HIV AIDS Initiative Africa Centre for International Health The by jmeltzer


									                                        The HIV/AIDS Initiative-Africa unites forces from the UofT’s diverse faculties and its med-
                                        ical leadership in a multidisciplinary and collaborative strategy against the HIV/AIDS pan-
                                        demic. A core team at the CIH is responsible for identifying opportunities, forming and
                                        mobilizing working groups and preparing responses with the University communities to
                                        take action with partners in sub-Saharan Africa. Our principle partners are universities in
                                        five countries: Kenya, Namibia, Nigeria, Tanzania and Zambia In addition, we have partners
                                        in Cameroon, Malawi and South Africa. Through the creation of long-term capacity build-
                                        ing partnerships with these core national institutions The Initiative seeks to be develop-
                                        mental in nature. The Initiative and its partners focus on one key component per universi-
                                        ty. Each component was identified based on the needs of each partner university and the
                                        expertise available from participating faculties at UofT. Throughout the Initiative’s work,
    HIV/AIDS                            UofT students are provided with challenging educational opportunities to gain vital inter-
                                        national experience. With access to and involvement in the Initiative’s activities, UofT fac-
Initiative – Africa                     ulty and students benefit from research and education opportunities that directly impact
                                        their academic programs and the HIV/AIDS pandemic.
    Centre for                          The vision of the HIV/AIDS Initiative-Africa’s is:
  International                         “To have universities play a leading role in preventing new HIV infections and extending the
                                        healthy life expectancy of people living with HIV/AIDS in sub-Saharan Africa.”
      Health                            The mission of the HIV/AIDS Initiative-Africa is:
                                        “To reduce prevent HIV transmission and deaths due to AIDS in sub-Saharan Africa using
                                        a multi-disciplinary and multi-sector approach.”

                                        The goal of the HIV/AIDS Initiative-Africa is:
                                        “To increase the educational, research and service capacity of public universities in sub-
                                        Saharan Africa through long-term partnerships with the University of Toronto that directly
                                        and indirectly halt and begin to reverse the spread of HIV/AIDS.”

                                        To achieve our goal, activities are undertaken between UofT and its partners in core areas.
                                        They are:
                                        1. Capacity development of universities to better enable their countries to prevent and
                                           treat HIV.
                                        2. Reciprocal exchanges between students and faculty of MU, UDSM, UNIPORT, UNAM,
                                           UNZA and UofT.
                                        3. Conducting research directly and indirectly related to the HIV/AIDS pandemic.
                                        4. Advocacy and public engagement through arts and culture.

                                        The Initiative continued its exploration of partnering with Moi University’s School of
                                        Medicine in Eldoret through the ASANTE (America/sub-Saharan Africa Network for
                                        Training and Education in Medicine) consortium. The University of Toronto has been
                                        requested to lead the Consortium’s support of Moi’s Department of Reproductive Health.
                                        ASANTE is building the capacity of the School of Medicine through clinical care, training,
                                        research and the exchange of faculty and students.

                                        In January 2006, Dr. Alan Bocking, Chair of UofT’s Department of Obstetrics and
                                        Gynecology (OBGYN), and representatives of the Centre for International Health presented
                                        the opportunity of joining ASANTE to the OBGYN’s Leadership Council. This was followed
                                        by Dr. Robert Einterz, Professor of Clinical Medicine, Associate Dean of International Affairs
Aaron N. Yarmoshuk, Program Director
HIV/AIDS Initiative-Africa
                                        and Director of the ASANTE consortium, Indiana University, Indianapolis, Illinois, visiting
Centre for International Health         Toronto in May 2006 to discuss the opportunity of joining ASANTE. Dr. Einterz met with                 representatives from across the Faculty of Medicine, including the Department of
                                        Medicine, Office of International Surgery and Post-graduate Medical Education Office, in
Donald Njelesani, Program Coordinator
HIV/AIDS Initiative-Africa
                                        addition to the Department of Obstetrics and Gynecology and the CIH.
Centre for International Health      1 In addition, we have partners in Cameroon, Malawi and South Africa

During the summer months, after completing
her 1st year of the undergraduate program,
Ms. Alice Han, became the first UofT medical
student to be placed with Moi University’s
School of Medicine. Supported by a UofT
Medical Alumni Association (MAA) scholar-
ship, Alice completed a 10-week placement in
Eldoret that included research on the social,
economic and cultural determinants of obstet-
ric fistula.

Drs. Bocking and Zakus paid a trip to Moi
University in November. The trip focused on
discussing the departmental priorities with
senior representatives of Moi’s Department of
Reproductive Health, producing a phased plan
for building the partnership between the two             From left: Ms. Alice Han , UofT undergraduate medical student and Medical Alumni recipient with col-
universities and learning more about AMPATH              leagues from Moi University School of Medicine, Dr. Onentiano, Dr. Vandgama) and Mr. Peter Maritim
(the Academic Model for the Prevention and               (medical student)
Treatment of HIV program).

In November 2006, The Initiative hosted the first representative of Moi’s School of Medicine to UofT, Dr. Hillary Mbeye. Dr. Mbeye
participated in the CIH’s Symposium, Promoting Evidence-Based ART Adherence in Resource-Poor Setting. Dr. Mabeya also spoke
and participated at various medical rounds within the University Hospital Network while in Toronto.

Finally, The Initiative also maintains long-standing links with the University of Nairobi through the Collaborative Centre for STDs/HIV
Research and Training that is run in partnership with the University of Manitoba. UofT Faculty of Medicine students are able to take
electives at the University of Nairobi’s College of Health Sciences through the Chair of the Department of Medical Microbiology.

Significant steps were taken in 2006 to develop the partnership between the Universities of Namibia and Toronto through The
Initiative. The highlight of the year was the Workshop on Capacity Building and HIV/AIDS Mainstreaming for the Development of a
Health Promoting University, held in Windhoek from May 29th to June 9th. Co-hosted by UNAM’s HIV/AIDS Steering Committee and
the UofT’s HIV/AIDS Initiative-Africa, the workshop’s goal was to develop courses so that HIV/AIDS education could be mainstreamed
into UNAM’s curricula. The workshop comprised of representatives from the Universities of Dar es Salaam, Namibia, Zambia and
Toronto, various Namibian Ministries and the UNESCO Cluster Office. UofT’s 11 representatives came from five faculties: Arts and
Science; Law, Medicine, Nursing and Physical Education and Health. The workshop was successful in drafting the curricula for six
courses: Cultural Aspects of HIV/AIDS; Counseling and Psychosocial Care in HIV/AIDS; Introduction and Management and Care of
HIV/AIDS; Gender and HIV/AIDS; Biological Aspects of HIV/AIDS; Research Methods. In addition, Ethical Guidelines for HIV/AIDS
research at UNAM were drafted during the workshop. It was decided that courses would be offered in both certificate and diploma

(From left) Ms. Sarah Stranks, UofT International Development Student, HIV Knowledge Network Officer and UNAM/UofT Workshop Rappateur captures the discussion
as Professor P. Mufune, Department of Department of Sociology, UNAM , Dr. M. Grobler, Department of Social Work and Community Development UNAM and Mr. M.
Callaghan, Department of Anthropology, UofT, present and then lead the discussion on Culture and HIV/AIDS at the UNAM/UofT Workshop on HIV/AIDS Mainstreaming

courses, in an attempt to link HIV/AIDS education at UNAM with the greater community. The implementation of the courses through-
out the university is being carried out by Dr. Scholastika Iipinge, the Focal Person of the HIV/AIDS Unit, and the Faculty Deans across

Another positive result of the workshop was further development of the partnership between the Universities of Zambia, Dar Es
Salaam, Namibia, and Toronto, which is currently being maintained by a network of HIV/AIDS Knowledge Network Officers stationed
at UDSM, UNAM, and UNZA. Ms. Liz Corson, HIV/AIDS Knowledge Network Officer-UNAM has been working closely with Dr. Iipinge
and the team at the HIV/AIDS Unit since September acting as a link between not only the aforementioned institutions, but also
between the students, academic, and support staff at UNAM.

Early June marked the commencement of the 2006 UNAM/UofT Collaborative
Student Research Program. Working closely with Dr. Richard Lee, The Initiative
expanded the program beyond the Department of Anthropology to include partic-
ipants from the Faculties of Law, Medicine, Nursing and Physical Education and
Health and Gender and Equity Studies (New College). The program was also
extended outside of Windhoek to include placements in Otjiwarongo and with the
Small Business Development Centre at UNAM’s Northern Campus in Oshakati.
Students participated in a service placement and conducted research in partner-
ship with UNAM students. The program concluded with final forums at both
campuses during which students presented on their work. Mr. Mike Callaghan
and Ms. Sarah Perkins supervised the program for UofT.

December 1st marked the first commemoration of World AIDS Day at UNAM. The
event was held in the Main Hall on campus and included participants from the
academic staff, support staff, and student body. After various motivational
speeches and the presentation of an educational film, discussions in small groups
lead to many ideas for programs to be implemented in 2007 including education-
al seminars, the establishment of People Living with HIV/AIDS support groups,        Christine Pye (left), Faculty of Nursing, UofT, and Aina
and Voluntary Counseling and Testing on campus. The World AIDS Day activities        Shigwedtha (right), Nursing, UNAM, present on nursing care in
were successful in increasing awareness on campus and promoting a positive           Windhoek Health Clinics at the Final Forum of the UNAM/UofT
attitude towards sexual health and living with the AIDS.                             Student Program

In the second half of 2006, the Centre for International Health and
the University of Port Harcourt (UNIPORT) learned that their grant
proposal to the Association of Universities and College of Canada’s
University Partnerships in Cooperation and Development program
was successful. The Development Agency (CIDA), will establish a
Centre for Health and Development (CHD) at UNIPORT.

The Centre for Health and Development will train health workers in
the management of people living with HIV/AIDS (PLWHA) as its
first project. It is expected that the CHD will train 300 health and
community workers to roll out anti-retroviral therapy (ART) in hos-
pital and community-based settings, and build partnerships
between health institutions and community-based organizations
(CBOs) during the first 6 years of its existence.

In November co-Project Directors, Dr. David Zakus, Director, CIH
and Dr. Nimi Briggs, Professor, University of Port Harcourt partici-
pated in the orientation session for UPCD projects in Ottawa. The      CDH Project Advisory Committee members, Professor Nimi Briggs
year concluded with Dr. Zakus and Canadian Project Manager,            (middle), Professor O.J. Odia, Provost of UNIPORT’D School of
Aaron Yarmoshuk, preparing to visit Nigeria in January 2007 to         Health Sciences, Dr. David Zakus, CIH Director, review location,
work with Dr. Briggs on preparation of the project implementation      under construction, of new Centre of Health and Development

Dignitas International is a supporting a partner in the ART project with UNIPORT. Dignitas will be sharing learning’s from its commu-
nity-based ART program in Zomba, Malawi.

In 2006, The Initiative commenced a link with the University of Dar es Salaam (UDSM). This began with the Secretary of the UDSM Vice-
Chancellor’s HIV/AIDS Standing Committee, Dr. Musiba Mbilima, attending the UNAM/UofT Mainstreaming workshop in May. In November
The Initiative placed an HIV/AIDS Knowledge Network Officer, Ms. Danielle Kuczynski, with UDSM. During her initial months of her six month
placement, Ms. Kucynski worked with Dr. Mbilima to determine areas on which UDSM and UofT should focus. The following goal and objec-
tives will guide the development of the partnership in 2007:

Project Goal
To prevent the spread of HIV infection, and provide equal access to treatment, care and support services to people living with or affected by
HIV/AIDS, generating and disseminating HIV/AIDS knowledge, and providing a strong and committed leadership in response to the pandemic
at the UDSM and the wider society.

1. To strengthen the VC HIV/AIDS Standing Committee.
3. To strengthen the existing service courses and offer new learning opportunities for service training, especially in the area of HIV coun-
   seling, care and ART delivery.
4. To explore and develop a collaborative research program.
5. To launch a bilateral student exchange program.

The partnership between the University of Zambia (UNZA) and the CIH has developed
gradually since its inception in 2003. In 2006, the formal signing of a memorandum
of understanding between UNZA and UofT, led by the Faculty of Physical Education
& Health, marked a major development in the partnership. Core to the UNZA/UofT
partnership is the enhancement of the physical education unit at UNZA, research col-
laboration and student exchanges.

In February the Workshop on the Use of Physical Education, Sport and Traditional
Games to Address HIV/AIDS through the Educational Sector in Zambia was held in
Lusaka. It allowed the most significant contributors to physical education in Zambia,
teachers, teacher trainers and curriculum specialists from the state schools and
teacher training colleges, a forum to meet Zambian colleagues and international spe- Bruce Kidd, Dean, Faculty of Physical Education and Health,
cialists (from Canada, Namibia and the United Kingdom), to debate and recommend and Lucy Changwe, Zambia’s Deputy Minister of Education,
                                                                                      meet in Lusaka
how physical education can be revitalized in an era of HIV/AIDS. Participants suc-
cessfully demonstrated their command of and competence in the teaching of tradi-
tional games as preventative HIV/AIDS education. Thanks are due to the many people and organizations (Commonwealth Games Canada,
EduSport, UK SPORT, Ministry of Education), including the participants, who made the workshop a success.

As a follow-up to the February workshop, a four member team comprising Lazarous Kalirani (Curriculum Development Centre), Davies Kunda
(Ministry of Education), Musheke Kakuwa (UNZA), Sylvester Mbewe (Physical Education Teachers Association of Zambia) and Donald
Njelesani (UofT) conducted monitoring visits to evaluate the outcome of the February workshop on workshop participants with regard to per-
sonal commitments agreed to and assess impact on institutions and surrounding communities. These visits took place from 19th to the 28th
July, 2006 in the towns of Kabwe, Mongu and Solwezi. From the visits, it was evident that participants are advancing the agenda of physi-
cal education in Zambia within their own institutions. Good examples of engaging fellow staff (Solwezi) and ensuring HIV/AIDS is integrat-
ed in underrepresented populations - such as students with special needs - (Kabwe) were observed.

In September 2006, Musheke Kakuwa visited the University of Toronto and participated in the formal orientation program for first-year
Physical Education students at Camp New Moon in Ontario. In addition to delivering lectures to faculty, staff and students from across the
University, Mr. Kakuwa participated in strategic meetings aimed at developing the teaching and research capacity of the Unit of Physical
Education. A key outcome of Mr. Kakuwa’s visit was the creation of an annual scholarship for a graduates of the Physical education program
at the University. This scholarship is fully funded and is guaranteed until 2012.

Knowledge Network Officer
In November 2006, the CIH’s HIV/AIDS Initiative-Africa’s first HIV/AIDS Knowledge Network Officer, Ms. Sarah Taleski, arrived at UNZA to
complete a six month placement with the HIV and AIDS Response Programme. The Response Programme is the implementing arm of the
Vice Chancellor’s Standing Committee on HIV and AIDS (VCCA) and is comprised of a Programme Manager- Millica Mwela, the
Administrative Assistant- Chiluba Kalungwana and two full-time volunteers. The coordination of events organized by student associations
to recognize World AIDS Day was the first activity tackled jointly by the Response Office and the HIV/Knowledge Network Officer.

Visit to Canada by Dr. Ngoma
In December 2006, the Chair of the VCCA, Dr. Mary Ngoma visited the University of Toronto to participate in
week long events across campus commemorating World AIDS Day and a symposium on the challenges of ART
Adherence in southern Africa hosted by the CIH. During her visit, Dr. Ngoma held forums with University stu-
dents, paediatric residents & staff and delivered keynote addresses to the African Caribbean Council on HIV/AIDS
in Ontario (ACCHO) and the Ontario HIV/AIDS Treatment Network (OHTN) annual conference. As a result of this
visit, the CIH is exploring collaboration with the department of paediatrics at UNZA and specifically leadership
training and exchange in paediatrics.

Monitoring and Evaluation Unit
The CIH completed the mid-term performance review of the Southern Africans AIDS Trust (SAT) for the Canadian
                                                                                                                    Mr.     Musheke     Kakuwe,
International Development Agency (CIDA). CIDA has been supporting SAT since 1990, with the Canadian Public          Lecturer, Physical Education,
Health Association (CPHA) as executing agency since 1990. SAT has offices in Malawi, Mozambique, South              UNZA, speaks to students and
Africa, Tanzania, Zambia and Zimbawbe. The CIH’s review team was composed of Dr. David Zakus (team leader),         faculty at UofT about the use
Ms. Jean Garsonnin, Dr. Ajay Gupta, Mr. Ross Kidd, Mr. Donald Njelesani and Mr. Aaron Yarmoshuk.                    of traditional games as an
                                                                                                                    empowerment tool
Arts and Culture
The incorporation of Arts and Culture in to events as an HIV/AIDS advocacy tool continued to progress
during the past twelve months. At the Namibia workshop, a Thursday evening event was held that cel-
ebrated Namibia culture and gave workshop participants a sense of the University of Toronto’s 2006
World AIDS Day. The Initiative supported the growth of World AIDS Day events with its partners on 1
December 2006.

XVI International AIDS Conference
The Initiative participated in the Conference in partnership with the UNDP-led Red Ribbon Campaign.
On the opening Monday of the conference Core Staff and CIH Associates presented in the Red Ribbon
Campaign’s Community Dialogue Space in the Global Village on the Community of Universities being
developed between Moi, UDSM, UNAM, UNIPORT and UNZA.

ART Symposium
In partnership with the University of Toronto’s World AIDS Day events during the last week of
November, The Initiative hosted its first symposium, Promoting Evidence-Based ART Adherence in             Mr. Chimuka Hamusunse, volunteer,
Resource-Poor Settings. The main speakers at the event were Dr. Ed Mills of the Centre for International   HIV/AIDS Office (left) and Ms. Chiluba
Health and Human Rights, Dr. Mary Ngoma of the University of Zambia and Dr. Kathy Pouteau of Dignitas      Kalungwana (right), Administrative
International. The symposium was supported by The Connaught Fund, The Hospital for Sick Children           Assistant,     HIV/AIDS     Response
and the Centre for International Health.                                                                   Programme discuss work outside UNZA’s
                                                                                                           Health Centre

For 2006 the Initiative assisted with placing the following individuals overseas:
University of Toronto Students
Kenya               Alice Han, Faculty of Medicine                              Mark Unger, Faculty of Medicine
South Africa        Arielle Lasry
Namibia             Ben Comeau, Faculty of Medicine                             Janice Wong, Faculty of Medicine
                    Sandi Kendal, Public Health Science, Faculty of Medicine    Aria Ahmad, Department of Anthropology
                    2006UNAM/UofT Collaborative Student Research Program        Julie Spink, Faculty of Nursing
                    Alanna Fitgerald-Husek, Department of Anthropology          Christine Pye, Faculty of Nursing
                    Giulia Muraca, Department of Anthropology                   Gabrielle Zilkha, Gender and Equity Studies
                    Jon Fiddler, Department of Anthropology                     Joanne Murray-Ormandy, Gender and Equity Studies
                    Leah Taylor, York University (through Anthropology)         Mathew Strang, Faculty of Physical Education & Health
                    Adrienne Kitchin, Department of Anthropology                Ayan Hersi, Department of Anthropology
                    Emily Dauria, Department of Anthropology                    Liz Corson, Faculty of Physical Education and Health
                    Helen Lam, York University (through Anthropology)           Eliza Seaborn, Faculty of Physical Education & Health
                    Dylan Smith, Faculty of Law                                 Lisa Pitre, Faculty of Medicine
                    Alexandra Smith, Faculty of Medicine

Knowledge Network Officers
Namibia        Laura Jenner (until April)
               Sarah Stranks (May & June)
               Liz Corson (September on)
Tanzania       Danielle Kuczynski (November onwards)
Zambia         Sarah Taleski (November onwards)

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