In partnership with the Guyanese Ministry of Health and implemented by the Canadian Society for Inte

1
Public Health Strengthening in Guyana
In partnership with the Guyanese Ministry of
Health and implemented by the Canadian Society
for International Health (CSIH), the Canadian
International Development Agency (CIDA) is
funding this project to improve the Guyanese
public health system.
Intended duration 2003-2007 Investment CAN 5.5
million
Project regions 4 6 10 and 3
Sexually Transmitted Infections (STIs)
Community Health Development and Care
Health Information System
HIV/AIDS
Tuberculosis (Tb)
Minister Ramsammy on a new DOTS bike provided by
CSIH
Field Office

• Demonstrate computerised methods of collecting
  and retaining health data regarding
  HIV/AIDS,/STIs /Tb and primary health care and
  processing it into information
• Encourage expansion of computerized health
  information methods to other areas of medicine
• Training of health professionals

• Support National Tb programme (NTP)
• Developed National Guidelines for prevention and
  control of Tb
• Improved ability to diagnose Tb
• Developed guidelines for treating people
  co-infected with HIV/AIDS
• Implement DOTS (Directly Observed Therapy Short
  course) strategy

• Support NAPS
• Developed National Guidelines for clinical
  management of HIV/AIDS including of co-infected
  patients
• Developed guidelines for treating people
  co-infected with HIV/AIDS and TB or STIs
• Enhanced service delivery and quality of care

• Developed National Guidelines for Home and
  Palliative Care
• Develop training modules
• Train "trainers" who can continue to train
  care-givers after the project has ended
• Train care-givers to give home and palliative
  care to people with HIV/AIDS or Tb

• Developed National Guidelines for the
  institutional management of STIs and for contact
  tracing
• Improved the ability to diagnose STIs
• Measure true national disease burden

EXPECTED OUTPUTS
Chief technologist and CSIH expert at new
PHSG-funded laboratory
Consultation at Chest Clinic with NTP Director,
Nurse and CSIH expert

• National Guidelines for HIV infected and exposed
  adults and children developed with CDC
• Additional technical staff supporting the
  National AIDS Program Secretariat (NAPS)
• Key Guyanese health professionals trained on a
  study tour to Canada
• Practicing physicians in Regions 4 and 6 trained
  by mentoring and CME
• Recommendations for service delivery at GUM
  clinic provided and implemented, training
  initiated
• Two day workshop for physicians and follow up
  clinical sessions on HIV management provided in
  region 6
• Courses provided for the University of Guyana on
  STI/HIV/TB microbiology
• HIV/AIDS/STI course for all health science
  students developed and approved by UG Board to
  start January 2005 and be offered to general
  public in the Summer

• Completed draft of National Guidelines for the
  institutional management of STIs
• Genitourinary Medicine (GUM) clinic lab set up
  to allow rapid testing
• Protocol developed and approved at IRB for
  baseline study of STIs prevalence in Guyana to be
  accomplished in collaboration with CAREC.
  Training of all health professionals from the six
  study sites provided. Sites equipped.
• 20 persons trained at Counselling seminar
• STI study underway
• Central lab equipped, training and STI lab
  Manual provided
• 12 technologists trained in collaboration with
  PAHO on IATA safety regulations
• CME delivered to pharmacists

• Key persons trained on two study tours to
  Canada. Vehicle and administrative support
  provided for the NTP
• Completed National Tb Manual and TB laboratory
  Manual
• Seventeen new DOTS workers trained, mentored and
  provided with motorbikes
• Central Lab equipped and trained for TB
  culturing and fluorescent microscopy . CEs for
  medical technologist provided
• The NGO Guyana Chest Society, re-activated and
  now member of the IUATLD
• First National TB conference held in
  collaboration with MOH and the Chest Society
• DOTS launched in regions 10 and 6

• Clinical management planning goals and
  objectives for the database developed
• Networking and electrical circuits for GUM and
  Chest clinics and D. Bailey designed and
  accomplished
• Clinical database designed, installed and being
  pilot tested at GUM and TB clinics
• NetCorps intern recruited to assist with feed
  back and training
• Version 0.2 of database designed and installed at
  the 3 sites
• User training and basic computer course delivered
  for 38 health professionals
• RHOs from regions 6 and 10 enrolled in a MPH
  programme at UWI

• Completed Nursing Guidelines for Care in the
  Home and Community (NGCHC), especially in
  relation to HIV/AIDS, TB and Palliative Care.
  Document reviewed by over 100 Guyanese nursing
  focus groups and key leaders
• 37 trainers identified and training the trainers
  initiated
• Train the trainers modules on adult learning and
  on infection control pilot tested in three
  project regions.
• HIV/AID module drafted to be piloted in April in
  the 3 regions
• Continuing education for nurses provided

ACCOMLISHMENTS TO DATE
First meeting of the reborn Chest Society
A DOTS worker prepares her kit and observe TB
patient taking his medicine
www.csih.org/what/guyana/indexguyana.html
Launch of DOTS expansion in region 10
Home visit
A CSIH consultant delivers a lecture on HIV/AIDS
at UG
First National TB conference in Guyana, Oct.2004
STIs training for technologist from six STIs
sites and UG
Computer and database training at Chest Clinic
with CSIH NetCorps intern
Developing NGCHC Guidelines
CSIH Guyana office Suzanne Marquis Project Field
Manager Georgetown, Guyana Tel (592) 227
3673 csih_at_guyanapsu.org.gy
CSIH Ottawa office Roumyana Benedict Project
Director Tel [phone] Ext.307 rbenedict_at_csi
h.org
Developing the next National TB Plan during
First TB conference Oct 2004
Networking and electrical work at clinic
www.csih.org/what/guyana/indexguyana.html