MNAZI MMOJA CENTRE OF EXCELLENCE

Background:

Recent data shows that Tanzania has over 250,000 patients on ARV treatment.  Over the years the area of HIV care and treatment has been changing rapidly with new complications and newer treatment options on the horizon.  Challenged with the ever changing clinical, pharmacological, laboratory and psychosocial aspects of HIV/AIDS care and treatment, it is imperative to address this from all fronts.

Since 2004, MDH has been at the forefront of this effort with a very experienced team working in clinical care laboratory services, nursing and counseling, prevention and tracking, as well as coordinated systems for executing the process in a quality manner.

It is with these strengths that MDH is set to establish the Mnazi Mmoja Center of Excellence that is one of a kind in Tanzania.  This center will serve as a means to pass specialized skills to others and strengthen other health care providers’ capacity.

Objectives:
To establish a nationally recognized and accredited center of excellence for HIV training and care with emphasis on the following areas:

  1. Specialist clinical service provision
  2. Advanced training on HIV/AIDS related fields
  3. Monitoring and evaluation/operations research

Methods:

Patient care:

Objective:  To provide specialist care in the management of more complex patients, including those with advanced HIV disease, patients requiring use of second and third line therapies, patients with co-existing medical conditions that may or may not be related to HIV and require specialist input including: severe cardiovascular disease, malignancies, renal and liver disease, chronic neurologic conditions, and diabetes.

Human resources: Clinical services manager, site manager, permanent staff, visiting specialist staff in paediatrics, cardiovascular diseases, renal, etc.  Staff (nursing, pharmacy, phlebotomy, nutrition, lab, etc.) involved in patients care are also involved in training of different staff cadres.

Other resources:  Systems in place for direct referral – Ocean Road Cancer Institute (ORCI) for services such as biopsy and chemotherapy/radiation, in-patients, dialysis, radiology, surgical and other diagnostic and treatment services.

Facilities:  The Centre has a number of consultation rooms, staff and meeting rooms (meetings, journal clubs, illuminator, and other equipment), a reception, counselling rooms, etc.

Training:

Goal of training center: To be the first center established in Tanzania offering a comprehensive package of lecture based/field trainings for healthcare workers (HCW) working in HIV.

Focus of trainings: Priority is on core and refresher trainings that supplement the national curriculum.  These trainings include advanced ART training for nurses/clinicians and pharmacists/lab technologists, trainings in the management of chronic diseases/NCD’s, specialized trainings in Hepatitis/TB co-infections, other HIV-associated conditions, trainings in ART adherence and HIV prevention, paediatrics, pharmacy, laboratory, and nurse trainings.  The center will also offer other trainings in research methodology, quality assurance, quality improvement, M&E, simple surgical procedures and interpretation of diagnostics.

Format of trainings: seminars, didactics (lecture based), field experience (lab and clinical settings), mentorship programs, telemedicine activities (video/teleconferences, InfCare, links to seminars/activities at other institutions, pharmacy hotline (Uganda))

Participants: MDH supported sites HCW, HCW from other organizations, local, upcountry and neighboring countries who meet the eligibility criteria.
Facilitators: Blends experience from MDH core team of trainers, MUHAS, other Universities in Tanzania, other academic centers including Northwestern University in Chicago, Harvard School of Public Health in Boston, and other international institutions.

Human resources: Director of training/programs, Centre of Excellence manager, training manager; training unit coordinator, training unit assistants, admin staff, core group of training facilitators/staff of all cadres.

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