Anna Vorndran- ICAN Executive manager

courtesy of Dr Andy Bulabula

Expanding IPC Virtual Learning in Africa: ICAN initiatives

IPC Tools in training LMI

OutlineAndre N.H. Bulabula | June 14th, 2019

Background

Infection Control Africa Network – ICAN

Virtual Learning

ICAN ECHO

Conclusion & Next steps

BackgroundAndre N.H. Bulabula | June 14th, 2019

Africa is a very large continent and training very expensive for the majority of Africans.

Few countries provide IPC degree programs, resulting in high study costs (travelling and accommodation).

Accessibility within and across countries is a major issue.

Given these challenges we had to develop context specific and innovative ways to provide IPC training: IPC Virtual Learning

Africa in ContextAndre N.H. Bulabula | June 14th, 2019

The true size of Africa Least developed countries

33 / 54 countries = 61.1% Courtesy of Prof Shaheen Mehtar Canuckguy et al., 2019

Infection Control Africa Network - ICANAndre N.H. Bulabula | June 14th, 2019

Who we are?

What we do?

What are the solutions to

IPC training challenges?

ICANAndre N.H. Bulabula | June 14th, 2019

Education

Strengthening of National

IPC structuresResearch

The largest IPC organization in Africa

34 countries

600 members

International partners: WHO, CDC US,

AFRICA CDC, MSF, IPAC Canada,

Universities, Ministries of Health, etc.

Website: http://www.icanetwork.co.za/

Solution to Distance and CostAndre N.H. Bulabula | June 14th, 2019

• The classic IPC training is VERY EXPENSIVE for African professionals.

COST

• COST-EFFECTIVE

• Accessible IPC quality solutions

• Covers wider areas

Virtual Learning • African higher

education institutions offering IPC training are FAR FROM COUNTRIES WITH NEEDS

DISTANCE

Technology in AfricaAndre N.H. Bulabula | June 14th, 2019

Africa is the fastest growing mobile region in

the world.

That status offers a lot of opportunities to

Innovate training tools and provide useful

Apps to health professionals and

the community.

Let’s use the Technology

ICAN – Virtual Leaning: Hubs and NodesAndre N.H. Bulabula | June 14th, 2019

StructureAndre N.H. Bulabula | June 14th, 2019

Providing KNOWLEDGE

Teaching MethodAndre N.H. Bulabula | June 14th, 2019

Uploading of materials on the platform prior to

the live class

Lecturer teaches during morning

hours

Local tutor reviews and runs practical sessions

in a clinical environment in the afternoon.

Participating Countries Andre N.H. Bulabula | June 14th, 2019

The University of Burundi connecting to Stellenbosch University during the ICAN Basic IPC course

ICAN – Virtual Learning: ECHO IPCAndre N.H. Bulabula | June 14th, 2019

Case – based learning in IPC

ICAN ECHO IPCA multi-country ECHO program in IPC

Sharing KNOWLEDGE

ECHO StructureICAN ECHO

• This is a virtual learning platform at ICAN in collaboration with the Project ECHO / University of New Mexico, USA.

• ICAN ECHO IPC is the first platform to provide IPC expertise through Project ECHO movement in the world.

• Each session will consist of case based learning related to infection prevention and control (IPC) matters, where different spokes will join the Hub via a webcam over the Zoom platform where participants can see each other on line and communicate in real time.

• Best practices in IPC are shared through case-based learning process and peer discussion

ECHO StructureAndre N.H. Bulabula | June 14th, 2019

Spoke

ICAN ECHO

IPC solutions =

Empowerment

Any health care facility

Presenting a

situation/case/

problem in IPC

Panel of experts + the

invited

Audience (IPC and non-

IPC)

INTERNET

ECHO Flow DiagramAndre N.H. Bulabula | June 14th, 2019

IPC

CASE / SCENARIO

PRESENTATION & DISCUSSION

+ DIDACTIC LECTURE

EXPERT RECOMMENDATIONS

ECHO Sessions StructureAndre N.H. Bulabula | June 14th, 2019

ICAN ECHO IPC Teleclinic session Didactic Lecture

ECHO Case-Based TopicsAndre N.H. Bulabula | June 14th, 2019

Examples of IPC cases

presented

Didactic lectures

BSI with Candida parapsilosis in neonates Candida parapsilosis –

Prof Shaheen Mehtar

Proteus mirabilis in caesarean section Caesarean SSI –

Dr Anne Eastaway

Needlestick injury - Occupational Malaria Malaria as Occupational Disease –

Dr Jack Meintjes

BSI with MRSA and Enterococcus faecalis S aureus: What’s the fuss… -

Prof Andrew Whitelaw

Lessons learned from a pseudo outbreak of

Burkholderia gladioli

Pseudo-outbreak of Burkholderia cepacia

Prof Shaheen Mehtar

ECHO Talk Series TopicsAndre N.H. Bulabula | June 14th, 2019

Example of ICAN ECHO Talk

series

Presenters

Implementation of IPC bundles Sr Marina Aucamp, South Africa

IPC, what is the place of lab capacity? Case of

Kenya

Sr Loyce Kihungi, Kenya

The state of WASH/IPC in Cameroon Mr Jacob Nkwaan, Cameroon

Progress on IPC/WASH in Tanzania, Opportunities

and ChallengesDr Hokororo / Mr Robert Musa, Tanzania

MDRO spread in a Tunisian Hospital

IPC in Ebola Virus Disease: the reality in Africa

Prof Basma Mnif, Tunisia

Prof Shaheen Mehtar

ICAN ECHO RegionsAndre N.H. Bulabula | June 14th, 2019

*The 5 regions have

been participating

Into ICAN ECHO IPC:

North Africa

West Africa

East Africa

Central Africa

Southern Africa

*

**

**

**

*

**

*

ECHO Impact Andre N.H. Bulabula | June 14th, 2019

Help addressing

emergencies: outbreaks

Wide network of hospitals in

different countries

Knowledge transfer

In DR Congo, ICAN ECHO sessions have

helped the local team

achieve the control of a large

Klebsiella pneumoniae

outbreak in a neonatology unit

Participating countries reported to have

found a space where to share challenges

and find solutions in just an hour session

Growing interest in IPC discussions

Africa wide

Conclusion & Next Steps Andre N.H. Bulabula | June 14th, 2019

Virtual learning is possible in Africa

ICAN ECHO IPC is an opportunity to share knowledge

ICAN VL Hub and Nodes is a major solution providing sustainable IPC degree programs

Preparing for the first Africa wide ICAN virtual learning class in 2021

ECHO TeamAndre N.H. Bulabula | June 14th, 2019

ICAN ECHO Lead

Prof Shaheen Mehtar Mrs Anna Vorndran Dr Andre N.H. Bulabula

ICAN ECHO Manager ICAN ECHO Distance

Coordinator

Thank Questions???