatment programs; and
Improve pre-service emergency medicine training at the undergraduate level, as well as developing high quality clinical training programs and distance learning opportunities.
Launched the AAU Emergency Medicine Training Center (EMTC), the first in Ethiopia and the Horn of Africa
Supported the development and ongoing instruction of the new Emergency Medicine Residency program at AAU, which accepted 5 residents in its first year (2010). Serving as one of the first graduate medical education programs in Emergency Medicine on the continent of Africa.
Supported the development and implementation of a new Masters in Nursing program at AAU that emphasized training in emergency medicine for clinical nurses.
Conducted hospital-wide quality improvement training for administrators, faculty, and staff at AAU/BLH to actively review existing and develop new standards and procedures.
Pediatric Emergency Medicine: In 2010, AAU/TASH, the UW, and P2P developed a plan and collaborated to strengthen pediatric emergency & critical care at AAU/TASH. Partnership activities have included work plan meetings, bidirectional exchanges of pediatric faculty & nurses, the development of a competency-based pediatric emergency medicine fellowship training program (with elements implemented in both the US and Ethiopia), quality improvement (QI) & leadership training, implementation of QI projects and short-courses in pediatric emergency & critical care.
Emergency Training Center: Launched in 2010 by American International Health Alliance (AIHA) HIV/AIDS Twinning Center partners at AAU and the UW, Ethiopia’s first Emergency Medicine Training Center was opened at AAU/TASH. Courses conducted at the state-of-the art AAU Emergency Medicine Training Center (EMTC) emphasize the acquisition of practical skills and are accompanied by computer presentations, didactic sessions, skills stations, and simulation training. A cadre of local Ethiopian instructors has been developed to help ensure sustainability of the EMTC.
Quality Improvement: As part of the UW-based Emergency Medicine Fellowship conducted for physicians and nurses, the Ethiopian faculty and staff completed a 20-hour quality improvement (QI) training that included instruction on: 1) definition and dimensions of quality, 2) standards development through a participatory process, 3) measurement of compliance with standards and outcomes, 4) QI strategies for teams, and 5) leadership/developing a culture of quality.
Medical Education Partnership Initiative: The U.S. Department of Health and Human Services and the Fogarty International Center launched a new initiative to invest in and strengthen medical education with the Medical Education Partnership Initiative, a 5-year, $130 million federal program aimed at enhancing medical education in 12 sub-Saharan African countries. The UW in collaboration with Addis Ababa University and three other Ethiopian medical schools are the primary grant collaborators in Ethiopia.
Columbia University, The Earth Institute
The Center for National Health Development in Ethiopia
The Center works to support the Ministry of Health’s innovative Health Extension Program (HEP). The HEP’s goal of providing equitable access to health services is met by the prevention and control of communicable diseases with active community participation. The Ethiopian government has recently accelerated the implementation of the program to cover the entire country by training 30,000 health workers. Graduates will be placed in 15,000 villages to cover 12 million people by 2009. Improving national health will be approached through four main program areas:
Hygiene and environmental sanitation
Disease prevention and control
Family health services
Health and communication
In cooperation with the Federal Ministry of Health, the center will also serve as an independent evaluator of this and other programs through assessment of the implementation and related activities of the general health system. The Center will also provide technical support in collecting baseline information used in evaluation.
Columbia University, Mailman School of Public Health
Founded in 2003, International Center for AIDS Care and Treatment Programs (ICAP) at Columbia University has become a lead PEPFAR implementing partner. ICAP has partnered with the Government of Ethiopia since 2005, providing technical assistance to improve HIV prevention, care and treatment and malaria diagnosis and care. ICAP works at the national level with the Federal Ministry of Health (FMOH), regional health bureaus, laboratories and health care facilities in all 11 regions. Additional partners include the Ethiopian Public Health Institute (EPHI), universities and educational institutions, and international schools of public health.
Capacity Building and Education for Nursing & Midwifery
ICAP is working with the FMOH to expand the role of nurses, improve nursing care standards at health facilities and build nurses’ capacity to support quality improvement. Through its Nursing Education Partnership Initiative (NEPI), ICAP partners with Addis Ababa University, Arba Minch College of Health Sciences, and the University of Gondar to enhance teaching and learning and ensure an adequate number of well-trained and qualified nurses and midwives.
Johns Hopkins University
1615 Thames St # 200, Baltimore, MD 21231
Center for Global Health
Strengthening Human Resources for Health
With funding from the U.S. Centers for Disease Control and Prevention of $1.375 million over five years, Jhpiego is building the capacity of health care providers in Ethiopia. The project works to improve the performance of health care practitioners and the quality and efficiency of health service delivery through the provision of comprehensive HIV education to health care providers.
Jhpiego is coordinating the establishment of a health education system – one that includes U.S. Government (USG) partners, medical colleges, universities and the Federal Ministry of Health–for sustainable HIV continuing medical education (CME). They will assess current CME activities; establish a CME task force; develop a network of educational institutions; work with regulatory bodies in establishing standards; build capacity of local universities to plan and conduct CME (e.g., faculty development); and evaluate the CME network.
Johns Hopkins Technical Support for the Ethiopian HIV/AIDS Initiative (TSEHAI)
Building Clinical, Structural and Research Capacity to Treat HIV/AIDS & TB in Ethiopia
A comprehensive program that provides hands-on mentoring and technical assistance in all aspects of HIV treatment, care, and research.
Baylor College of Medicine / Texas Children’s
The Texas Children's Global Health Corps
The Texas Children's Global Health Corps was a successor to the landmark Pediatric AIDS Corps, founded by Baylor International Pediatric AIDS Initiative at Texas Children’s Hospital (BIPAI) in 2005, which trained and sent about 150 pediatricians and family doctors to Africa to help scale up medical programs for children and families affected by HIV/AIDS. BIPAI now provides HIV/AIDS treatment to about 80,000 children - more than any other program worldwide.
The Texas Children's Global Health Corps will build on this experience and expand the scope beyond HIV/AIDS to include other diseases and conditions impacting child health. The initial geographic focus will be on Ethiopia, Malawi, Tanzania, Botswana and Swaziland, with plans in place to diversify to sites in Asia and Latin America.