1 Overview of Program

Representatives from the Medical and Nursing Schools of the 8 partner institutions Currently a group of 20 individuals – Growth over time from initial 8 representatives Meet weekly via conference calls and 2-3 times annually in person for last 2 years Meetings now include support personnel for M&E and curriculum development Afya Bora Consortium: Who are we?

Selected from 4 US institutions and 4 African partner countries – 4 Uganda, 4 Tanzania, 4 Botswana – 6 Kenya (2 funded through UON MEPI) – 2 US Multidisciplinary group – 12 Medical post-graduates and post-residency physicians – 8 Graduate nurses – 12 with public health degrees (4 PhD; 8 MPH) – 10 men and 10 women Highly competitive process with 62 applications Afya Bora Fellows 2012

11.5 month fellowship First phase: 3 months (nine 1-week modules) –Core courses, skills building, project planning –Cohorts train together Second phase: 9 months (two ~4.5 month blocks) –Individualized training with mentoring –Experiential work in local government or non- government organization –Project implementation and final report Focus is on learning practical skills Project to directly benefit site Training Program Structure

Timeline and Activities Attachment I (~3 months)

Modules address 9 highly relevant topics in program leadership Topics not necessarily part of traditional medical, nursing or public health school curricula Leadership Skills Communications and Media Skills Monitoring and Evaluation Effective Writing and Grant Proposals Program and Project Management Implementation Science and Health Systems Research Health Informatics Human Resources and Budget Management Global Health Policy and Governance Curriculum for Core Training

Modules Interactive, dynamic sessions Led by Afya Bora members and local experts Local and outside speakers, some presenting remotely Final project July 2012– in Gaborone January 2013– in Nairobi June 2013– in Kampala 5-days each topic Full day schedule In class and out of class assignments

Purpose is to gain practical skills and real world leadership experience Attachments in African partner countries First rotation in home country Second may be in a different country Sites include: –Ministries of Health –NGOs (e.g., AMREF; I-TECH) –Universities and academic hospitals (e.g., BUP) –PEPFAR sites/offices –CDC field stations Experiential Training

A strong mentoring program is essential and constitutes an important step toward a self- sustaining South-South training consortium Team Approach: Each trainee will be supervised by a team of mentors throughout fellowship Mentors chosen from –Eight Consortium institutions –Participating non-academic entities Mentoring

Three-step Process: 1.Fellow identifies sites and projects in conjunction with Primary Mentor –All Fellows initiated this process with forms received by 2.Site representatives are sent applications and forms for review 3.Sites identify fellows best-suited for projects currently available Matching to Site

Identification of Attachment Site Mentor Introductions at Attachment Site –by Primary Mentor or In-country Lead Discussion of Project with mentors –Project suited to Fellow’s interests, strengths and goals –Must also address needs of host attachment site and country agenda Identification of other mentoring team members –At attachment site –At academic partner institutions Project and Mentor Selection

Activities During the Rotation 1-day workshop for Mentoring Teams within first 2 weeks This meeting includes Fellows As needed meetings with Attachment Site Mentor Weekly meetings with Primary Mentor Semi-monthly meetings with Country Lead and Fellows in- country Monthly meetings with Mentoring Team Project report and evaluation due last day of rotation

Project Report and Evaluation Project Report –Written Format to be determined with input from Mentoring Team –Oral presentation Evaluation –Critique of the value of rotation –Strengths/weaknesses of experience –Feedback on site and mentoring team

Establishing and conducting M&E is critical to success of program – To capture short- and long-term impact – To provide immediate feedback to optimize program – Future funding depends on success of this Pilot Conducted by International Training and Education Center for Health (I-TECH) – Gabrielle O’Malley, PhD - Director, Operations Research & Quality Improvement M&E of modules and all activities – Full cooperation with requests for information are mandatory Monitoring & Evaluation

Two-day conference at end of Fellowship – June 24-26, 2013 – Location Kampala, Uganda – Fellows, Afya Bora team, and mentors invited Activities to include: – Presentations by Fellows – Final written evaluations and assessments – Exit interviews with all participants and mentors Wrap-Up Session