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Walking Together, Walking Far

How a U.S. and African Medical School Partnership Is Winning the Fight against HIV/AIDS

Fran Quigley. Foreword by Paul Farmer

Publication Year: 2009

A remarkable partnership between the Indiana University School of Medicine and the Moi University School of Medicine in Kenya has built one of the most comprehensive and successful programs in the world to control HIV/AIDS. Calling upon the resources of the Americans, the ingenuity of the Kenyans, and their shared determination to care for patients who had been given up for dead, the program has been nominated for a Nobel Peace Prize and described as a miracle by the U.S. ambassador to Kenya. Doctors from Kenya and the United States -- employing methods once considered unfeasible, such as successfully administered antiretroviral regimes -- have created a model program for saving lives and empowering the sick and impoverished. Against formidable odds, these partners demonstrate how medicine and caring can overturn preconceived notions about Africa and help wipe out the world's most devastating pandemic.

Published by: Indiana University Press


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pp. vii

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pp. ix-xvii

Walking Together, Walking Far is surely the best title that could be devised for a book about people from two very different nations, coming together to fight AIDS. Fran Quigley has done a superb job in describing what is, on the face of it, a straightforward collaboration between an American academic medical center and another one in Africa. ...

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pp. xix

Author” is the accepted term for my role in the production of this book, but it is not a completely accurate one. Quite often, I served simply as the compiler of stories, facts, figures, plans, and dreams lived and chronicled by many others, most of whom are heroes of the Indiana–Moi partnership and this book. ...

Map of AMPATH clinical sites

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pp. xxi

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1. Daniel

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pp. 1-21

Late one evening in September of 2000, Dr. Joe Mamlin was making after-hours visits to some of his patients at Moi Teaching and Referral Hospital in Eldoret, Kenya. The wards he walked through were made up of several open rooms with a half-dozen small cotlike beds, most of which contained two patients ...

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2. Birth of a Partnership

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pp. 22-33

In 1985, the Journal of the American Medical Association published a list of more than seventy organizations that provided health services internationally. Twenty-nine-year-old Bob Einterz, fresh from a stint as chief resident physician at Indianapolis’s Wishard Hospital, ...

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3. “We All Need to Be Doing More”

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pp. 34-50

After the Moi University and Indiana University medical schools formalized the decision to begin a partnership, Bob Einterz agreed to be the first Indiana faculty physician to spend a full year in Kenya. He was the first in an annual rotation of “team leaders” who practice medicine, teach at Moi University, and oversee Indiana students and residents. ...

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4. “Seldom Has History Offered a Greater Opportunity”

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pp. 51-66

On June 7, 2001, Representative Henry Hyde, then the chair of the International Relations Committee of the U.S. House of Representatives, convened a hearing to discuss his new global AIDS bill, which included a pilot program for purchasing and delivering antiretroviral drugs. ...

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5. “We Are Not a Mortuary”

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pp. 67-76

In mid-2003, the PEPFAR-inspired hope in Washington had not yet reached the wards of Moi Teaching and Referral Hospital. There, a woman named Theresa huddled under a thin and tattered blanket in a bed she shared with another woman whose feet lay by Theresa’s head. ...

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6. Can Foreign Aid Work?

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pp. 77-96

In his PowerPoint presentations to U.S. groups, Bob Einterz likes to show a photo of a truck labeled “Kenya AIDS Control Programme”— crushed from the top down and abandoned in the weeds. It seemed a perfect metaphor for the recent decades’ efforts to control disease and poverty in Africa. ...

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7. The Power of the Academic Health Center

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pp. 97-105

Even foreign aid critics concede that health initiatives in developing countries are worthy efforts, and aid supporters admit that far too many well-intentioned programs have failed miserably. The next question is what type of global health program can succeed. ...

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8. AMPATH in Action

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pp. 106-122

On the days when Dr. Caroline Kosgei sees patients at one of the three AMPATH clinics in the Mt. Elgon area, she wakes before dawn, kisses her eighteen-month-old son Jonathan good-bye while he sleeps, and heads out the door. If Kosgei is fortunate, it is a two-hour drive northwest from Eldoret to Mt. Elgon. ...

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9. Moving Upstream

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pp. 123-131

It is an early summer Saturday morning in 2007, and the rainy season has arrived in western Kenya. The people who begin filing into the expandable conference room of the AMPATH Centre have hopped the puddles in Eldoret and forded the sudden roadside streams on the way in from the villages. ...

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pp. 132-142

Less than two months after Jacob Kirui was tested for HIV in the countryside of western Kenya, over nine million Kenyans went to the polls to elect the country’s new president and members of Parliament. Held once every five years, presidential elections are high-stakes affairs in Kenya. ...


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pp. 143-147

E-ISBN-13: 9780253003331
E-ISBN-10: 0253003334
Print-ISBN-13: 9780253353245

Page Count: 176
Illustrations: 30 b&w photos
Publication Year: 2009