Scientific Poster Session III - Advances in International Clinical Pharmacy, Education or Training

Advances in International Clinical Pharmacy Practice, Education, or Training
  Monday, November 13, 2023
  01:00 PM–02:30 PM

Abstract

Service or Program: Our Academic Model Providing Access to Healthcare (AMPATH) Partnership has implemented an evidence-based care model entitled Bridging Income Generation with grouP Integrated Care (BIGPIC-Jamii) in Bungoma County, Kenya. Jamii is Kiswahili for “Family,” and signifies our family medicine and community-centered approach. In this model, community members form microfinance (MF) groups. Each group regularly meets to save and loan money in their communities. During these meetings, our mobile and interdisciplinary team of clinicians, pharmacists, social workers, and economic advisers, join the MF groups to provide primary care consultations, subsidized medications, point of care diagnostics, health insurance sensitization, in addition to income generation opportunities.

Justification/Documentation: BIGPIC-Jamii simultaneously integrates clinical care with other Social Determinants of Health (SDOH) needs by addressing barriers such as healthcare and medication access, transportation, and limited financial capital. To date, we have implemented the program to a catchment population of 85,000 people across 17 community units in western Kenya. The program has engaged 5,775 community members, making up 259 MF groups, and circulating >$100,000 in capital. We have screened 3,650 adults for primary conditions including hypertension, diabetes, cervical and breast cancer, and mental health needs. We currently provide community-based primary care management to 631 patients. Additionally, we have sensitized 4,783 households on the importance of health insurance and have successfully enrolled 1,500 households.

Adaptability: This innovative community-based care model has gained traction amongst neighboring sub-counties within Kenya. While our immediate goal is to scale BIGPIC-Jamii to other communities in Kenya, aspects of the program are being adapted to similar settings in Guyana, India, and the US.

Significance: The BIGPIC-Jamii model is an evidence-based intervention that has demonstrably improved clinical, social, and financial outcomes in previously published studies. There is an urgent need to demonstrate scalability and sustainability of such model and to expand its benefits to additional resource-constrained populations globally.

Presenting Author

Sonak Pastakia PharmD, MPH, PhD
Purdue University College of Pharmacy / Purdue Kenya Partnership

Authors

James Amisi MBCh.B, MS
Moi University

James Kamadi B.ComMs
Academic Model Providing Access to Healthcare (AMPATH)

Benson Kiragu BS
The Academic Model Providing Access to Healthcare (AMPATH Kenya)

Simon Kisaka MBCh.B, MS
Webuye County Hospital

Jeremiah Laktabai MBCh.B, MS
Moi University

John Mwombe BS
The Academic Model Providing Access to Healthcare (AMPATH Kenya)

Dan Tran PharmD
Purdue University College of Pharmacy / Purdue Kenya Partnership

Phillis Wekesa BS
The Academic Model Providing Access to Healthcare (AMPATH Kenya)

Florence Situma BS
The Academic Model Providing Access to Healthcare (AMPATH Kenya)

Daria Szkwarko DO, MPH
Warren Alpert Medical School of Brown University