Responding to the HIV Pandemic: The Power of an Academic Medical Partnership

Einterz, Robert M. MD; Kimaiyo, Sylvester MB, ChB, MMED; Mengech, Haroun N.K. MB, ChB; Khwa-Otsyula, Barasa O. MB, ChB; Esamai, Fabian MB, ChB; Quigley, Fran JD; Mamlin, Joseph J. MD

doi: 10.1097/ACM.0b013e3180cc29f1

Partnerships between academic medical center (AMCs) in North America and the developing world are uniquely capable of fulfilling the tripartite needs of care, training, and research required to address health care crises in the developing world. Moreover, the institutional resources and credibility of AMCs can provide the foundation to build systems of care with long-term sustainability, even in resource-poor settings.

The authors describe a partnership between Indiana University School of Medicine and Moi University and Moi Teaching and Referral Hospital in Kenya that demonstrates the power of an academic medical partnership in its response to the HIV/AIDS pandemic in sub-Saharan Africa. Through the Academic Model for the Prevention and Treatment of HIV/AIDS, the partnership currently treats over 40,000 HIV-positive patients at 19 urban and rural sites in western Kenya, now enrolls nearly 2,000 new HIV positive patients every month, feeds up to 30,000 people weekly, enables economic security, fosters HIV prevention, tests more than 25,000 pregnant women annually for HIV, engages communities, and is developing a robust electronic information system.

The partnership evolved from a program of limited size and a focus on general internal medicine into one of the largest and most comprehensive HIV/AIDS-control systems in sub-Saharan Africa. The partnership's rapid increase in scale, combined with the comprehensive and long-term approach to the region's health care needs, provides a twinning model that can and should be replicated to address the shameful fact that millions are dying of preventable and treatable diseases in the developing world.

Dr. Einterz is associate dean for international programs and professor of clinical medicine, Indiana University School of Medicine, Indianapolis, Indiana.

Dr. Kimaiyo is program manager for the academic model for the prevention and treatment of HIV/AIDS and senior lecturer, Moi University, Eldoret, Kenya.

Prof. Mengech is director, Moi Teaching and Referral Hospital, and professor of psychiatry, Moi University, Eldoret, Kenya.

Prof. Khwa-Otsyula is former dean, School of Medicine, and associate professor of surgery, Moi University, Eldoret, Kenya.

Prof. Esamai is dean, School of Medicine, and professor of child health and paediatrics, Moi University, Eldoret, Kenya.

Mr. Quigley is director of operations and development for the IU–Kenya partnership, and adjunct professor of law, Indiana University School of Law, Indianapolis, Indiana.

Dr. Mamlin is professor of medicine, Indiana University School of Medicine, Indianapolis, Indiana, and visiting professor of medicine, Moi University, Eldoret, Kenya.

Please see the end of this article for information about the authors.

Correspondence should be addressed to Dr. Einterz, Wishard Hospital, OPW M200, 1001 W. 10th Street, Indianapolis, IN 46202; e-mail: (

© 2007 Association of American Medical Colleges