The AMPATH Reproductive Health program began in 2007 with faculty and student exchanges from University of Toronto, Duke, and Indiana University. Since then it has grown in to a robust program with the aim of improving reproductive health in western Kenya. The cornerstones of the program include: The ALARM international training program; The AMPATH Cervical Cancer Screening and Treatment Program; The Riley Mother and Baby hospital; and The AMPATH - Primary Health Care Program
ALARM: The ALARM (Advances in Labor and Risk Management) International Program (AIP) is a training tool designed to reduce maternal death or injury in developing countries. The five-day program targets health professionals who provide obstetrical care, reviewing the top maternal killers, and suggesting essential tools and problem management with the goal of improving care for mothers and newborns. The program has been developed with an emphasis on sexual and reproductive rights. Discussions of women's reproductive and sexual health as an issue of social justice occur alongside hands-on practice of clinical procedures. By sensitizing participants to the range of social, economic, cultural, and legal factors that can limit women's access to quality care, the AIP works to promote women's sexual and reproductive health in a comprehensive way. In 2010 we have trained over 120 people and we will continue to provide these trainings to healthcare providers in 2011 and beyond.
Cervical Cancer Screening Program: The AMPATH Cervical Cancer Screening Program (CCSP) began in 2008 as an NIH Fogarty funded research project aimed at evaluating cervical cancer screening performance between VIA (Visual inspection with Acetic Acid) and conventional Pap smear in HIV infected women. Since June 2009, AMPATH has been running the AMPATH CCSP as an unfunded initiative. In January 2010 the Pfizer Foundation generously donated a small grant to help us continue these services and to scale up to additional sites. In our first 15 months of operation (from June 15th 2009 until September 15th 2010) we have screened 1191 women using VIA. We have performed curative treatment for cervical dysplasia (LEEP) on 80 women and have performed hysterectomies to treat cervical cancer for 19 women. With additional funding and support we plan to scale up to additional sites using a one visits see-and-treat approach to cervical cancer screening.
Primary Care Program: The AMPATH Primary Care Program aims to implement the Kenyan Essential Health Package in key communities in western Kenya. The AMPATH primary health care program hopes to influence national health policy in Kenya by demonstrating innovative ways of providing high quality care to rural communities. The Reproductive Health program focuses on three aspects of the primary care program: safe delivery, contraception, and safe treatment of women suffering from miscarriages. Through training, mentorship and infrastructure support in these three focus areas the program hopes to demonstrate new and innovative ways to reduce maternal death and illness.