PHMI - Public Health Management Institute


Public Health Management Institute (PHMI), a project of SHARE INDIA, is a global non-profitable organization established in 2005 with a simple yet single-minded focus: to improve the quality of life (not just health) through health interventions and related activities in underprivileged communities. Using technology, social and cultural tools, it lays special emphasis on making quality healthcare affordable across all socio-economic strata, thereby strengthening national assets in terms of human resource. As part of this, PHMI continuously supports as well as initiates awareness programs and info-drives on general and specific health concerns. One of its focus areas is the high HIV/AIDS prevalent community across the country. It is currently involved in public health training and implementing programs that will bring relief and awareness to this section of the society. However, PHMI is not just a charitable healthcare organization; it believes its role in the realm of healthcare is medical as well as moral. Keeping health as an overarching principle, it serves to bring a better way of life to those denied the same. That is why the guiding principles of PHMI have always been defined by the collective voice of the communities it serves, rather than by the ever-shifting demands of government policies and economics.

VISION
Health is the basic human right integral to all spheres of human development. It is this that makes equality in access to quality healthcare an undeniable right of every human being.

MISSION
  • To provide affordable, comprehensive and affordable healthcare across all socio-economic strata
  • To educate and train healthcare professionals as well as the community in all areas of public health
  • To support research using technologic, social and cultural tools for advancement of human health
  • To provide a forum for international collaboration on health issues and standards.

PHILOSOPHY
SHARE INDIA will RISE to human health advancement through: Respect, Innovation, Skills and Empathy

  • Respect for the dignity of the people it serves
  • Innovation through research using technologic, social and cultural tools
  • Skills in reference to the continuous improvement in knowledge by networking and collaboration
  • Empathy to understand the needs of and compassion for the suffering of the people it serves
PROJECTS

The Projects under PHMI can be broadly classified into four categories namely:

  1. Technical Support: SHARE India - PHMI partners with State Government agencies to provide technical support in the form of skilled manpower who are placed as Technical Consultants in different components
  2. South to South: South–to-South collaboration opens avenues for professional advancement and growth to Public Health experts who cannot pursue international collaboration due to limited resources or poor international relations
  3. Virtual Resource Centre: The Virtual Resource Centre is an initiative to collate and provide training courses online, free of charge to anyone, anywhere.
  4. Training: SHARE India- PHMI has a key goal of building organizational strengths through capacity building of program staff and managers, technical support and information - sharing at different levels.
    This is primarily achieved through:
            • Trainings for DAPCU Staff
            • Public Health Field Leader Fellowship
            • Short Term Training
            • Global Health Rotation
APAIDSCON

Andhra Pradesh AIDS Consortium (APAIDSCON) is consortium of private medical colleges for promoting HIV service delivery in the private sector including prevention, diagnosis, care, treatment, follow-up and related aspects. It also provides systems strengthening and technical assistance to private sector in clinical care. APAIDSCON draws a partnership between 20 private medical colleges across 16 districts in the state of A.P.

Goal

The overall Goal of the consortium is to encourage private medical colleges to open their doors to HIV/AIDS patients for providing treatment and care without fear, stigma and discrimination. Specifically APAIDSCON aims to

  1. To organize a consortium of all the private medical colleges in Andhra Pradesh for provision of HIV/AIDS services as per NACP by 2010
  2. To develop capacities of Health care providers on HIV/AIDS services as per NACP guidelines in all private medical colleges in Andhra Pradesh by 2010.
  3. To foster public private partnerships for HIV/AIDS services under NACP in the Private Medical Colleges and Nursing Homes by 2010.

In order to accomplish the above objectives, SHARE INDIA - APAIDSCON is conducting the following core activities which are broadly classified in to:

A. Strengthening Human resources for health
To build capacity of the healthcare staff for providing comprehensive care and treatment to people living with HIV/AIDS, SHARE INDIA- APAIDSCON is conducting various training programs for all the strata of health care providers that includes doctors, nurses, lab technicians, counsellors and outreach workers working in government and non-government agencies. Overview of Training Programmes conducted by the consortium
1. Training of nurses:
1409 nurses from the private medical colleges and private maternity nursing homes were trained through 47 nurses' "sensitization training program", 64 nurses from the state funded community care centres(CCC) and temporary hospitalization wards (THWs) were trained through two "clinical nursing training program" and 27 nurses from private medical colleges were trained through "training of trainers program" on HIV medicine.

2. Training of physicians:
368 doctors from departments of general medicine, TB/Chest, Dermatology, Paediatrics and STI in private medical colleges and 39 doctors from state funded community care centres(CCC) and temporary hospitalization wards (THWs),24 doctors working in the prisons of Andhra Pradesh were trained on HIV medicine through 13 four days "advanced clinical hands on training program"(ACT), 1682 were trained on HIV medicine through 54 "doctors sensitization training programs", and 25 doctors from private medical colleges were trained through "training of trainers program" on HIV medicine.

3. Training of Obstetricians and Gynaecologists (OBGYN):
220 obstetricians and gynaecologists from private medical colleges and private maternity hospitals were trained on HIV medicine pertaining to prevention of parent to child transmission (PPTCT) through six "Obstetricians and Gynaecologists training programs". 

4. Training of Medical post graduates:
This program was started in October 2009.Till date 151 medical post graduates from various departments across 20 medical colleges were trained through 5 two day "post graduate training program" on HIV medicine.

5. Training of Interns:
This program was started in October 2009.Till date 1102 medical interns/house surgeons across 20 medical colleges were trained through 35 two day Interns training program called "Linking Learning to Life" on HIV medicine.

6. Training of Microbiologists:
18 Microbiologists / lab managers of the private medical colleges were trained on HIV and OI diagnosis to support care of PLHIV in their institutions. This program was conducted in October 2009.

7. Training on laboratory quality assurance:
23 lab managers and lab technicians working across 15 Integrated Counseling and Testing Centres in private medical colleges were trained on laboratory quality assurance in October 2009.

8. Training of ICTC lab technicians:
34 lab technicians from state funded community care centres and temporary hospitalization wards were trained on basics of HIV medicine and laboratory testing in April 2009.

9. Training of ICTC Counsellors:
15counsellors from 15 ICTCs in private medical colleges were trained on the various counselling aspects of HIV through 3 refresher training programs from October 2006 – July 2010.24 counsellors from various prisons across Andhra Pradesh were trained on HIV counselling in August 2009.

10. Training of peer counsellors:
15 peer counsellors were trained on basics of HIV, various aspects of outreach activity, recording and reporting the data from the field through 2 induction and 9 refresher training programs from October 2007 to July 2010.

11. Sensitization programs of housekeeping staff: 
1275 housekeeping staff from 16 private medical colleges was trained on basic of HIV, Universal safety precautions and biomedical waste management through 42 sensitization training programs from October 2006 to September 2009.

12. Training of project coordinators:
18 project coordinators from AP state funded community care centres were trained on the management of community care centres in terms of managing human resources, maintenance of infrastructure, documentation and reporting in May 2009. 

B. Care, support and treatment
Community Care Centres play a critical role in providing treatment, care and support to people living with HIV/AIDS (PLHA).Under NACP-III these centres are attached to ART centres and ensure that PLHA are provided: (a) counselling for ARV drug adherence, nutrition and prevention (b) treatment of opportunistic infection (c) referral and outreach services for follow up and (d) social support services. Andhra Pradesh State AIDS Control Society (APSACS), allocated three NACO supported CCCs to SHARE India. Among the three two were established in two partnering private medical colleges, i.e. GSL Medical College, East Godavari, Kamineni Institute of Medical Sciences, Narketpally and one to SHARE INDIA in 2008.All these three CCC are assigned to work as per the national guidelines and are closely monitored by SHARE INDIA-APAIDSCON. 
1. Building Linkages for CCCs
Under the national program CCCs established work under difficult conditions like having inadequate staff (especially doctors) or lack of trained doctors. These gaps are being addressed with the partnering institutes taking the leadership role in providing trained manpower to provide services. 5 partnering institutes have built the linkages and trained doctors are providing services in these CCCs. The linkages that were established are as follows:

  1. St. Joseph Care and support centre – Mamata Medical College, Khammam
  2. Rotary Abhaya care and support center– Maharaja Institute of Medical Sciences (MIMS),Vizianagaram
  3. Lodi care and support centre– Chalmeda Ananda Rao Institute of Medical Sciences, Karimnagar
  4. Asha Jyothi care and support center – Mediciti Institute of Medical Sciences, Ghanpur
  5. Desire society care and support center – MNR Medical College, Sangareddy, Medak

Universal availability and access of to HIV patients by providing OI treatment through IP and OP care has been core of care and support activity of the project. These services are being provided at partner institutions.

Overall, 5,567 (2,521 in Oct09-July10) episodes of OIs were treated at OPD (1,245) and IPD (1,276) of the PIs.

2. Supporting public sector through consultant at Andhra Pradesh Chest Hospital: With an objective to address the gaps in care, treatment and training interventions that currently exist, under the Public-Private Partnership, APAIDSCON provided support to AP chest hospital by placing a medical officer as a consultant, to become a nodal center of training, diagnosis, care, treatment and support in HIV/AIDS in Andhra Pradesh. This strengthened and streamlined the State level HIV/AIDS and related programs & trainings for Medical Doctors, Nurses, paramedical staff, Laboratory technicians, Pharmacists, Field staff and others. 

C. Counseling and testing
Under the Private Public Partnership (PPP) with APSACS, 15 of the present partnering institutions of APAIDSCON have been allotted standalone Integrated Counseling and Testing Centres (ICTCs). These ICTC centres are being coordinated and monitored by SHARE INDIA –APAIDSCON/APAIDSCON. 5 Facility Integrated ICTCS (F-ICTCs) with in the Private Medical Colleges and 45F-ICTCs in private Nursing Hospitals have also been established. A total of 298894 individuals were counselled and tested at these centres of which 1, 28, 811 were pregnant women. 
1. Facility Integrated Counseling and Testing Centres:
SHARE INDIA –APAIDSCON in collaboration with APSACS established the Facility Integrated - Integrated Counseling and Testing Centres (FI-ICTCs) in the 5Private Medical Colleges,

  1. PES Institute of Medical Sciences, Kuppam
  2. Shantiram Medical College, Nandyala
  3. Narayana Medical College, Nellore
  4. Pratima Institute of Medical Sciences, Karimnagar 5) Dr.VRK Women's Medical College, Moinabad) and 45 Private Maternity Nursing Homes, Multi specialty Hospitals and Private Laboratories across 4 districts – East Godavari, Vizianagaram, Rangareddy and Hyderabad of Andhra Pradesh as a part of Public private Partnership to make ICTC services more accessible and these would eventually also be included under EQUAS like the existing ICTCs

2. Peer counsellors for PPTCT
APAIDSCON has initiated the concept of peer education by appointing peer counselors in 15 partnering institutes. Each peer counselor sends a monthly report to APAIDSCON office. The activities of peer counsellors are as follows:

  • Voluntary counselling and testing services for pregnant, non-pregnant women and children
  • Facilitation and conducting institutional deliveries for HIV infected pregnant women
  • Nevaripine (NVP) prophylaxis for HIV infected pregnant woman & child
  • Counselling for safe infant feeding practices and nutritional support for infected pregnant women and children
  • Follow up of infected children until the serostatus is known
  • Universal Cotrimoxazole prophylaxis to exposed children.8.Follow up of child for routine immunization
  • Referral and follow up of HIV infected pregnant, non-pregnant women and children to Anti-Retroviral Treatment (ART) centres and CD4 count facilities
D. Laboratory services
The consortium offered subsidized laboratory services to the positive individuals as well as offered a quality assurance programme to strengthen the testing practices in the private sector. 1. Subsidized CD4 testing facilities:
Lab support – subsidized CD4 Testing Facility - As a part of the goal of the consortium, SHARE INDIA –APAIDSCON/APAIDSCON built the capacity of the partnering medical colleges to give care to PLHIV. But the partnering institutes which are located in semi urban and rural areas do not have the facilities of CD4 testing which is required for a standardized care. To fill this gap, with support from CDC and Mediciti Hospitals had initiated CD4 testing facility at subsidized rates. The cost to the patient being referred by the Partnering Institutions will be only Rs. 200/-, the rest will be subsidized by SHARE INDIA and Mediciti Hospital. This is being done through an advanced State-of-the-Art Flow Cytometer (BD Facs Caliber). A total of 4165 PLHIV accessed subsidized CD4 testing.

2. Lab quality assurance program:
The provision of quality laboratory services and the reliable diagnostic testing are integral to the success of surveillance programmes, as well as programmes for prevention, care, support and treatment of disease including HIV. Adherence to good laboratory practices to promote reliable and accurate results, contribute to good patient care, and promote a positive attitude towards testing from a patient's perspective. In order to understand the current scenario of the HIV testing labs in our state, APSACS in collaboration with SHARE INDIA – APAIDSCON has set off a quick review of HIV testing practices in 133 private laboratories of Hyderabad.The review examined adherence to the national guidelines for testing, counselling and informed consent.SHARE INDIA –APAIDSCON in consultation with APSACS designed quality assurance program for the ICTCs with in its 15 partnering private medical colleges as a pilot program to assess all the quality parameters for rapid HIV Testing and counselling. The ICTC assessment process has drawn the strength and spirit from the national guidelines developed by NACO. SHARE INDIA-APAIDSCON along with SRL and NRL accreditation team members in consultation with APSACS carried outcome assessment in the ICTCs of 15 partnering private medical colleges. The final results were presented to APSACS.

Team

Top Team

Dr. Vijay Yeldandi
Member – SHARE, Principal Investigator - PHMI

Dr Vijay Yeldandi is the Program Director of the Resurrection-Westlake Internal Medicine Residency Training Program in Meirose Park, Illinois. As an Infectious Diseases Clinician, his interest has been HIV/AIDS and transplant patients. He is one of the founding members of MediCiti and MediCiti Immunology & Infectious Diseases & Research Institute – MIIDRI. His contributions to HIV/AIDS has been recognized through numerous awards including: Golden Apple award in 2003, Westlake Hospital; Award for excellence in teaching from Loyola University and Grant Hospital of Chicago; Distinguished Physician Award in 2007 from IAMA of Illinois, Most Distinguished Physician Award in 2005 from the Osmania University Medical Alumni Association of America.

Dr. Ganesh Oruganti
Director Public Health SHARE India, Project Director - PHMI

Dr Ganesh Oruganti, MD, is a Microbiologist. He was the founder Director of Department of Laboratory Medicine, MediCiti Hospital, Hyderabad. He continued in this position for over a decade (1997-2007). During this time Dr Ganesh also worked as the Director of Department of Transfusion Medicine - MediCiti, Chairman - Infection Control Committee, MediCiti and Associate Professor Microbiology, MIMS. He also served under various capacities at Tadaman National Clinic, Riyadh, Medwin Hospitals, Gandhi Medical College and National Institute of Nutrition, Hyderabad.

Other Team Members of PHMI

Mr. Ch. Prabhakar
Senior Programme Manager

Mr. Ch. Prabhakar is a social development professional and has had extensive experience with both Central and State Governments in various capacities. In a career spanning over three decades he has been involved in drafting national policies, protocols on youth, literacy and women's development. His involvement in the National AIDS Control Program has been intensive for the past two decades. He has been with SHARE- PHMI since 2008 and is one of the core team members in capacity building and mentoring of DAPCUs for coordination and monitoring of the HIV/AIDS programs at the district level.

Dr. Ramesh Reddy
Senior Programme Manager

After completing his MBBS from JSS medical college, Mysore (Nov2005) Dr. Ramesh has been associated with public health enhancement programmes and has been actively engaged with capacity building of medical personnel. In 2006 Nov, he was accepted to the HIV –Clinical and Leadership fellowship program at GHTM, Tabaram; an intensive, year-long field-based clinical fellowship implemented by I-TECH and CDC. This enhanced his expertise in clinical and program management for rendering clinical services to PLHAs. He has been with SHARE– PHMI since 2007 and has been engaged with capacity strengthening of public health professionals across India.He pursued an executive course on "Improving the quality of Health Systems" from the Harvard School of Public Health, Boston in October 2009.

Ms. Revina Suhasini Samuel
Executive Administrator/HR

Ms. Revina has been with SHARE since 2007 and currently heads the Human Resources and Administration at SHARE- PHMI. With a vast experience in HR she has been actively involved in strategic organizational development, instilling positive work culture in the organization and improving overall workplace morale. Revina has been instrumental in streamlining the human resources functioning and related processes for SHARE and being a member of the core team she focuses on infusing trust and confidence in the organization. She strives to develop a strong and vibrant human resource base for the organization.

Mr. Lakshmi Narasimhan
Finance Manager

Mr. LN as he is fondly called by his colleagues started his career as Accounts Officer with Orient Longman and has been with SHARE – India since 2007. Mr. LN has over a 25 years of rich and diverse experience in Finance and Accounts.

Mr. B. Ranjeeth Kumar
Monitoring & Evaluation Officer

Monitoring & Evaluation Officer Mr. B. Ranjeeth kumar is a post graduate in social work from Osmania University and has also acquired a P.G Diploma in Computer Sciences. He has over 8 years in Public Health programs, Livelihoods, Watershed, Sanitation. His expertise has been undertaking impact assessment, evaluation studies and as well as quantitative and qualitative data analysis. He has been with SHARE- PHMI since 2009 and along with monitoring and evaluation he has played an active role in training and capacity building initiatives.

Mr. CH. S. Naidu
Program Officer

Mr. CH. S .Naidu possesses an MBA Health Care Services and M. Phil in TQM Hospital and Medical Services. He has over 19 years of field experience in various community based public health development projects. He has been with SHARE India since 2006 and has been an integral part of SHARE- India's work with Private Medical Colleges and Private Nursing Homes under PPP model for HIV interventions. He is a "Life Member in Public Health Association of India and Associate Member of Quality Council of India".

Mr. R. Praveen
Program Officer

Mr R. Praveen completed his Masters in social work (MSW) with medical psychiatric social work his specialization.He began his career with programmes addressing concerns of children and education and has subsequently been working with health and HIV related concerns. He has been with SHARE – PHMI since 2008 and has been involved in conceptualizing and conducting trainings and sustained mentoring for DAPCUs.

Dr. Chengappa
Program Officer

Dr. Chengappa has a Bachelor's degree in dental Surgery from Rajiv Gandhi University of Health Sciences, Karnataka and has Masters of Public Health Research from the University Of Edinburgh, UK. His foray into Public Health was with interventions on HIV/AIDS. His work at SHARE India has prompted him to take up a master's course in Public Health Research which has helped him assimilate technical knowledge and skills in the field. After his graduation he has returned to SHARE-PHMI to be involved in the DAPCU strengthening program.

Mr. P. Ajith Kumar
Program Officer

A post graduate in social work from Osmania University, Mr. Ajith has over 8 years of experience in the development sector in different capacities. His work with government and nongovernment agencies has provided him with a keen understanding and practical knowledge of communities and their needs. He has been with SHARE since 2011 and is involved in capacity building and mentoring of DAPCUs.

Mr. P. Raj Kishore
Program Coordinator

Mr. Raj Kishore is a Training Coordinator in SHARE- PHMI since December 2007. He is a graduate in commerce and has completed courses in DHA,DCA & Tally(7.2 version). Raj has over 10 years of experience in administration and finance. At SHARE- PHMI he is closely involved in training coordination and planning.

Mr. P. S. Venkat Rao
Program Coordinator

Mr. Venkat is an IT- specialist. He is a graduate in Arts and has completed courses in NT 4 Administration, Unix, and he is a core member for the HMS software (beta site )developed by Tata Consultancy Services (TCS). He has been associated with various projects of SHARE as Systems Network Administrator since 1995. He has 14 years of experience in Networking and systems administration, and maintained sun spark 280R server, Prolient 400,1000 series.

Ms. Sujatha Saradhi
Adiministative Executive

Ms. Sujatha Saradhi has pursued post graduation in Masters in Social work and has been with SHARE – PHMi since 2008. She possessesover ten years of experience working with not for profit agencies especially working on HIV/AIDS. She is currently working as Admin Executive with SHARE – PHMI.

Mr. B. Prabhakaram
Accounts Assistant

Mr. B. Prabhakaram has a commerce educational background and has over 23 years of experience in administration and accounts. He has been with SHARE- PHMI since 2009 and is currently with the accounts division.