In Nigeria, a new face to HIV management
By FRANKIE EDOZIEN
New York Amsterdam News
Nov 27-Dec 3, 2008
KAMPALA - Nathaniel Okeji looks out from the balcony to the gargantuan Mulago Hospital across the dirt road and shakes his head in awe.
On this spring day, the Nigerian military doctor is on a break from the intensive lectures he and 22 other African doctors are receiving from Uganda’s Infectious Diseases Institute (IDI).
As the cacophony of dialects hum around him, Okeji a pediatrician marveled at how Ugandan doctors successfully test newborns for HIV, the virus that causes AIDS.
In his home country, he has to wait until the infants are at least 18 months old.
“I’m very impressed with what I’m seeing here,” Okeji says. He’s been making the rounds with IDI doctors for the past three weeks.
“We are going to bring an entirely new face to HIV management in Nigeria, especially among the military. The standard here is exactly almost what I’ve been seeing going abroad the in the UK or USA. As far as I’m concerned, the USA is now here in Uganda.”
Along with Okeji, the Nigerian government has dispatched eight other doctors to this inconspicuous single-story Ugandan clinic, nestled in the hills that surround Kampala.
Since opening in 2004, this state-of-the-art facility has become the go-to institution African countries trying to effectively manage HIV treatment, as well as others looking to learn what works in developing nations.
The institute is dwarfed in size by its neighbor, Mulago Hospital, Uganda’s national hospital.
Mulago’s expansive grounds and blue and white walls are familiar to some moviegoers, as scenes form “The Last King of Scotland” were shot there.
IDI is showing consistently that premium care can be given even without having investments in numerous brick-and-mortar structures. Its patients, called friends, are regaining their foothold in society after being pulled from certain death.
Other African nations have taken note of Uganda’s success in bringing a sizable chunk of its population back from the brink of death and looked to its successful roadmap to treating millions infected with HIV.
For Patrick Makelele, one of two Zambian doctors who came for the IDI training program, a need to learn to successfully managing patients on antiretroviral therapies brought him to Kampala.
“My expectation is to update my skills in ART management, get the latest [information] . . . basically to learn from the huge experience of Uganda,” says Makelele, who is employed to support Zambia public health ministry.
Andrew Kambugu, 35, the institute’s head of clinical services, says training in the management of malaria, the continent’s other great scourge, is also offered to doctors. And he says dividends are already being paid in the region.
“The outlook for this institute is to be a regional institute serving [all of] Africa, not just Uganda. One of the initial stimuli for the development of this institute was to have a program that would impact beyond Uganda.”
So far, 28 African countries have sent close to 2,000 medical professionals there to be trained. Skills are then passed on to doctors and nurses who could not be there.
IDI has set up an on-call center manned by two pharmacists daily to take calls and emails from doctors and nurses from across the continent whom they’ve trained.
“A doctor might call and say ‘I started my patient on these three drugs and he’s come back later and his body has broken out in a rash. His eyes are swollen and red. What could be the cause?’” explains Rabinah Lukwago.
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