Imai-Imci Alliance Inc

Programs: Who afro partnered with the imai alliance to develop integrated ncd guideline modules, training materials and a longitudinal patient monitoring system modeled after the who imai hiv experience. The alliance developed patient cards for patients with elevated cardiovascular disease risk/diabetes/hypertension, asthma/ chronic obstructive pulmonary disease, and rheumatic heart disease as well as patient registers to facilitate longitudinal patient tracking, monitoring and reporting. This ncd patient monitoring system links with the hiv care/art and the tb patient monitoring systems and incorporates the who-cdc global hearts minimum indicators. These patient monitoring tools were field-tested in masaka, uganda in february 2017. During this time, the imai alliance was also contracted by the who headquarters ncd team to develop several managerial tools for the who-cdc global hearts technical package: a national strategic planning and adaptation manual, an implementation manual for district managers, a quality improvement module, revision of the who handbook on supply management for use in the ncd context, and an ncd operations manual for the health centre.

the alliance continues to support the scale up of the quick check+ programme which includes training and mentoring of district hospital clinical teams in the se asian and african regions. Through grants from who searo, who afro and who hq, the curriculum, based on the who imai district clinician manual, was updated. The curriculum was also adapted for nepal and the first inter-country who imai-card training took place in september 2016 to prepare hospital clinical teams to support triage, rapid provision of appropriate emergency treatments, and management of severely ill adolescent and adult patients with severe acute respiratory infections (sari) or shock (which may be from sari, cholera or viral haemorrhagic fevers or other diseases); and infection prevention and control. In addition, the alliance collaborated with the who country office (wco) and ministry of health and sanitation in sierra leone to strengthen the role of clinicians in disease surveillance and response in 14 districts. The goal of this work is to improve the capacity of district clinicians to perform a differential diagnosis and to use appropriate and available laboratory tests for early reporting of notifiable diseases, as well as respond appropriately in clinical management and infection prevention and control (ipc), according to suspected pathogen. The participant manual was expanded from ebola and severe acute respiratory infections to also address cholera, yellow fever, meningococcal meningitis, and diseases causing fever and skin rash, including measles and monkeypox. A powerpoint was created on skin signs of priority pathogens, as well as a full facilitator's guide. The alliance provided facilitation for a training of trainers. This was followed by cascade training in 14 districts.

the alliance provided technical input into medic mobile's development of an algorithm to support symptom-based mobile reporting forms for chws, building on existing community idsr case definitions and guidelines in uganda. The alliance made suggestions for chw training, reviewed pilot results and provided recommendations for iterative improvement of the algorithm. The alliance also identified stakeholders for a meeting in late 2017.

other programmes include the viral haemorrhagic fever (vhf) programme. The alliance edited and prepared a print-ready sierra leone adapted vhf pocket guide (based on the updated february 2016 generic version as well as sierra leone experience and date) and provided technical support for an adaptation workshop. The alliance inputted into planning for isolation ward management of key highly infectious diseases, in addition to evd, and implementation planning for district rapid response teams. A training curriculum for clinical management and ipc training for ebola, yellow fever, meningococcal meningitis, cholera, and measles was produced- this includes powerpoints based on updates of the 2014-2015 who ebola clinical training curriculum to take into account the updated clinical guidelines in the updated sl-adapted vhf pocket guide as well as the addition of the 4 prioritized highly infectious diseases, cases and suggestions for practical sessions.