MAQ Events and Awards
2007 Global Health Mini-University Sessions
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Presentations will be available for download after the 2007 Global Health Mini-University event on Friday, October 5.
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Session Times
- Check-In: 8:00 AM - 9:00 AM
- Session 1: 9:00 AM - 10:00 AM
- Session 2: 10:15 AM - 11:15 AM
- Session 3: 11:30 AM - 12:30 PM
- Brown Bag Sessions: 1:00 PM - 1:50 PM
- Session 4: 2:00 PM - 3:00 PM
- Knowledge Extravaganza!: 3:15 PM - 4:30 PM
Cross-Cutting
A Basic Operational Framework for eHealth and Telemedicine: How to get Started
Location: 114
Session 1 (This session is closed)
Instructor(s): Stephen Settimi
This short Q&A style presentation will illustrate how to develop working models of health care delivery services using appropriate information and communication technology. A step-by-step approach on how to apply the “WHO Basic Operational Framework on eHealth for Health Care Delivery” in developing working models will be reviewed.
Materials:
Presentation 
Handout
Addressing Child Marriage Globally: What you need to know to put new, upcoming US legislation to good use
Location: 115
Session 1 (This session is closed)
Instructor(s): Kathy Kurz, Saranga Jain
Nearly half of all girls in developing countries will marry as teenagers, even though child marriage endangers girls' health and curtails their life opportunities, negatively impacts development, and is a human rights violation. It is also illegal under international and national laws. At this rate, 100 million girls will become wives in the next decade - that's some 25,000 child brides per day. The International Center for Research on Women (ICRW), with support from the Interagency Gender Working Group (IGWG), carried out research to identify factors that may be associated with child marriage, such as education, wealth and the age differences between a girl and her husband. Analysis also looked at the range of existing programs addressing child marriage, and the effectiveness of such programs in preventing early marriage. Presenters will discuss findings as well as recommendations for programs, and provide an update on legislation introduced in both houses of Congress to increase the U.S. government's involvement in curbing child marriage. The research report can be found at http://www.icrw.org/docs/2007-new-insights-preventing-child-marriage.pdf
Materials:Presentation
Addressing the Reproductive Health Needs of People Living with HIV: What do Systems have to do with it?
Location: 105
Session 2 (This session is closed)
Instructor(s): Betty Farrell, Laura Subramanian
As more HIV-positive men and women gain access to antiretroviral treatment (ART), increasing numbers are living longer and healthier lives. People living with HIV and AIDS (PLHIV) face the same choices as their peers regarding the number, timing and spacing of children. However, their need for comprehensive, safe, quality reproductive health services has largely been overlooked. This session will provide an overview of approaches and considerations for addressing the family planning (FP) needs of PLHIV through integration of FP and ART services. Using the example of a successful program in Uganda, presenters will discuss the ACQUIRE Project’s approach to providing family planning as an integral component of HIV/AIDS services. The presentation will highlight successes and challenges, problem-solving and lessons learned regarding integration of FP and ART services, and utilize interactive exercises to reinforce key concepts.
Materials:Presentation
Another poster? How to Program Effective Behavior Change Communications (BCC)
Location: 117
Session 1
Instructor(s): Elizabeth Younger
Nearly every project has some component of behavior change communication (BCC) intended to improve the use of services or products or to promote healthful practices. But few succeed in improving practices. How is effective BCC designed? What are the important characteristics of an effective BCC strategy? How does BCC fit with the overall project strategy? How long can you expect behavior change to take? These and other questions will be answered in this session as each step to developing a state-of-the-art BCC strategy is discussed.
Materials:Presentation
Can the 4Ps still save lives? How social marketing programs meet the changing public health context
Location: 224
Session 3 (This session is closed)
Instructor(s): Francoise Armand, Jeff Barnes
Social marketing has been used for decades to promote the adoption of healthy behaviors and market needed products and services in the developing world. Is it still up to the task in today's increasingly complex public health arena? This session will introduce basic social marketing concepts and use field examples to illustrate how donor-funded programs adapt to calls for precisely targeted interventions, state of the art behavior change communication, and improved programmatic and financial sustainability.
Materials:Presentation
Chronic Disease Programming – A Development Crossroad for Health
Location: B103
Session 3 (This session is closed)
Instructor(s): Vic Barbiero
This session will review the epidemiologic transition and its implications for health programming in middle and low income countries. Present examples of chronic disease prevalence rates and sequellae will be considered and 21st Century trends will be explored. Lessons learned from present health interventions related to prevention and case management will be reviewed. Lastly, options for programming priorities in chronic disease prevention and case management will be discussed with attention to the unfinished agenda in maternal and child health and continuing communicable disease priorities.
Materials:Presentation
FGC/M: A Gender and Development Approach
Location: 114
Session 3 (This session is closed)
Instructor(s): Laura Raney
In countries where it is practiced, FGC/M damages the physical and mental health of millions of girls and women affecting a segment of the population that is critical for sustainable development, economic growth and prosperity in the developing world. These development and health implications and concern over the violation of basic human rights make FGC/M a matter of pressing concern to multiple sectors. This broad overview of the impact of FGC/M on women’s lives, status in society, and health will shift the way people think about this complex issue.
Finding Your Way: USAID Career Development Panel
Location: To Be Determined
Brown Bag Sessions (This session is closed)
Instructor(s): Jeff Spieler, Matt Barnhart, Erik Janowsky, Carol Carpenter-Yaman, Laura Harley
This panel will consist of a number of technical staff, with varying backgrounds and experiences, who work at USAID in the Global Health Bureau (GH) via different mechanisms. The session will primarily provide an opportunity for participants to ask questions regarding career path and choices. Participants will walk away with a sense of qualities, skills, knowledge and experience valued and needed to work in the international health field and at USAID.
Materials:Handout 1 
Handout 2 Handout 3 Handout 4
Fundamentals of Clinical Trials and Human Subjects Protection at USAID – Who Does What? – And is it Done Right?
Location: 115
Session 2 (This session is closed)
Instructor(s): Lee Claypool
The USAID Bureau for Global Health conducts a targeted program of health product research and development, including studies that evaluate these new products for effectiveness in humans. These studies are called clinical trials and may involve just a few or many thousands of participants. What is the intent of these clinical trials at various stages of product development? What are the rules and procedures to ensure the protection of human subjects in these trials? What about trials with multiple sites, in developing countries, with participants who speak different languages, and that take years to complete? This session will address these questions with an explanation of USAID regulations and the responsibilities of all parties involved, along with examples and discussion.
Materials:Presentation Reference List
Getting the most Bang for your Health Information Buck
Location: Lobby A
Session 2 (This session is closed)
Instructor(s): Tara Sullivan
Health providers need accurate, up-to-date, and comprehensive evidence-based information to improve their services and make sure their clients benefit from the latest medical news and developments. But despite the obvious inherent contribution of information to improved services, questions remain about how such information reaches the intended user and whether it has the desired impact. Organizations that provide health information are increasingly charged with demonstrating the impact of guidelines, manuals, websites, e-learning courses and the like, yet measuring such impact continues to be a challenge. Using an original conceptual framework and concrete program examples, this session will demonstrate how to measure whether you are getting the most "bang" for your information "buck."
Materials:Presentation
Health Inequality: Challenges and approaches in reaching the Poorest of the Poor
Location: 117
Session 4
Instructor(s): Mai Hijazi, Suneeta Sharma
This session will focus on assessing the level of inequality in the use of health care services, understanding the key barriers to access among the poor, and developing a strategic response for reaching the poor. We will present country examples to share effective tools and approaches of designing, implementing and monitoring strategies and financing mechanisms for improving access to health care services among the poor.
Materials:Presentation
Health Systems Strengthening in Post-Confict States: Perfectly Logical or Totally Insane?
Location: 229
Session 3 (This session is closed)
Instructor(s): Yogesh Rajokotia
What does it mean to "transition" from relief to development in post-conflict countries? Does it make sense to focus on health systems strengthening where health systems barely exist? In war-ravaged settings with abysmal health indicators, should we focus primarily on service delivery? This discussion will take a critical look at these questions, drawing from experiences in Southern Sudan, Liberia, and Afghanistan.
Materials:Presentation
Human Trafficking: Hidden in Plain Sight
Location: 116
Session 2 (This session is closed)
Instructor(s): Clydette Powell
This session provides an overview of the magnitude and geographic scope of 21st Century slavery, also known as trafficking in persons (TIP), and its implications for the public health care professional. Profiles of the perpetrators, pimps, and victims are revealed. Current USG strategies are described, along with possible interventions by individuals and organizations. Film clips are included in the session.
Materials:Presentation
Hustle, Hustle, Give A Little Muscle, Muscle! Putting More Muscle Into Our Youth HIV and Pregnancy Prevention Programs
Location: 116A
Session 4 (This session is closed)
Instructor(s): Ilene Speizer
Have you ever wondered whether your youth RH/HIV program has promise of having an effect on reducing youth risk-taking? Have you ever wondered what you could be doing better? If you answered yes to these questions, come to this session to learn what are considered to be best practices for undertaking curriculum-based and peer education HIV /AIDS and sexual reproductive health programs for youth. In this session, we will present strategies to determine if your program has the characteristics of effective programs and approaches to strengthen your current program (or develop a new one).
Materials:Presentation
Improving Service Results through Improved Leadership and Management
Location: 401
Session 4 (This session is closed)
Instructor(s): Morsy Monsour, Mark Webster
Health care managers around the world recognize that they need and want leadership and management skills in addition to technical skills to face today’s health challenges and achieve better health outcomes. In order to gain these skills, a leadership and management approach is needed as a process of development over time and not as a training course. The Leading and Managing for Result Model approach works with health care managers to enable them to learn to lead their teams, overcome challenges, and achieve better health results while working at their own sites. The most important outcome in the process, besides the improvement in the work climate and team work, is the commitment and ownership that is created among the participating teams. One example of the success of this process is in 2005, Aswan LDP teams decided to face the challenge of the Maternal Mortality Rate, they succeeded to decrease it from 86/100,000 to 51/100,000 by the end of 2006.
Materials:Presentation
Keeping Health Systems Healthy: How Governance and Accountability Can Help
Location: 323
Session 4 (This session is closed)
Instructor(s): Derick Brinkerhoff, Saul Helfenbein
Do you find yourself puzzling over the short and long routes of accountability? Do you ask yourself why as a health specialist should I care about governance? This session will answer these questions and more regarding the role of governance and accountability in health. Discover how governance concepts, frameworks, and practices are relevant and applicable to the health sector, and how improved health governance can contribute to health systems functioning and health outcomes.
Materials:Presentation 1 Presentation 2
Men Will Be Men (or Will They?): Addressing Gender Norms as a 'Gateway Factor' to Increase the Effectiveness of Reproductive Health Programs
Location: 224
Session 2 (This session is closed)
Instructor(s): Karabi Acharya, Susan Middlestadt, Julie Pulerwitz
Can changing the way men think about what it means to be a man affect their health? Will it affect women's health as well? More broadly, how might social norms influence health outcomes? Influencing gender norms, defined as the social expectations that men and women hold about what they should do as men and women, is an approach that could lead to improving many health behaviors and many health outcomes at once. Through a survey of married Ethiopian men, the Health Communication Partnership in collaboration with the Horizons Program has examined the hypothesis that male gender norms function as a 'gateway factor,' as a factor that influences multiple health behaviors. This session will provide an opportunity for the team to share and discuss some key findings and to highlight interventions that Horizons and partners have used to influence male gender norms.
Materials:Presentation
Myths and Facts: A Dialogue about Community-based Approaches to Child Health
Location: 117
Session 3
Instructor(s): Karen LeBan, Lynette Walker, Leo Ryan
re community-based approaches for improving child health too laborious and costly to achieve significant scale? Do these approaches strengthen health systems or undermine government efforts? Are the mobilization and training of community health workers an effective approach to reach disadvantaged populations? Participants will explore and debate some often heard truths, half-truths, and perceptions about the value added of community-based approaches used in global health. Come spark the debate by sharing your experience.
Materials:Presentation
Performance-Based Incentives: More Carrots for Better Health
Location: B103
Session 2 (This session is closed)
Instructor(s): Rena Eichler, Ruth Levine
The use of performance-based incentives -- providing financial or other material incentives to alter the behavior of patients or health care providers -- holds significant potential to achieve better health outcomes while strengthening health systems in the process. A working group at the Center for Global Development has been reviewing a broad set of experiences in low- and middle-income countries, finding that demand-side performance-based incentives have increased utilization of services, improved adherence to longer term treatment such as for TB, and reduced rates of highly addictive behavior. Supply-side performance-based incentives have demonstrably increased key public health outputs, including childhood immunization, skilled birth attendance and others. Attention to key design features and careful implementation are required to maximize the potential, and reduce the chances of unwanted distortions and other pitfalls.
Materials:Presentation
Strengthening M&E Systems Through a Data Quality Approach
Location: 116
Session 3 (This session is closed)
Instructor(s): Karen Hardee
What are the components of data quality? How can my program’s M&E system be strengthened to ensure that the data generated are high quality? Are there any approaches and tools that can help assess the quality of data in my program? Are there any approaches to building M&E capacity in my program or project to improve data collection, aggregation and reporting? How can my program or project develop a data quality plan? These questions and more will be answered in this hands-on session that will guide participants through the components of data quality in M&E systems and identify seven functional areas that programs can focus on to improve the capacity of their M&E system.
Materials:Presentation
Task shifting: Making the most of the workers you have
Location: Lobby B
Session 2 (This session is closed)
Instructor(s): Barbara Stilwell, Lois Schaefer
One solution to the health worker shortage is task shifting which involves the allocation of tasks from one cadre of health care worker to existing, more appropriate cadres, or developing a new cadre to meet specific health care goals. This session will examine how to realize the full potential that task shifting has to increase both the productivity and efficiency of the health workforce, and to strengthen the health system overall. Specific country experiences will highlight both the challenges and successes in getting “the right workers with the right skills in the right places doing the right things.”
Materials:Presentation
The REALLY BIG Picture: What you need to know about the changing “Aid Architecture”
Location: 117
Brown Bag Sessions (This session is closed)
Instructor(s): Al Bartlett, Karen Cavanaugh
The “global health architecture” isn’t getting any less complicated. Global and country-level attention is increasingly focused on the health-related Millennium Development Goals. At the same time, there are important new international funding sources, including “Health System Strengthening” funds from GAVI and the Global Fund, the International Financing Facility (IFF), UNITAID, the “Catalytic Initiative to Save a Million Lives,” and others. There are new strategies, including the “Global Business Plan for MDGs 4 & 5,” the “Scaling Up for Better Health Initiative,” and the new World bank strategy for health. There are new alliances, such as the Partnership for Maternal, Newborn, and Child Health and the “Coogee Beach Collaboration.” These initiatives and alliances make life more complicated for USAID and its field missions, but they have the potential to provide leverage and leadership opportunities for USG inputs. This session will give additional insight into these new features in the Population, Health and Nutrition landscape, and hopefully help participants identify and interact with them effectively.
Materials:Presentation 1 Presentation 2 Presentation 3
The Urban Crucible: We Cannot Ignore the Urban Health Imperative
Location: 401
Session 1 (This session is closed)
Instructor(s): Vic Barbiero
This session will review the past, present and future trends in urbanization and focus on urban health issues worldwide. Issues of child survival & maternal health, HIV/AIDS, TB, nutrition, the “unfinished agenda” and chronic disease epidemiology will be discussed. Health transitions will be discussed relative to the urban environment and urban service delivery. Health risks of the urban poor will be reviewed and the potential for service delivery through private-public partnerships will also be discussed. Factors such as conflict, natural disasters, urban economy and infrastructure, policy and politics will be considered. Lastly, programmatic and budget priorities will be suggested regarding present and future USAID policy.
Materials:Presentation
“Where have all the workers gone?”: The extent of the global healthcare worker shortage, why workers are leaving and some strategies for addressing the crisis.
Location: 229
Session 1 (This session is closed)
Instructor(s): Lois Schaefer, Pamela McQuide
The HIV/AIDS pandemic has exacerbated the global health worker shortage to crisis level, seriously challenging many countries to meet the healthcare needs of their people. Forces driving the dwindling supply of healthcare workers are many, varied, and sometimes unexpected. Sustainable solutions require a range of interventions that include both short and long-term approaches. This session will describe the extent of the crisis, identify causes and factors in the workforce shortage and discuss innovative solutions to increase the availability of appropriately skilled workers where they are needed most – and maybe even a few that haven’t been as successful as we’d hoped.
Materials:Presentation
Family Planning and Maternal Health Integration
Lessons in Mixology: Family Planning and Maternal, Newborn, and Child Health
Location: 224
Session 4 (This session is closed)
Instructor(s): Catharine McKaig, Holly Blanchard
Yearly, 150,000 maternal deaths- representing 32% of all deaths- could be prevented by family planning. Similarly one million- or nearly 10% of the 11 million deaths of children under five- could be averted through increasing intervals between pregnancies to a minimum of 24 months. Family planning during the extended postpartum period merits attention, both because of its potential to reduce maternal and child mortality and the opportunity to address substantial unmet need for both spacing and limiting in women during the first year postpartum. Yet, family planning services are often not systematically included in postnatal or basic childcare, nor have family planning programs focused significant effort on reaching women either immediately postpartum or during the first year. This session will explore the dilemma of postpartum family planning and share recent program experience in integration of FP and MNCH through a postnatal care initiative being implemented in Kenya.
Materials:Presentation
New Evidence on Pregnancy Spacing and Neonatal and Maternal Health-- How can Pregnancy Spacing Contribute to Healthy Pregnancy Outcomes? (0.1 CEU)
Location: 105
Session 3 (This session is closed)
Instructor(s): Maureen Norton
Family planning programs have an important role to play in helping women achieve healthy pregnancy outcomes. New evidence reveals short and long birth intervals' association with a range of adverse perinatal and maternal outcomes that contribute to high mortality in developing countries. This session will: present new evidence from USAID-sponsored studies, including a systematic literature review and meta-analysis, on pregnancy spacing and perinatal, neonatal and maternal health outcomes; include a discussion of operations research findings on new approaches used to educate families and communities on the risks of short and long pregnancy intervals, and identify the countries using these approaches and update participants on the 2006 WHO policy brief recommendations on pregnancy spacing.
Materials:Presentation
Post Abortion Care 101: Everything you wanted to know, but didn’t know what to ask (0.1 CEU)
Location: B103
Session 1 (This session is closed)
Instructor(s): Carolyn Curtis
This session will provide an overview of postabortion care including findings from the 2001 Global evaluation of postabortion care (PAC) programs, the latest tools and resources, as well as the USAID PAC strategy and results from country programs.
Materials:Presentation
Surviving a pregnancy, but only just - digital Stories about Fistula Clients and Services from Uganda
Location: Lobby B
Session 4 (This session is closed)
Instructor(s): Katie Tell
Fistula clients are usually the survivors of obstructed labor who have lost the child they have struggled often for up to five days to bring into the world, and are then left with a debilitating and stigmatizing injury. Many are young and abandoned, but it is not unusual to hear of women who have lived for 10 or more years with fistula. The ACQUIRE Fistula Project collaborated with the Center for Digital Storytelling to produce a series of digital stories created by and documenting the experiences of fistula clients, providers and hospital administrators. These stories, developed by the participants themselves, portray intimate narratives and details about the lives of these critical stakeholders. Come hear some of these compelling stories and learn about this important process of collective sharing and healing as a means of providing an effective counseling intervention for fistula clients, as well as a valuable tool for increasing awareness and advocacy for support of fistula services and the needs of fistula clients from prevention through repair and rehabilitation, to reintegration into their families and communities.
Materials:Presentation
Systematic Screening: Essential Ingredient in Integrated Services
Location: 305H
Session 3 (This session is closed)
Instructor(s): Jim Foreit
Systematic screening of existing clients for unmet health service needs effectively integrates reproductive and other health services at the provider level. Important increases in the number of services per visit ranging from approximately 13-25% have been achieved through screening. This session will explain how screening can be implemented and will discuss common pitfalls that reduce the effectiveness of the intervention. Participants will receive a "cookbook" on how to implement systematic screeing, and by the end of the session should be able to judge the feasibility of implementing screening in their own programs.
Materials:Presentation
Family Planning and Reproductive Health
10 Secrets of Partnering and Collaboration
Location: To Be Determined
Brown Bag Sessions (This session is closed)
Instructor(s): Catharine McKaig, Theresa Shaver
Are you skeptical when you hear someone say "we can accomplish more together than we can alone?" This session will describe how collaboration and partnership can contribute to the scaling-up of successful reproductive health and family planning interventions. Case studies from the experiences of Implementing Best Practices Initiative and the White Ribbon Alliance for Safe Motherhood will be presented. The presenters will highlight specific recommendations on how to make the most of partnerships both globally and at the country level.
Materials:Presentation 1 Presentation 2 Presentation 3
All we need is the product, right? Scaling up the Standard Days Method in Rwanda and Emergency Contraception in Bangladesh
Location: T1
Session 4 (This session is closed)
Instructor(s): Jim Foreit, Victoria Jennings
Essential steps for scaling up successful interventions – from pre-pilot through national expansion – will form the framework of this session. Examples from two different settings with distinct interventions will be presented, highlighting similarities in the successful process. Facilitators and participants will generate a list of practical techniques to engage stakeholders, create capacity and commitment, and ensure quality implementation.
Materials:Presentation
Business Approaches to Engaging Private Reproductive Health/Family Planning Providers
Location: 116A
Session 2 (This session is closed)
Instructor(s): Meaghan Smith, Makaria Reynolds, Taara Chandani
This session will explore business approaches to working with private service providers to promote and expand reproductive health and family planning services. This session will highlight three business approaches, including expanding access to financing; training private providers in business and financal management; and facilitating trade shows that enable private providers to network with pharmaceutical companies, equipment suppliers, financial institutions and representatives of the ministry of health.
Materials:Presentation
Contraceptives: What's hot, what's not, and what's in the pipeline (0.1 CEU)
Location: 323
Session 2 (This session is closed)
Instructor(s): Judy Manning, Mihira Karra
Contraception – it’s not just pills and condoms! This “Jeopardy!” format session will have you talking about new information on standard methods, new products that could be available and different in the next few years, and the strong comeback in methods your mother used.
Materials:Handout 1 (Game) 
Handout 2 (Fact Sheet)
Controlling Cervical Cancer in LDCs - Is the HPV vaccine a silver bullet?
Location: 114
Session 4 (This session is closed)
Instructor(s): Amy Kleine, Jeff Spieler, Ricky Lu
Today, cervical cancer is one less scourge for women in developed countries, in large part due to effective screening and treatment programs, but women in developing countries continue to die from this largely preventable disease. Using Pap smear, which works so well in detecting cervical cancer in developed countries, is constrained by resource and procedural issues inherent to developing country situations. However, recent developments in the causation of cervical cancer and subsequent production of effective HPV vaccines, coupled with evidence for effective screening technologies that are practical for low resource settings, have rekindled interest in cervical cancer prevention. These interventions, when strategically programmed and effectively deployed, have the potential of controlling cervical cancer in developing countries in our lifetime. Panelists from JHPIEGO will present the latest research on the long-term impact of visual screening, discuss new developments in testing, and the status of making the HPV vaccine accessible in less developed countries. They will also share the Alliance for Cervical Cancer Prevention's recently released recommendations for effective cervical cancer prevention programs in low-resource settings. Come learn what's new!
Materials:Presentation
Ensuring contraceptive security during integration and decentralization of health systems
Location: T1
Session 1 (This session is closed)
Instructor(s): Wendy Abramson, Linda Allain
During the past two decades, health sector reform (HSR) and sectorwide health strengthening initiatives — supported by bilateral donors, multilateral agencies, and development banks — have had an impact on contraceptive logistics systems in most Latin American and Caribbean countries. Two components of HSR in particular — decentralization of the health sector and integration of vertical health programs — have affected public sector contraceptive supply systems throughout the region. This presentation highlights key ideas that policymakers, family planning managers, and logistics advisors can consider when implementing the decentralization and/or integration reforms of logistics systems functions to help sustain an efficient and continuous supply of contraceptives. Through careful planning, decision makers can help maintain a well-built logistics system that guarantees the availability of contraceptives to clients throughout the reform process.
Materials:Presentation
Is the whole better than the sum of its parts? Operations research design and initial evidence from integrated population and environment projects
Location: B103
Session 4 (This session is closed)
Instructor(s): Gib Clarke, Yung-Ting Kung
Since 2002, USAID has funded projects that attempt to integrate population and reproductive health with environmental management and conservation initiatives. Two of these projects, in Madagascar and the Philippines, incorporated quasi-experimental operations research (OR) components to answer the following question: do you get significant improvements in family planning and conservation outcomes by delivering the interventions in an integrated fashion as opposed to delivering them in isolation? This presentation will present the design of the OR components, including an introduction to the population-environment linkages in both countries, and preliminary results.
Materials:Presentation 1 Presentation 2
Not Your Mother's Method Mix: How Community-Based Outreach is Going Beyond Pills and Condoms
Location: 224
Session 1 (This session is closed)
Instructor(s): John Stanback, Winnie Mwebesa
Come get the latest scoop on new and old ways to give more contraceptive choice to women and men in inaccessible areas. Winnie Mwebesa from Save the Children and John Stanback and Kirsten Krueger from FHI will share fresh data and insights into outreach, community-based distribution programs, and the amazing potential of rural drug shops. There will be lots of discussion, and a special quiz with fun anagrams as clues. Come find out why "Fair Depo Access" = "I escape far docs."
Materials:Presentation
Reproductive Health for Displaced Populations: Defining the need and the role of USAID and its Partners
Location: 116
Session 1 (This session is closed)
Instructor(s): Theresa Shaver, Basis Tomczyk, Meriwether Beatty
The presentation will give a brief background on Reproductive Health for Displaced Populations (RHDP). Data from a recent survey on the reproductive health of women displaced by the conflict in Lofa County, Liberia will be presented, as well as results of the policy operational barriers study conducted by HPI in Sierra Leone. The session will examine how to use data from the CDC survey in creating health programs, barriers to provision of reproductive health care to displaced populations, and the role of USAID and its partners in working with displaced populations in conflict affected countries. We will also examine some of the barriers encountered by CDC and HPI during data collection in Liberia and Sierra Leone, and the impact such barriers may have to work in this area.
Save Lives, Alleviate Poverty, Spur Development: Invest in LAPMs
Location: 305H
Session 2 (This session is closed)
Instructor(s): Fred Ndede, Joan Taylor, John Pile, Roy Jacobstein
Despite their considerable benefits to individuals and to programs, the availability and use of long-acting and permanent methods (LAPM) of contraception (IUDs, implants, female sterilization and vasectomy) are limited in many countries. This session will provide an evidence-based rationale for increased investment in LAPM programs, and will propose an effective model for increasing access, quality and use of these services. Using the example of a successful program in Kenya, presenters will demonstrate the ACQUIRE Project’s comprehensive programming approach. The presentation will illustrate how Reality √, a simple forecasting tool, can be used for realistic planning, and will demonstrate the need for synergy among supply-side interventions, demand-side interventions, and advocacy at multiple levels.
Materials:Presentation
HIV/AIDS
A Walk Along the PMTCT Cascade: Improving the Impact of Programs to Prevent Mother To Child Transmission of HIV
Location: 105
Session 1 (This session is closed)
Instructor(s): Matt Barnhart
This session will review state-of-the-art clinical practice in Prevention of Mother-to-Child-Transmission (PMTCT) and lessons learned from early PMTCT programs in the field. It will describe the evolution of PMTCT programs as they shift from focusing on single-dose antiretroviral prophylaxis interventions toward a more complex set of integrated interventions that emphasize establishing antenatal care as an entry point into a comprehensive continuum of care and treatment services for HIV + women and their families.
Materials:Presentation
Add an ounce of prevention to that pound of cure: Integrating HIV Prevention into care and treatment settings
Location: 116A
Session 1 (This session is closed)
Instructor(s): Pam Bachanas
Each year, approximately 4 million people become newly infected with HIV, a trend expected to continue unless effective prevention interventions are rapidly brought to scale in the areas hardest-hit by HIV/AIDS. The rapid scale-up of HIV care and treatment in resource-limited settings has created an opportunity to reach many HIV-infected individuals on a regular basis. This presentation will review prevention interventions for health care providers and counselors to routinely deliver to HIV-infected patients in clinic settings including, basic behavioral messages for prevention of sexual transmission, family planning, management of sexually transmitted infections, and counseling on ARV adherence and alcohol use. The challenges of integrating prevention services into busy HIV clinics will be discussed.
Materials:Presentation
Clinicians or Counselors? Challenges to the Scale-up of HIV Testing and Counseling in Health Facilities
Location: 115
Session 3 (This session is closed)
Instructor(s): Alison Surdo
HIV testing and counseling (HTC) is considered the entry-point for essential prevention, care and treatment services. HTC has traditionally been provided in community sites on a walk-in or client-initiated basis. However, in the era of scaled up HIV care and treatment, there is increasing interest in making an HIV test a more routine part of clinical services. New HTC guidelines have been released by the US Centers for Disease Control and Prevention and the World Health Organization endorsing this approach. But as health facilities implement HTC, many policy and implementation challenges have arisen. This presentation will look at the scientific and policy basis for routine HTC in health facilities and explore some of the approaches that have been most successful.
Materials:Presentations
Examining the evidence for a Behavior Change approach to HIV/AIDS Prevention
Location: 117
Session 2
Instructor(s): David Stanton
This session will review the evidence and latest thinking about the role of behavior change in controlling HIV epidemics. The presentation will focus most on the needs of the hyper-epidemics of southern Africa but will also look lessons learned from concentrated epidemics in other parts of the world.
HIV & Nutrition: A Framework for Addressing Patient & Family Needs
Location: 323
Session 3 (This session is closed)
Instructor(s): Tim Quick
Food is often stated as the most urgent need of people living with HIV (PLHIV) and their families, but also for their neighbors, reflecting the common overlap between areas of high HIV prevalence and chronic food insecurity. Wasting is common among PLHIV due to depressed appetite, increased metabolic requirements and greater nutrient losses, and there is a strong correlation between BMI and mortality before and during treatment, especially in the first months of anti-retroviral therapy (ART). The nutritional status of many, but not all PLHIV improves with ART and treatment of opportunistic infections (e.g. TB). Thus, there is need to provide nutritional support as a component of comprehensive clinical care and treatment of PLHIV, while also linking those patients with food security and livelihood assistance for their vulnerable families. This session will lay out a basic framework for USG food and nutrition support in the context of PEPFAR (President’s Emergency Plan for AIDS Relief) and Title II programs.
Materials:Presentation
HIV/AIDS Treatment: Adult & Pediatric Similarities and Differences (0.1 CEU)
Location: 105
Session 4 (This session is closed)
Instructor(s): Robert Ferris
This session will explore both adult and pediatric antiretroviral treatment in resource poor settings. As the world strives for universal coverage, it is important to understand the challenges faced by both children and adults who depend on theses medicines everyday. We will discuss the basic concept of multi-drug regimens and how they differ between adults and children. We will also examine the complexity of delivering and maintaining antiretroviral treatment around the globe.
Materials:Presentation
How low can you go? The ever changing world of ARV prices
Location: T1
Session 3 (This session is closed)
Instructor(s): Carl Hawkins, Rich Owens
How much does a years worth of ARV's cost? A) $2,200 B) $900 C) $375 or D) $89? You might be surprised by the answer. From new generics to shifting treatment regimens, the factors that influence pricing are complex and dynamic. This session will provide an interesting overview of the issues around ARV pricing and how this affects achieving universal access. Join us for a fun and interactive exploration of the past, present and future of ARV procurement.
Junkies and Hookers and Queers, Oh My – HIV Prevention with Most at Risk Populations
Location: 229
Session 4
Instructor(s): Billy Pick
HIV programming for high risk populations will be the focus of this session, with an emphasis on prevention efforts among sex workers, intravenous drug users, and men who have sex with men. Similar to last year's session, the presentation will highlight challenges, lessons, and best practices based on experiences in different types of concentrated epidemics in Asia and the Near East and in Europe and Central Asia.
Materials:Presentation
Making Successful Advances – Microbicides in Human Trials (0.1 CEU)
Location: To Be Determined
Brown Bag Sessions (This session is closed)
Instructor(s): Chris Mauney, Lee Claypool
Bill Gates has said “If I had a magic bullet to accelerate something, it would be the microbicide”. This session will be a discussion of 1) where we are with the microbicides that are now in human trials to test their effectiveness in reducing the risk of sexually transmitted HIV infection, 2) the timeline for completing these trials, 3) the challenges and successes in these efforts in the last 12 months, and 4) the future work needed to ensure access to these HIV prevention products by the people who need them most. Additional resources will be provided for those who wish to have more background information or to expand their knowledge in this often dynamic and sometimes controversial field.
Materials:Presentation Reference List
On the Horizon of Novel HIV Prevention: An Update on Pre-Exposure Prophylaxis and Vaccines
Location: 104
Session 3 (This session is closed)
Instructor(s): David Stanton, Margaret McCluskey
This session will give an update on two exciting developments in HIV Prevention: HIV Vaccine Research and Pre-Exposure Prophylaxis (PrEP). The session will begin by giving an update on HIV vaccine development, cover current trials in the pipeline, and discuss the changing paradigm from preventive to disease modifying vaccines. The theory behind the use of antiretroviral drugs to prevent HIV infection before exposure will follow. Animal data and ongoing clinical trials will be reviewed, and potential operational challenges to scaling-up, should clinical trials prove efficacious, will be discussed.
Materials:Presentation: HIV Vaccine
Orphans and Other Vulnerable Children: Reflections on Targeting, Programming Gaps, and Scaling-Up
Location: 401
Session 2 (This session is closed)
Instructor(s): Kirk Felsman
Despite the fact that scaling-up ART services is extending the quality of life for HIV positive caregivers, the numbers of OVC continue to increase in most of sub-Saharan Africa. Notions of "scaling-up" OVC services are contextual, with quality of programming being affected by local definitions, standards, and priorities. Minimizing programming gaps and maximizing the numbers of children who have access to comprehensive care remains a daunting challenge.
Materials:Presentation
Palliative Care in HIV/AIDS: Strengthening the Missing Links
Location: Lobby A
Session 4 (This session is closed)
Instructor(s): Ana Bodipo-Memba, Karen Stewart
Palliative Care, in the context of HIV/AIDS, aims to address the total care needs of a PLWHA and his or her family members living with the disease. The components include clinical care, preventive care, social care, spiritual care and psychological care. Countries across the globe are developing different models to provide palliative care and are able to meet some but not all of a clients needs across the continuum of care. More specifically, there are areas of focus within palliative care that are too often neglected or need better support in programming efforts. During this presentation, participants will be introduced to the concepts of palliative care with specific focus on the following issues –pain management, pediatric care, food and nutrition and caring for the caregiver. Models and studies on these topics will be discussed and shared for further education on HIV/AIDS palliative care programming.
Materials:Presentation
The Cutting Edge: Male Circumcision and HIV
Location: 323
Session 1 (This session is closed)
Instructor(s): Peter Johnson
Strong evidence from three separate randomized controlled trials suggests that male circumcision (MC) reduces the risk of heterosexually acquired HIV infection in men by as much as sixty percent. Based on this evidence, the World Health Organization has endorsed Male Circumcision as part of a comprehensive HIV prevention package. This session will briefly present evidence supporting MC as an HIV intervention as well as work to date by WHO and partners. Participants will have an opportunity to discuss (1) developing the human resources needed to provide MC in high prevalence communities; (2)meeting the logistical challenges associated with scaling up MC services; (3) promoting MC as a male reproductive health intervention; and (4) developing newborn circumcision as a long term strategy for reducing HIV prevalence.
Materials:Presentation
Infectious Diseases
As if being pregnant weren't enough: A love affair between the Placenta and the Parasite
Location: 114
Session 2 (This session is closed)
Instructor(s): Jamie Eliades
Approximately 500 million people in over 140 countries are at risk of malaria, and pregnant women are at particularly high risk as infection and disease affects both them and their fetus, and signs and symptoms are often masked. This session will cover the global burden of disease, the epidemiology of Malaria in Pregnancy (MIP) and it's impact on pregnant women, variations in the manifestations of disease in varying transmission settings, and current and potential future interventions for prevention and treatmen -why your Kegel exercises aren't enough.
Materials:Presentation
Avian Influenza: Are We Moving Quietly into that Good Night?
Location: Lobby B
Session 3 (This session is closed)
Instructor(s): Gavin MacGregor-Skinner
2006 was a year marked by the looming threat of the next pandemic as the Avian Flu virus, H5N1, quickly spread from Asia, across Europe and into Africa. Coupled with images of isolation wards from the “great pandemic” of 1918, when an estimated 40-100 million peopled died from influenza, the daily diet of a pending pandemic made Avian Influenza (AI) a favorite topic on television talk shows, books and even a made for TV movie. What has happened since 2006? The media fervor has died down, and AI has moved off the front pages. Does this mean that the risk of a pandemic has been lowered? Or, is this a case of the media moving onto its next disease du jour? Come, hear the latest on what we can expect and learn the truth behind the headlines—the real risk factors and possibilities for the next pandemic.
Materials:Presentation
Extensively Drug Resistant TB: A return to the pre-antibiotic era?
Location: To Be Determined
Brown Bag Sessions (This session is closed)
Instructor(s): Amy Bloom
This session will provide an overview of the global situation of multi drug resistant (MDR) and extensively drug resistant (XDR) TB and describe the factors contributing to the problem. The session will provide a summary of the global strategy and interventions to address the problem as well as updates on development of new tools such as drugs and diagnostics.
Materials:Presentation
TB 101: A breath of fresh air on an old topic
Location: 104
Session 1 (This session is closed)
Instructor(s): Clydette Powell
This session will review basics about TB prevention and control, as well as newer challenges on the horizons. The session will cover highlights on DOTS, the new STOP TB strategy components, pediatric TB, private-public mix, and TB candidate vaccine updates. The take-home freebie will be a copy of the updated “TB Rap Song” developed by the presenter.
Materials:Presentation
Tenacity for Capacity: The Expansion of Country Capacity to Respond to Emerging and Reemerging Infectious Disease Threats
Location: 115
Session 4 (This session is closed)
Instructor(s): Angela Weaver
In order to respond to public health risks and potential public health emergencies of international concern, countries must be able to detect, report, and respond to public health events. To do so effectively requires a network of highly qualified and well-trained public health professionals that are prepared to address their country’s public health challenges. Come learn about the expansion of applied epidemiology training programs in Africa and how they are helping to address this need while developing a cadre of public health practitioners and leaders in Africa.
The President's Malaria Initiative: the past two years
Location: 116A
Session 3 (This session is closed)
Instructor(s): Trent Ruebush
This session will present a review of progress, challenges, and successes of the President's Malaria Initiative in scaling-up malaria prevention and treatment measures in the initial 7 countries and the addition of 8 new countries in 2008. We will discuss planning and implementation with National Malaria Control Programs and other national and international partners, efforts to standardize monitoring and evaluation approaches, work with Roll Back Malaria Partnership and countries to assist with new Global Fund proposals and bottlenecks with existing Global Fund grants.
Materials:Presentation
Things your mother never told you about MALARIA
Location: 116
Session 4 (This session is closed)
Instructor(s): Larry Barat, Mike MacDonald
You've read about it in the New York Times, Wall Street Journal, and even ancient Egyptian hieroglyphics. Now come learn what causes malaria, how it's transmitted, its impact, and how it can be controlled. Learn about some of the recent controversies and the latest start-of-the-art technologies.
Materials:Presentation
Knowledge Extravaganza
Knowledge Extravaganza! (0.1 CEU)
Location: 101
Knowledge Extravaganza! (This session is closed)
Instructor(s): To Be Determined
Keep on learning and join the fun! Did you miss a session you really wanted to attend? Then don't miss the Knowledge Extravaganza and N'Lightening Round! Come hear the take-home messages and see presenters compete in a lively competition for the best "pearls" before a panel of judges, including Dr. Kent R. Hill, Assistant Administrator for the Bureau for Global Health at USAID.
Maternal, Newborn and Child Health
Community Case Management: A Necessity for Reducing Child Mortality and Achieving MDG4
Location: 104
Session 4 (This session is closed)
Instructor(s): Ciro Franco
Public health experts agree that providing population-wide coverage of key interventions is crucial to achieving Millennium Development Goal #4, a two-thirds reduction in child mortality by 2015. Yet, few low-cost, feasible approaches exist in the formal health system for delivering prevention and treatment services to hard-to-reach communities. In a number of developing countries, community health workers (CHWs) have proven to be a viable option for extending essential care to families that do not have easy access to health facilities. Policymakers have often raised concerns about the capacity of CHWs to provide quality services and manage medications, as well as the health system’s ability to supervise them. But, experience has shown that, with appropriate planning, training and support, CHWs can effectively treat childhood pneumonia, malaria and diarrhea. In fact, community-based treatment contributes to a strengthened health system by reinforcing capacity at all Ministry of Health levels for planning, implementing, and supporting activities. This session will review lessons learned in programming and scaling-up community case management.
Materials:Presentation
Infectious Diseases and an Empty Stomach: New Evidence on Malnutrition as the Neglected Disease
Location: 229
Session 2 (This session is closed)
Instructor(s): Frances Davidson
This session will describe the immunologic consequences of poor nutrition and micronutrient intake, including the effects of malnutrition on malaria, TB, and HIV/AIDS. The speaker will then discuss the importance of an integrated nutrition strategy for any infectious disease program-including PEPFAR and PMI - by introducing new evidence on the strong connections between malnutrition and infectious disease mortality.
Materials:Presentation
New Evidence on the Role of Anemia in Maternal Mortality
Location: Lobby A
Session 3 (This session is closed)
Instructor(s): Phil Harvey, Tina Sanghvi
This session will review a recent meta-analysis on anemia and maternal deaths, which shows that correcting anemia of any severity reduces the risk of death. Speakers will also present country case studies on how to operationalize maternal anemia program activities.
Materials:Presentation
Not as easy as you’d zinc – Lessons from the research-to-program continuum
Location: T1
Session 2 (This session is closed)
Instructor(s): Emily Wainwright, Malia Boggs
Several years ago, the Health Office of USAID redesigned its research framework, expanding support from a sole focus on results-oriented research to a research-to-program continuum. Under this approach, the Office aims to assure that the results of key research actually make it to introduction and scale-up in country programs by addressing issues such as policies, regulations, manufacturing standards, production and distribution capability, financing, demand creation, and acceptance by practitioners. Zinc treatment for diarrheal illness – since 2004 a treatment endorsed by WHO and UNICEF – has been the first opportunity to actually apply this continuum approach. Real progress has been made, but with several important “If we knew then what we know now” lessons. This session will lay out these real – sometimes amusing – experiences and discuss their implications for future efforts to introduce and scale-up new research results.
Not your mother's vaccines: Using new vaccines against the old enemies of Diarrheal Disease and Pneumonia
Location: 305H
Session 1 (This session is closed)
Instructor(s): Angela Weaver, Rebecca Fields
The world of global immunization is dynamic, rapidly-changing, and holds greater promise than ever for reducing childhood mortality. New vaccines that are effective against the major child-killers of diarrheal disease and pneumonia are not somewhere in the future, they are here today, and they are starting to be used in several countries. We'll provide an overview of vaccines against Haemophilus influenzae type b (Hib), pneumococcus, and rotavirus, including their effectiveness, availability, safety, likely cost, and possible financing. We'll also explore considerations for introducing them successfully into immunization programs so that they reach the greatest possible number of children.
Materials:Presentation
Opportunities Gained: It’s not the stock market, it’s Postpartum Hemorrhage prevention!
Location: 305H
Session 4
Instructor(s): Debbie Armbruster, Harshad Sanghvi
Postpartum hemorrhage (PPH) is the leading cause of maternal mortality. It has been a hot topic for a few years. You may think that you have heard it all but you are in for a surprise! 2006-2007 has been an eventful year -- nationally representative data on the practice of Active Management of the Third Stage of Labor (AMTSL) in 7 countries is available; a definitive study on misoprostol and PPH prevention is completed; oxytocin in Uniject is now being produced with a temperature monitor (like a vaccine vial monitor); new WHO recommendations on use of misoprostol, delayed cord clamping and who can provide AMTSL are available. All of these topics are of great interest to the maternal child health community and can change their maternal and newborn programs dramatically. Come, listen and join the discussion.
Materials:Presentation 1 Presentation 2: WHO Recommendations
Saving Mothers and Newborns: Responding to Emergencies
Location: 104
Session 2 (This session is closed)
Instructor(s): Barbara Deller, Patricia Gomez
More than 500,000 women die of pregnancy-related conditions, and an estimated 4 million newborns die, each year. Yet nearly all of those life-threatening conditions can be addressed effectively with safe low-tech interventions by skilled providers at peripheral health center and district hospital levels. This session will describe key technical and programmatic considerations in the implementation of those life-saving interventions. In addition, we will include hands-on demonstrations of several of the basic emergency obstetric and newborn care skills.
Materials:Presentation
The New Infant and Young Child Feeding Practices Indicator: Measuring for Meaningful Results
Location: Lobby B
Session 1 (This session is closed)
Instructor(s): Emily Wainwright, Erin Boyd
This session will describe the rationale for the development of the Infant and Young Child Feeding (IYCF) composite indicator, give an overview of the data collection and analysis, and provide updates on the use of the IYCF Practices indicator from 43 countries and from a global perspective. The speakers will also review the components of the indicator: continued breastfeeding or feeding of milk, fed (solid/semi-solid foods) minimum number of times per day according to age and breastfeeding status, and fed the minimum number of food groups per day according to breastfeeding status.
Materials:Presentation
Where there is no doctor or nurse: Can newborns survive?
Location: Lobby A
Session 1 (This session is closed)
Instructor(s): Joseph de Graft-Johnson
Every year approximately 4 million newborns die, a majority of them as a result of asphyxia, infection and prematurity. Recent studies show that up to 50% of these deaths could be prevented with low tech and low cost interventions, implemented by family and community members with minimal support from the medical establishment. Most important is the fact that the expected impact can be achieved within 2-3 years of program implementation. If you are interested in reducing neonatal mortality by up to 50% in your program area, or if you just want to learn more about these effective interventions, then you must attend this session.
Materials:Presentation
Who gives a @#!&? We doo Moving beyond technology to improve basic sanitation
Location: 401
Session 3 (This session is closed)
Instructor(s): Christopher McGahey, Scott Tobias, John Borrazzo
Basic sanitation technology has been available for millennia, yet over 2.6 billion people still do not use any method of safe sanitation, perpetuating a global health crisis. Lack of sanitation contributes to diarrheal diseases that kill 1.8 million children each year, reduced nutritional status, educational underachievement, and to co-morbidities associated with HIV/AIDS. This session will present current health perspectives on sanitation and discuss the limitations of supply side approaches to sanitation. Using country experiences, presenters will introduce cutting edge strategies that focus on markets and community-based approaches rather than technologies - generating demand and tailoring supply to meet the demand for sanitation goods and services. Expect a lively exchange of experiences and ideas around a topic that people don’t want to step into!
Materials:Presentation 2 Presentation 1
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