Annual Program Report 2004 - American International Health Alliance

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LRCs Contribute to Evidence-based Decision-making: An Example from Moldova Learning Resource Centers play an important role in improving healthcare quality by supporting evidence-based decision-making. In 2004, in an effort to overcome the old scourge of overmedication, the staff of the Cardiosurgery Center at the Republican Clinical Hospital in Chisinau, Moldova, evaluated patterns of drug usage for surgical and post-surgical prophylaxis. After reviewing the evidence-based literature, clinicians reduced the number of antibiotics used in routine surgical procedures from three to one. They standardized the culture and sensitivity tests for determining appropriate drug treatment for postoperative complications. In the six months following the implementation of the new procedure, the Center observed a noticeable decrease in the number of complications and a reduction in the average hospital length of stay. In addition to better patient care, the changes resulted in cost savings for the hospital. EurasiaHealth Knowledge Network Usage Doubles in 2004 Use of the EurasiaHealth Knowledge Network, a Web-based clearinghouse of health and medical information in Russian and other Eurasian languages, more than doubled during 2004, from 4,200 to 10,700 visits per month. The increase is due in part to the visibility generated by information bulletins EurasiaHealth began producing this year. These include the “Free Resources Bulletin” and the “Guide to Electronic Libraries,” which inform health professionals in developing countries how to obtain free books, CD-ROMs and access to on-line health and medical journals. Several Web sites and print journals reprinted issues of these bulletins. Activities of the specialized EurasiaHealth HIV/AIDS Knowledge Library are described in the section on HIV/AIDS. Evidence-based Medicine Distance Learning Course In April, AIHA conducted the first of three iterations of a new distance learning course on the basics of evidence-based medicine and critical appraisal of scientific literature. The course is designed to teach participants how to formulate “answerable” clinical questions, identify the best sources of evidence for each type of question, and appraise publications on validity, reliability and applicability. The four-week course was offered twice in Russian and once in English. Altogether, 135 individuals from Eurasia and Africa attended the course. In the post-test self-assessments, participants showed increased knowledge in identifying relevant sources of evidence, devising search strategies, using critical appraisal tools and introducing evidence-based principles in their area of practice. Books, electronic databases and computer software are a part of the Standard Learning Resource Center Equipment and Resources package. Photo: Frances Greene 24 American International Health Alliance
ACTIVE PARTNERSHIPS AND PROJECTS Caucasus Armenia Armavir/Galveston, Texas Caucasus Partners: Armavir Regional Health Care Administration, Armavir Polyclinic US Partners: University of Texas Medical Branch at Galveston, Galveston Partnership for Better Living, JesseTree Gegarkunik/Providence, Rhode Island Caucasus Partners: Gegarkunik Regional Health Care Management Department, Sevan Polyclinic US Partners: National Perinatal Information Center, Care New England, Lifespan Health Systems Lori/Los Angeles, California Caucasus Partners: Lori Regional Health Care Administration, Vanadzor Polyclinic No. 5 US Partner: University of California – Los Angeles Medical Center Lori/Milwaukee, Wisconsin Caucasus Partners: Lori Regional Health Care Administration, Vanadzor Polyclinic No. 5 US Partner: Center for International Health Yerevan/Washington, DC Caucasus Partner: Armenian American Wellness Center US Partner: Armenian American Cultural Association Azerbaijan Baku/Houston, Texas Caucasus Partner: Mir Kasimov Republican Clinical Hospital US Partner: Baylor College of Medicine Baku/Portland, Oregon Caucasus Partner: Narimanov District Health Administration US Partner: Oregon Health Sciences University in Portland Annual Program Report 2004 25
Page 3: Mission Statement To advance global
Page 7 and 8: FROM THE EXECUTIVE DIRECTOR AIHA’
Page 9 and 10: AIHA PARTNERSHIP MODEL Key Elements
Page 11: Latvia 2 Russia 5 Kazakhstan 3 Kyrg
Page 14 and 15: therapy (ART) was conducted for mul
Page 16 and 17: Photo: Dmitrii Volkov meetings and
Page 18 and 19: patient information, community heal
Page 20 and 21: hypertension and pneumonia at the K
Page 23 and 24: HEALTH PROFESSIONS EDUCATION “The
Page 25: Photo: Barry Kinsella Health Manage
Page 28 and 29: and during the year held 54 classes
Page 32 and 33: Baku/Richmond, Virginia Caucasus Pa
Page 34 and 35: Russia Kurgan and Shchuche/Appleton
Page 37 and 38: THE YEAR IN NUMBERS 52 = Active par
Page 39: PARTNER PROFILES Dr. Steve Rith-Naj
Page 42 and 43: Association of University Programs
Page 44 and 45: AIHA Staff Headquarters Washington,

Annual Program Report 2004 - American International Health Alliance

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