The LusakaBrighton Link

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The Lusaka/Brighton Link
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Established 2006

• University Teaching Hospital (UTH) and Medical
  School,Lusaka, Zambia
• Brighton and Sussex University Trust (BSUH),
  Brighton and Sussex Universities and Medical
  School, Brighton, UK

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Initial steps

• Eldred Parry, representing THET, gave an open
  lecture in Brighton hosted by Melanie Newport
  (Senior lecturer in infectious diseases)
• Those interested listed their e-mail
• Core group, representing as wide a field as
  possible from the Hospital and Medical School,
  formed a steering group which evolved into a more
  formal committee.
• Views on possible links were canvassed

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Choice of link

• A number of people in Brighton have experience of
  Southern Africa
• Peter Mwaba now Managing Director at UTH and
  Melanie Newport knew each other personally, both
  were enthusiastic about a joint project
• Direct air links make visits relatively easy and
  avoid lengthy road journeys

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Choice of link

• There is a good match between the institutions.
• UTH is a Teaching Hospital and Tertiary referral
  centre responsible for training doctors and
  nurses
• Brighton has a new Medical School as well as a
  Nursing and Pharmacy school

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Aims of link

• To provide educational and clinical support for
  Health Care workers at UTH to help them provide a
  high standard of care in Lusaka
• To broaden the clinical experience of Health Care
  staff based in Brighton
• To arrange short term visits to deliver defined
  courses or educational objectives or clinical
  services

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• To host return visits for health care workers for
  a defined period to enable them to undertake
  appropriate CPD
• To share educational materials, in particular
  making use of e-learning if possible
• To provide necessary equipment

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Roles of the steering committees

• To raise awareness of the project
• To raise funds
• To oversee use of funds
• To select appropriate visits
• To audit effectiveness
• To communicate with outside bodies such as
  government and Charities e.g. THET

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Committee Structure in Brighton

• Chair
• Vice Chair
• Treasurer
• Secretary
• Fundraising coordinator
• Publicity coordinator
• Audit coordinator

• Nursing rep
• Public Health rep
• Brighton Ethnic Minority Group rep
• Junior Doctor rep
• Medical Student rep

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Project leaders on committee

• Examinations/Medical education
• HIV
• Paediatrics
• Ophthalmology
• Anaesthetics
• Oncology
• Radiology

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Steering committee

• Meets every 2 months,formal agenda and minutes of
  meeting recorded
• Open meeting twice a year for a wider audience to
  provide knowledge of the project and gain support

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Memorandum of understanding

• Agreed at a meeting in Brighton in March 2007
• Participants included Chief Executive and Medical
  Director in Brighton and Managing Director of UTH
  and a representative from the Zambian Ministry of
  Health

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MOU

• Formally recognized the THET model
• Endorsed the existing activities
• Proposed a list of future activities

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Review of MOU May 2008

• Took place in Lusaka
• Attended by Managing Director, Assistant Dean
  Medical School, Heads of Surgery and Paediatrics
  as well as Chair of Brighton committee and Senior
  Nurse conducting HIV/AIDS courses
• Reviewed progress and set priorities

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Successes

• Involvement of M0H Zambia and support from Senior
  Management in Brighton
• Nurse lead courses on HIV, second and third
  course taught by Zambian nurses themselves
• Presentation by 2 Zambian nurses to NHIVNA
  Conference in London June 2007
• External examiners for medical finals. External
  examiners for nursing finals also requested

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successes

• Student electives best clinical teaching
  received
• Support for the radiology department with visits
  in both directions
• Research Methods and Appraisal course for
  postgraduate doctors
• Gail Louw working with THET on methods of
  evaluation of links
• Help provided towards securing funding for an
  immunisation training programme

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successes

• Advice given on organisation of AE
• Theatre gown replacement. Funds raised by junior
  doctors and medical students

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Other priorities

• Establish steering committee UTH
• Strengthen links between nursing schools
• Courses in resuscitation and basic life support
• Anaesthetic support
• Oncology support now local Oncologist established

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Funding

• Pay roll giving
• Fund raising events organized by Junior Doctors
  and Medical Students
• Seed corn grant from THET
• DELPHE grant for HIV project
• Student grant form Brighton University

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Issues and limitations

• It has proved difficult to get a reciprocal
  committee established, clinicians and managers in
  Lusaka are hugely overstretched
• However it is important that Lusaka determines
  what is needed
• A paid coordinator in Lusaka would help to run
  the project efficiently, funds for salaries
  difficult to guarantee
• Time and money, we need to be realistic about
  what can be achieved

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Issues and limitations

• Important to have some early successes e.g.
  external examiners
• Need to remain realistic. We cannot provide full
  time staff for long periods
• Approach to time is different in the two
  cultures
• Concerns around establishing payroll giving and
  where to hold funds

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Unexpected bonus

• Working on this project has meant meeting a wide
  range of colleagues from different disciplines
  within my own institutions in Brighton as well as
  colleagues from Lusaka.
• This has certainly enriched and informed my world

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