Advancements for Afya

A strategy to promote health and prevent cardiovascular disease in Kenya

Our team from N.C. State

• Mark Herring– Junior in Biological Science & Spanish Language and Literature

• Kevin Gibson– Senior in Biomedical Engineering, concentrating in instrumentation

• Sarah Lynch– Senior in Biomedical Engineering, concentrating in biomechanics

• Charlie Harless– Sophomore in Biological Sciences & Social Work

Health Education Experience

Foreign Perceptions of Kenya

Luke Kibet, after winning the 2007 Osaka World Championship Marathon.

Kenyan CVD Issues•The State of Things CVD• 13% death from autopsy

studies• 25% of hospitalizations

•CVD Risk Factors• Tobacco use

• 32.3% of school children • 53% of college students• are ever-smokers• 26% of males smoke

• Obesity• 25.1% of women 15-49 are

overweight

A volunteer with Kenyan Heart National Foundation instructs basic physiology.

What we’re not doing

Kenyan Partnerships• Kenya Heart National

Foundation

• Kenya Cardiac Society

• Kenya Tobacco Control Alliance Lobby

KHNF has partnered with UN and World Bank in sustainable development

Advancements for Afya Plan

• Immediate treatment- Drug distribution

• Education- Curriculum

development, teacher training, continuing education

• Public Awareness- Aggressive

advertising, PSA circulation

Immediate Treatment• Drug distribution

– Distribute aspirin• Why: For prevention• Who: All adults over 50 years of age• How: 1000 Community Health

volunteers, with incentives– Saradidi case example of 97%

retention in health volunteers, through training and stipends

– Distribute CVD Cocktail• Why: For treatment• Who: All adults who have CVD• Why not: Without accurate wholesale

prices in Kenya, there is no way to budget for CVD Cocktail

Investing in Existing Infrastructure

• Pharmaceuticals

• Non-lab testing

• CVD Cocktail– ABCD

Education• Curriculum Development

– Including Health Education• Dental health, nutrition, exercise,

first aid, etc.

– Adult Education Programs

• Teacher Training– Of 132 Peace Corps volunteers in

Kenya, Afya will recruit 20 to train 15,500 Kenyan teachers to implement health curriculum• Incentives: $200 stipend

Rheumatic heart disease literature from Kenya Heart National Foundation

Speaking their social language

Focus on Emerging Media

•Social Media-Cell phones: In East Africa, $840 million is involved annually in cell-phone air time, much of with on the internet.

•Telecommunication Growth: “In 2002, Kenya had 400,000 lines to a population of 30 million people but has set an ambitious target of 10 lines per 100 people by the year 2015.”

Afya Budget

PROGRAM TOTAL Pharmaceuticals $8,704,200.00

Aspirin (50+) $5,504,199.36Bikes and Repairs $200,000.00

Investing in Existing Infrastructure $3,000,000.64

Non-lab Testing $126,000.00Printing Pamphlets (Laminated) $126,000.00

Education $3,100,000.00Teaching Stipend $3,100,000.00

Advertising $3,069,800.00Donation to: Kenya Cardiac Society $500,000.00

Donation to: Kenya Heart National Foundation $1,569,800.00Donation to: Kenya Tobacco Control Alliance $1,000,000.00

TOTAL $15,000,000.00

Task Delegation

• Mark Herring– Research, designer

• Kevin Gibson– Research

• Sarah Lynch– Research, budget, slide development

• Charlie Harless– Research

References• Slide 4

– Image credit: Mark Herring

• Slide 5– Image credit: AP/Seattle Times:

http://seattletimes.nwsource.com/ABPub/zoom/html/2003852740.html

• Slide 6– Image credit:

http://www.flickr.com/photos/kenyan-heart/5120887924/sizes/m/in/photostream/

– Stats: Case Kenya Study: NCD Situation, Gerald Yonga, Kenya NCD Alliance, Kenya Cardiac Society, Aga Khan University

• Slide 7– Image credit:

http://www.samaritanspurse.org/index.php/Where_We_Work/kenya/

• Slide 8– Image credit: http://topnews.ae/content/24128-saughall-pharmacy-

will-check-your-blood-pressure-free

• Slide 9– Image Credit:

http://www.telegraph.co.uk/news/worldnews/africaandindianocean/kenya/9132753/Kenyan-nurses-vow-to-continue-strike-despite-job-threats.html

– Stats: http://www.ncbi.nlm.nih.gov/pubmed/3689038

• Slide 10– Image credit:

http://www.flickr.com/photos/kenyan-heart/5120887210/sizes/l/in/photostream/

• Slide 11– Image credit:

http://www.flickr.com/photos/kenyan-heart/5120887008/sizes/l/in/photostream/

– Information cited: http://www.sciencedirect.com/science/article/pii/S0736585303000236

– Stats: Case Kenya Study: NCD Situation, Gerald Yonga, Kenya NCD Alliance, Kenya Cardiac Society, Aga Khan University

• Slide 12– Information

Cited:http://www.sciencedirect.com/science/article/pii/S0736585303000236

– Stats: Case Kenya Study: NCD Situation, Gerald Yonga, Kenya NCD Alliance, Kenya Cardiac Society, Aga Khan University

• Slide 13– Information Cited: pharmacychecker.com blood-

pressure.emedtv.com http://www.webmd.com/heart-disease/heart-disease-calcium-channel-blocker-drugs