Thérèse Agossou, M.D., from the Congo, is regional adviser for Mental Health and Substance Abuse in the World Health Organization’s (WHO’s) Regional Office for Africa in Brazzaville. Dr. Agossou is a mental health professional (psychiatry and child psychiatry) who has been working at the WHO since 2002. Since 2003, she has been in charge of the program for promotion of mental health, prevention of psychoactive substance abuse, and management of related public health problems. This program supports the 46 countries of the African Region in their efforts to consider in their national agendas mental health as a major factor in well-being, safety, and development, and to develop and implement policies, action plans, and legislation that reflect the various contexts. Before joining the WHO, Dr. Agossou worked for 22 years as a practitioner and professor of child psychiatry in the areas of clinical practice, education, training, and research. Mobilization of the key players in the communities to work toward the health and well-being of families and children strengthened her involvement in formal and informal women’s networks on the community, national, regional, and international levels. She recognizes that involvement as having been and still being a source of enriching experiences.
Florence Baingana, M.D., is a psychiatrist who has been working as a Research Fellow with the Makerere University School of Public Health since 2007. From 2004 to 2006, she worked as a consultant with the World Bank, where she was one of the editors of Disease and Mortality in Sub-Saharan Africa. From 2000 to 2002, Dr. Baingana was a senior
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E
Speaker Biographies
Thérèse Agossou, M.D., from the Congo, is regional adviser for Mental
Health and Substance Abuse in the World Health Organization’s
(WHO’s) Regional Office for Africa in Brazzaville. Dr. Agossou is a
mental health professional (psychiatry and child psychiatry) who has
been working at the WHO since 2002. Since 2003, she has been in
charge of the program for promotion of mental health, prevention of psy-
choactive substance abuse, and management of related public health
problems. This program supports the 46 countries of the African Region
in their efforts to consider in their national agendas mental health as a
major factor in well-being, safety, and development, and to develop and
implement policies, action plans, and legislation that reflect the various
contexts. Before joining the WHO, Dr. Agossou worked for 22 years as a
practitioner and professor of child psychiatry in the areas of clinical prac-
tice, education, training, and research. Mobilization of the key players in
the communities to work toward the health and well-being of families
and children strengthened her involvement in formal and informal
women’s networks on the community, national, regional, and interna-
tional levels. She recognizes that involvement as having been and still
being a source of enriching experiences.
Florence Baingana, M.D., is a psychiatrist who has been working as a
Research Fellow with the Makerere University School of Public Health
since 2007. From 2004 to 2006, she worked as a consultant with the
World Bank, where she was one of the editors of Disease and Mortality
in Sub-Saharan Africa. From 2000 to 2002, Dr. Baingana was a senior
95
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96 MNS IN SUB-SAHARAN AFRICA, IMPROVING QUALITY OF CARE
health specialist responsible for mental health, seconded to the World
Bank by the World Federation for Mental Health, with the support of the
MacArthur Foundation. The position was then supported by the U.S.
government through the Center for Mental Health Services and the Na-
tional Institute of Mental Health from 2002 to 2004. From 1999 to 2000,
Dr. Baingana established the Mental Health Unit in the Ministry of
Health of Uganda. She is a finance committee member and an honorary
member of the World Psychiatric Association; an advisory committee
member of the Children and War Foundation; and a member of the Uni-
versity Council and vice chairperson of the Finance Committee, Interna-
tional Health Services University, Kampala, Uganda. Dr. Baingana is an
editorial board member of Interventions and an international committee
member of Consensus Research on Mental Health and Psychosocial Is-
sues in Humanitarian Settings. Dr. Baingana completed her M.B.Ch.B. in
1983 and M. Med. in Psychiatry in 1990 at Makerere University. In
2009, Dr. Baingana began a 30-month Master’s Fellowship with Well-
come Trust; she will pursue an M.Sc. in Health Policy, Planning, and
Financing, a combined degree from the London School of Economics
and the London School of Hygiene and Tropical Medicine, where she
hopes to specialize in mental health economics. She will then return to
Uganda and carry out a study on mental health financing as part of the
Fellowship support.
Roy Baskind, M.D., FRCPC, is a neurologist practicing in Toronto,
Canada. Originally from South Africa, he completed medical school at
the University of Texas Southwestern Medical Center in Dallas and went
on to complete postgraduate training in neurology at the Montreal Neuro-
logical Institute of McGill University. His interest in neurology in the
resource-poor world developed during his residency, when he spent an
extended period working in a small rural hospital in Zambia under the
direction of Dr. Gretchen Birbeck (Director of the International Neurologi-
cal and Psychiatric Epidemiology Program at Michigan State University).
He was closely involved in studies of traditional healers in epilepsy care.
He has also served as an adviser to the Highlands Hope project, which is
aimed at improving neurological care in rural hospitals in Tanzania.
Gary Belkin, M.D., M.P.H., Ph.D., is an associate professor of psychia-
try, New York University School of Medicine, and deputy director of the
Department of Psychiatry, Bellevue Hospital Centre, New York. As a
doctoral-trained historian, Professor Belkin has been interested in the
value of historical scholarship to inform medical practice, with a particu-
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APPENDIX E 97
lar focus on using history to think about the political and ethical dimen-
sions of medicine and public health. Professor Belkin is completing a
book study under contract with Oxford University Press on the work of
the Harvard Brain Death Committee and evolving care for hopelessly ill
individuals as a way to gain historical understanding of the bioethics
movement, the uses of medicine as a source of ethical discourse, and atti-
tudes about medical progress, ethics, and technology. This work ques-
tions assumptions about the historical appearance and value of bioethics.
Professor Belkin has also been pursuing work on an eventual book-
length exploration of the uses and meanings of explanations of behavior
and “social psychiatry” in political and clinical thought and ethical prac-
tice. This latter interest also stems from developing demonstration pro-
jects and related research efforts that move forward community-based
model approaches to mental health (and the relevance of such approaches
to social development and public health strategies globally and locally),
as well as to model the intellectual content and direction of public mental
health as a discipline and policy- relevant domain.
Marcelo Cruz, M.D., is president of the Global Network for Research
on Mental and Neurological Health. He has published on neuroepidemi-
ology, epilepsy, parasitic diseases, and neurodevelopmental disabilities.
His current research examines cerebral cysticercosis as the cause of epi-
lepsy, hydrocephalus, and dementia, as well as the clinical description,
the distribution, and means of prevention and control of this parasitic
infection. Dr. Cruz is the former Minister of Public Health of Ecuador
and a World Bank consultant for health reform. He is an honorary mem-
ber of the American Academy of Neurology. He also belongs to the
Latin American Society of Pediatric Neurology, the Pan American Soci-
ety of Neuroepidemiology, and the Francophone Network on Research of
the Nervous System.
Paul Farmer, M.D., Ph.D., is a medical anthropologist and physician.
Dr. Farmer is the Maude and Lillian Presley Professor of Social Medi-
cine in the Department of Global Health and Social Medicine at Harvard
Medical School, where he is also vice chair, and the founding director of
Partners In Health, an international nonprofit organization that provides
direct healthcare services and undertakes research and advocacy activi-
ties on behalf of those who are sick and living in poverty. Dr. Farmer’s
work draws primarily on active clinical practice and focuses on community
based treatment strategies for infectious diseases in resource-poor set-
tings, health and human rights, and the role of social inequalities in de-
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98 MNS IN SUB-SAHARAN AFRICA, IMPROVING QUALITY OF CARE
termining disease distribution and outcomes. He is the associate chief of
the Division of Global Health Equity at Brigham and Women’s Hospital
(BWH) in Boston, Massachusetts, and he served for 10 years as medical
director of a charity hospital, L’Hôpital Bon Sauveur, in rural Haiti.
Along with his colleagues at BWH, in the Program in Infectious Disease
and Social Change at Harvard Medical School, and in Haiti, Peru, Rus-
sia, Rwanda, Lesotho, and Malawi, Dr. Farmer has pioneered novel,
community-based treatment strategies for AIDS and tuberculosis (includ-
ing multidrug-resistant tuberculosis). Dr. Farmer and his colleagues have
successfully challenged the policy makers and critics who claim that
quality health care is impossible to deliver in resource-poor settings. Dr.
Farmer is the recipient of the Carter Award for Humanitarian Contribu-
tions to the Health of Humankind from the National Foundation for In-
fectious Diseases, the Salk Institute Medal for Health and Humanity, the
Duke University Humanitarian Award, the Margaret Mead Award from
the American Anthropological Association, the American Medical Asso-
ciation’s Outstanding International Physician (Nathan Davis) Award, the
Heinz Award for the Human Condition, and the Skoll Award for Social
Entrepreneurship. In 1993, he was awarded a John D. and Catherine T.
MacArthur Foundation Award in recognition of his work. Dr. Farmer is
the subject of Pulitzer Prize Winner Tracy Kidder’s Mountains Beyond
Mountains: The Quest of Dr. Paul Farmer, a Man Who Would Cure the
World (Random House, 2003).
Oye Gureje, M.B.B.S., Ph.D., D.Sc., FRCPsych, FRANZCP,
FWACP, is a professor and head of the Department of Psychiatry at the
University of Ibadan, Nigeria, and consultant psychiatrist at the Univer-
sity College Hospital in Ibadan. He received his medical training in Ni-
geria and postgraduate training in both Nigeria and England. His re-
search interests include epidemiology of common mental disorders and
of dementia as well as studies of aging, among others. He is currently
president of the Association of Psychiatrists in Nigeria and president-
elect of the African Association of Psychiatrists and Allied Professionals.
Steven E. Hyman, M.D., is provost of Harvard University and professor
of neurobiology at Harvard Medical School. From 1996 to 2001, he
served as director of the National Institute of Mental Health (NIMH), the
component of the National Institutes of Health (NIH) charged with gen-
erating the knowledge needed to understand and treat mental illness. Be-
fore serving as director of NIMH, Dr. Hyman was a professor of psychia-
try at Harvard Medical School, director of psychiatry research at Massa-
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APPENDIX E 99
chusetts General Hospital, and the first faculty director of Harvard Uni-
versity’s Mind, Brain, and Behavior Initiative. In the laboratory he stud-
ied the regulation of gene expression by neurotransmitters, especially
dopamine, and by drugs that influence dopamine systems. This research
was aimed at understanding addiction and the action of therapeutic psy-
chotropic drugs. Dr. Hyman is a member of the Institute of Medicine of
the National Academies, a Fellow of the American Academy of Arts and
Sciences, and a Fellow of the American College of Neuropsychopharma-
cology. He is editor-in-chief of the Annual Review of Neuroscience. He
has received awards for public service from the U.S. government and
from patient advocacy groups such as the National Alliance for the Men-
tally Ill and the National Mental Health Association. Dr. Hyman received
his B.A. from Yale College in 1974, summa cum laude, and an M.A.
from the University of Cambridge, which he attended as a Mellon Fellow
studying the history and philosophy of science. He earned his M.D. from
Harvard Medical School in 1980, cum laude.
Angelina Kakooza-Mwesige, M.D., is a pediatrician and lecturer in the
Department of Pediatrics and Child Health, School of Medicine, Maker-
ere University College of Health Sciences, Kampala, Uganda. Her major
research interests are neurology and infectious diseases, and she has vast
experience in the field of HIV/AIDS among children. The bulk of her
educational training has been in Uganda. However, she has also attended
several short courses in pediatrics, neurology, and public health in vari-
ous countries in Africa, Asia, and Europe. She took a course on clinical
management of HIV at the Johannesburg Medical School, University of
Witwatersrand in South Africa. She has worked as a sessional pediatri-
cian in specialized HIV units in Uganda, including the Mild May Interna-
tional Center, Kajjansi, Uganda (a center for specialist training on
HIV/AIDS and management of HIV/AIDS patients). She also worked at
the Baylor College of Medicine Children’s Foundation, a pediatric and
adolescent HIV center of excellence. She is a member of the South Afri-
can HIV Clinicians Society and an alumnus of the African International
Brain Research Organization-funded schools. She was a recipient of the
International Scholarship Award from the American Epilepsy Society in
2005, which she undertook at Children’s Hospital Boston and Harvard
Medical School under the supervision of Professor Frances Jensen. She
has conducted a study observing features associated with epilepsy in
children with HIV/AIDS and currently is pursuing her doctoral studies at
Makerere College of Health Sciences and Karolinska Institute, Sweden.
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100 MNS IN SUB-SAHARAN AFRICA, IMPROVING QUALITY OF CARE
Elly T. Katabira, M.D., is a professor of medicine, Department of
Medicine, School of Medicine, Makerere College of Health Sciences. He
is a neurophysician who has also been working in the field of HIV/AIDS
care and research since 1985. He is president-elect of the International
AIDS Society and a founding member of the Academic Alliance of
AIDS Care and Prevention in Africa. He is also a founding member of
the AIDS Support Organization and still serves as the organization’s
medical adviser. Dr. Katabira received his medical education in Uganda,
England, Scotland, and the United States. He is a former deputy dean for
research in the Faculty of Medicine at Makerere University. Dr. Katabira is
also the author of more than 150 published scientific articles and abstracts.
Yvonne Kayiteshonga is a coordinator at the Mental Health Department
at the Ministry of Health in Rwanda. Her duties include defining strate-
gies and plans of action in mental health policies and ensuring their ap-
plication; advising the minister of health in the coordination and support
of international exchanges in the mental health domain; and serving as a
focal point for non-governmental organizations (NGOs), associations,
and others intervening in that field. The most common illnesses and
situations her center encounters are epilepsy (most common), trauma,
psychosomatic disorders, and schizophrenia. She is a psychologist and
holds a Master’s Degree in Clinical Psychology.
David Kiima, M.B.Ch.B., is the director of mental health in the Minis-
try of Medical Services in Kenya. He obtained his M.B.Ch.B. and Master
of Medicine at the University of Nairobi. He has a Diploma in Child and
Adolescent Psychiatry from the Institute of Psychiatry London. He has
worked for the Kenyan government as a medical officer since 1981; a
consultant psychiatrist (1987–1992); the deputy director of mental health
(1992–1997); and the director of mental health (since 1998). He partici-
pated in the development of the WHO Resource Book on Mental Health,
Human Rights and Legislation 2005 as well as the WHO Mental Health
Policy and Service Guidance Package 2003.
Edward K. Kirumira, Ph.D., is dean of the faculty of social sciences at
Makerere University, Kampala, Uganda. He is a Fellow, council mem-
ber, and chair of the Forum on Health and Nutrition of the Uganda Na-
tional Academy of Sciences. He has worked extensively with various
aspects of population, fertility, and health in the Ugandan context, and
also with reference to the current HIV/AIDS crisis throughout sub-
Saharan Africa. Professor Kirumira has more than 20 years of experience
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APPENDIX E 101
in program formulation, monitoring, review, and evaluation, mainly in
relation to the health sectors, but also in relation to rural development,
good governance, institutional development, and public-sector manage-
ment. He has served as an external examiner and visiting professor in a
number of international universities in Europe, the Far East, and United
States. He is a member of various professional bodies, including the
Population Association of Uganda, the Organisation of Social Sciences
Research in Eastern and Southern Africa, and the International Union of
the Scientific Study of Population. Professor Kirumira has published
widely on population and development, reproductive health, sexuality,
and HIV/AIDS. He received his Ph.D. from the Department of Sociology
at the University of Copenhagen in conjunction with Harvard Univer-
sity’s Department of Population and International Health. He holds an
M.A. in Population Research from the Institute of Population Studies,
Exeter University, United Kingdom, and a B.A. in Sociology from Mak-
erere University.
Daniel Japheth Kyabayinze, M.B.Ch.B., M.Sc., is a clinical epidemi-
ologist and research officer at Malaria Consortium–Africa. Dr. Kyabay-
inze was trained at the two best medical schools in Uganda, Makerere
University, College of Health Sciences for an M.Sc. in Epidemiology,
and Mbarara University of Science and Technology for an M.B.Ch.B.
Dr. Kyabayinze has received training at international universities, includ-
ing postgraduate training in molecular epidemiology at the University of
California–San Francisco, the University of Cape Town South Africa in
regression modeling, and the University of Washington in point-of-care
diagnostics. He also had medical training at Tameside Hospital in Man-
chester, United Kingdom, as an elective student. Dr. Kyabayinze has a
wealth of experience in research on tropical diseases, particularly ma-
laria, HIV, and neglected diseases; he has more than 20 publications in
peer-reviewed journals, and he volunteers as a reviewer of various jour-
nals in his field of expertise. Dr. Kyabayinze has presented his work at
various local and international meetings in Africa, the United States, and
Europe. He is a recipient of various research and training grants, includ-
ing a European and Developing Countries Clinical Trials partnership fel-
lowship grant in 2005, an NIH Fogarty International training grant, and a
Swedish International Development Agency and American Society of
Tropical Medicine and Hygiene networking and training grants. As an
epidemiologist at the Regional Centre for Quality of Health Care and
quality control manager at Uganda Malaria Surveillance Project, Maker-
ere University, he coordinated projects funded by the U.S. Agency for
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102 MNS IN SUB-SAHARAN AFRICA, IMPROVING QUALITY OF CARE
International Development. Dr. Kyabayinze was previously a teaching
assistant at Makerere University. He has worked in various parts of urban
and rural Uganda as a clinician, researcher, and implementer of disease
prevention interventions. With this broad experience, Dr. Kyabayinze
now has the burden of bridging the gap between research and policy and
translating ongoing research into health policies that will improve the
health of Ugandans.
Alan I. Leshner, Ph.D., is chief executive officer of the American Asso-
ciation for the Advancement of Science (AAAS) and executive publisher
of its journal, Science. Previously Dr. Leshner had been director of the
National Institute on Drug Abuse and deputy director and acting director
of the NIMH. Before that, he held a variety of senior positions at the Na-
tional Science Foundation. Dr. Leshner began his career at Bucknell
University, where he was a professor of psychology. Dr. Leshner is an
elected member (and on the governing council) of the Institute of Medi-
cine and a fellow of AAAS, the National Academy of Public Administra-
tion, and the American Academy of Arts and Sciences. He was appointed
by the U.S. President to the National Science Board, and he is a member
of the Advisory Committee to the Director of the NIH. He received an
A.B. in Psychology from Franklin and Marshall College and M.S. and
Ph.D. in Physiological Psychology from Rutgers University. Dr. Leshner
has been awarded six honorary Doctor of Science degrees.
William B. P. Matuja, M.B.Ch.B., M.R.C.Psy., M.R.C.P., is a profes-
sor of neurology and coordinator of the Neurology Unit at Muhimbili
University of Health and Allied Sciences (MUHAS) in Tanzania. Profes-
sor Matuja serves as coordinator of the Postgraduate NOMA Programme
at MUHAS and is also an honorary professor of medicine (neurology) at
the Aga Khan University of East Africa. He also serves as president,
Tanzania Epilepsy Association; chair, National Polio Expert Committee
at the Ministry of Health and Social Welfare; member, Technical Com-
mittee of Cysticercosis Working Group in East and Southern Africa; and
member, National Institute for Medical Research Taskforce on Cysticer-
cosis, Tanzania. Professor Matuja has researched and published widely
on neurology, epilepsy, the elderly, and other mental health issues. He is
also a recipient of several research grants. Professor Matuja completed
his undergraduate studies in medicine and surgery at Makerere Univer-
sity in Uganda before specializing in neurology and psychiatry at the
University of Newcastle upon Tyne in the United Kingdom. He received
further postgraduate training in internal medicine at the same university.
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APPENDIX E 103
Michelle McMurry, M.D., Ph.D., is director of the Health, Biomedical
Science, and Society Policy Program and the Aspen Health Forum at the
Aspen Institute. She trained in pediatrics and molecular immunology.
Since transitioning into health and science policy, her work has focused
on the intersection of biomedical research funding policies, healthcare
disparities, and global health inequities. She has been a Global Health
Fellow at the Council for Foreign Relations and is an adjunct assistant
professor of health policy at George Washington University. She was a
Robert Wood Johnson Health and Society Scholar at the University of
California at Berkeley and San Francisco. She formerly oversaw health
and social policy issues for Senator Joseph Lieberman and was the senior
health policy adviser for the Lieberman for President Campaign. She also
worked to improve diversity in graduate science education in the Office
of the Director of the National Science Foundation as an AAAS Science
Policy Fellow. She received her M.D. and Ph.D. in molecular immunol-
ogy from Duke University and her undergraduate degree in biochemistry
at Harvard University.
Osman Miyanji, M.D., graduated from Makerere University, Kampala,
in 1971, and completed his postgraduate studies in Pediatrics (Master of
Medicine) at the University of Nairobi in 1976. He obtained a Diploma
in Neuropsychiatry and a certificate in Electroencephalography in 1981
from the University of Vienna, Austria. He served in the Kenya public
service in various positions from 1971 to 1979, including provincial pe-
diatrician and consultant. Since 1980 he has been based at the Aga Khan
University Hospital, Nairobi (AKUH-N), starting as hospital pediatri-
cian, and later as chair of the Department of Pediatrics (1994–2004). Dr.
Miyanji has been a consultant in pediatrics and pediatric neurology at the
AKUH-N and Gertrude Gardens Children’s Hospital, Nairobi. He is an
honorary lecturer at the AKUH-N. He also played a leading role in devel-
oping pediatric neurology and epilepsy services in Kenya. He was one of
the founding directors of the Kenya Association for the Welfare of People
with Epilepsy in 1982 and has been its chair since 1997. For many years
he has been a council member of the Kenya Society of Epilepsy.
Paul E. Mugambi, M.Sc., Ph.D., is a founding member and president of
the Uganda National Academy of Sciences. He is also the vice chancellor
of Nkumba University, one of the nascent chartered universities in
Uganda. Professor Mugambi has vast experience in university administra-
tion; he served as head of the Department of Mathematics, dean faculty of
science, and director, Institute of Computer Science, among others at
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104 MNS IN SUB-SAHARAN AFRICA, IMPROVING QUALITY OF CARE
Makerere University from 1976 to 1996. He has made significant contri-
bution to the formulation of national policy frameworks; the most recent
was the National ICT Policy Framework, for which he served as chair-
person of the drafting committee. He holds a B.Sc., M.Sc., and Ph.D.,
and he is the first professor of mathematics in East Africa. In 1991 he
was awarded a Medal by the African Mathematical Union in recognition
of his contribution to the development of mathematics in Africa. In 1999
he was awarded a Certificate of Merit for 25 years of meritorious service
to Makerere University. He is involved in active teaching, sits on a num-
ber of academic bodies, and belongs to a number of professional organi-
zations, including the American Mathematical Society, Biometric Soci-
ety, and Uganda Mathematical Society, of which he was the founding
president in 1970. For 10 years starting in 1992, he served as the main
coordinator of all projects of Makerere University under the Norwegian
Universities’ Committee for Development Research and Education pro-
gram.
David M. Ndetei, M.D., did his undergraduate medical training in
Kenya and postgraduate training in psychiatry at the Institute of Psychia-
try, London. He earned his Doctorate in Psychiatry at the University of
Nairobi. He is professor of psychiatry at the University of Nairobi, a po-
sition he has held since 1995. He is the founding director of Africa Men-
tal Health Foundation, a non-governmental organization (NGO) dedi-
cated to research for evidence-based policy, as well as practice in and
promotion of mental and neurological health and healthy behavior. He is
also a member of the Kenya Medical Research Institute National Ethical
Research Committee. Since 1998, he has held various administrative po-
sitions at the University of Nairobi, including chair of the Department of
Psychiatry and member of the University Senate. He has published more
than 200 papers and chapters in different peer-reviewed journals. He is
editor of The Africa Text Book of Psychiatry and Mental Health, bringing
together 69 contributors from all of Africa, including South Africa. He
has finished editing three other books and is in the process of editing an-
other for top-range mental health practice and research in Africa. Profes-
sor Ndetei is currently involved in several research activities on various
aspects of mental and neurological health, such as HIV, malaria, and
neurobehavioral development in early childhood; the prevalence of de-
pression, anxiety, and drug use among community-dwelling adults seek-
ing HIV testing in Nairobi, Kenya; and training on the UNODC Gloj71
Master Trainer on the Treatnet Training Package and Community-Based
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APPENDIX E 105
Detoxification and Rehabilitation of Alcohol Abusers, Kangemi, Nairobi,
Kenya.
Sheila P. Zaramba Ndyanabangi, M.D., is a principal medical officer
and head of the Mental Health Unit at the Ministry of Health, Uganda.
She also serves as the chairperson of the Tobacco and Health Forum; as
focal person, Alcohol and Drug Abuse Control; and as a member of the
Legislation Taskforce at the Ministry. Dr. Ndyanabangi is also vice
chairperson of the University Council at Uganda Christian University,
Mukono. She has researched and published on varied issues in mental
health. She holds a bachelor’s of Medicine, bachelor’s of Surgery, and
master’s of Medicine in Public Health from Makerere University. She
has also attended short courses in mental health and child illnesses in
various countries in Africa and Europe.
Charles Newton, M.D., was born in Kenya and qualified in Cape Town,
South Africa, with postgraduate training in Pediatrics in Manchester and
London, United Kingdom. As a lecturer at the University of Oxford, he
went to Kilifi in Kenya to help set up a unit to study severe malaria in
African children. Then he spent two years as a Postdoctoral Fellow at
Johns Hopkins University in Maryland, studying mechanisms of brain
damage in central nervous system (CNS) infections. He went to Great
Ormond Street Hospital, UK, to complete his training in pediatric neu-
rology. In 1998 he was awarded a Wellcome Trust Senior Clinical Fel-
lowship to return to Kilifi to study CNS infections in children. He be-
came head of clinical research in Kilifi, and he has published on a wide
variety of subjects concerning sick children in tropical countries. He con-
tinues to live in Kenya, where he conducts research on CNS infections in
children; epidemiological studies of epilepsy and neurological impair-
ment; tetanus, jaundice, and sepsis in neonates; and sick children admit-
ted to district hospitals in Africa. He is currently conducting epidemiol-
ogical studies of epilepsy in five countries in Africa.
Alfred K. Njamnshi, M.D., M.A., DMS, FMH, is Swiss board-certified
as a consultant neurologist and clinical neurophysiologist, and he heads
the Neurology Department of the Central Hospital Yaoundé (Teaching
Hospital). He is also vice dean in the Faculty of Medicine and Biomedi-
cal Sciences of the University of Yaoundé 1 in Cameroon. He is the
founding president of the Society of Cameroonian Neurologists and First
Vice President of the Cameroonian League Against Epilepsy, in charge
of international affairs. Professor Njamnshi has shown leadership in the
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106 MNS IN SUB-SAHARAN AFRICA, IMPROVING QUALITY OF CARE
development of neurology in Cameroon and now contributes to the de-
velopment of neurology and neuroscience in other African countries.
Formerly, he was subdirector in charge of disease control, and later, of
scientific networks in the Ministry of Public Health of Cameroon, con-
tributing to evidence-informed policy in neurological disorders. On the
international scene, Professor Njamnshi is president of the Pan African
Association of Neurological Sciences, regional director for Africa of the
World Federation of Neurology (WFN), and chair of the Africa Commit-
tee of the WFN. He is also a board and faculty member of the Africa
Committee of the International Brain Research Organisation (IBRO). In
these capacities, he has played a key role in the EFNS-IBRO-WFN-
sponsored neurology teaching courses and in many neuroscience schools
in Africa, mentoring a good number of young African neurologists and
neuroscientists. Professor Njamnshi has published significantly in the
areas of epilepsy, stroke, and neurological manifestations of AIDS.
Frank Njenga, M.D., is the current president of the African Association
of Psychiatrists and Allied Professions and treasurer of the Royal College
of Psychiatrists, Africa Division. He is a visiting research associate with
the Institute of Psychiatry, UK–Health Service Research Department. He
has authored and edited several books, including the landmark Essentials
of Psychiatry for Sub-Saharan Africa. He is also author of many book
chapters, and he has published extensively in peer-reviewed journals on a
variety of subjects, including culture, posttraumatic stress disorder,
childhood disorders, and policy development. He is a regular participant
in regional and international meetings. He runs a private psychiatric hos-
pital in Nairobi. He has hosted a weekly TV program titled Frankly
Speaking, which helped to break stigma barriers in mental health in East
Africa. He graduated from Maudsley Hospital in 1980. He is a Fellow of
the Royal College of Psychiatrists and a member of the American Psy-
chiatric Association.
Vikram Patel, Ph.D., is a psychiatrist with a special interest in global
mental health. His passion is to contribute to the goal of closing the
treatment gap and to protect the human rights of people with mental dis-
orders worldwide. The Wellcome Trust has supported Dr. Patel’s work
since 1996, and he is currently a Senior Clinical Research Fellow in
Tropical Medicine. Dr. Patel works for most of the year in Goa, India,
working with Goan NGOs and the government of Goa’s Directorate of
Health Services. Dr. Patel is the cofounder of Sangath, a Goan NGO that
won the MacArthur Foundation’s International Prize in 2008, an editor
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APPENDIX E 107
of the influential Lancet series on global mental health (2007), a leader in
setting up the new Movement for Global Mental Health, and the author
of the mental health care manual for non-specialist health workers,
Where There Is No Psychiatrist. Dr. Patel is currently working on the
development of a Lancet series on universal health care for all of India.
Inge Petersen, Ph.D., is a professor and previous head of the School of
Psychology at the University of KwaZulu-Natal, South Africa. Dr. Peter-
sen received her Ph.D. on the integration of mental health into primary
health care from the University of Cape Town. She previously served as
convenor of the national mental health policy commission of the African
National Congress in the build-up to the first democratic elections in
South Africa in 1994. Dr. Petersen is currently a research collaborator on
the Mental Health and Poverty Project.
Mathaabe Cecilia Ranthimo is the acting director of mental health for
the Ministry of Health and Social Welfare in Lesotho. Ms. Ranthimo is a
psychiatric nurse. She held the position of senior nursing officer at the
National Mental Hospital in Lesotho. Before then she held a senior posi-
tion as a middle manager in the female ward at the National Mental Hos-
pital. During this time she was also appointed as a clinical instructor. She
obtained a degree in Nursing Administration from the University of Na-
tal, South Africa.
Julia Royall is chief of international programs at the National Library of
Medicine. For all of her career, Ms. Royall has been committed to bring-
ing together technology and information—first as executive producer of
a theatre company she founded on this premise while a doctoral student
at Carnegie Mellon University in 1976 and later as a project coordinator
at the Massachusetts Institute of Technology Media Lab. As deputy di-
rector of SatelLife, she initiated and directed the HealthNet Information
Service, which served and continues to serve African countries. As direc-
tor of the Multilateral Initiative on Malaria (MIM) Communications
Network, she led an initiative to launch fast and reliable Internet connec-
tivity all across Africa, to provide access to current medical literature.
Royall has been working in telecommunications in health in Africa since
1990 and has 30 years of experience in the communications field. She
was recruited to the National Library of Medicine at the National Insti-
tutes of Health in 1997 to create a malaria research network to support
scientists in Africa as part of the MIM. For this work she has received
the NIH Director’s Award and was recently honored by Federal Com-
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108 MNS IN SUB-SAHARAN AFRICA, IMPROVING QUALITY OF CARE
puter Week magazine. Her research interests include African American
history, the history of the slave trade, PanAfricanism, and the relationship
between African traditional communication systems and the Internet.
Donald Silberberg, M.D., is a professor of neurology at the University
of Pennsylvania School of Medicine. He received his M.D. from the
University of Michigan School of Medicine, trained in neurology at the
NIH, and then was a Fulbright Scholar at the National Hospital, Queen
Square, London, and a Fellow in Neuro-ophthalmology at Barnes Hospi-
tal. Dr. Silberberg joined the faculty of the University of Pennsylvania’s
School of Medicine in 1963; he served as chair of the Department of
Neurology from 1982 to 1994 and as vice dean for International Pro-
grams from 1994 to 2004. He serves as an adviser to the NIH, WHO, the
World Bank, the National Security Council, the Department of State, the
International Clinical Epidemiology Network, and the National Multiple
Sclerosis Societies of the United States and the United Kingdom. Dr.
Silberberg served as editor-in-chief of the journal Multiple Sclerosis, he
serves on numerous editorial boards, and he has published 310 scientific
reports, chapters, and reviews.
Harvey Whiteford, M.B.B.S., M.P.H., D.Univ., FRANZCP, FAFPHM,
has trained in medicine, psychiatry, and public health in Queensland and
at Stanford University. On his return to Australia in 1986 he established
what is now the Queensland Centre for Mental Health Research, one of
Australia’s leading mental health research centers. Dr. Whiteford has
held senior clinical and administrative positions in Australia, including
those of director of mental health in Queensland (1989 to 1996) and the
federal government (1997 to 1999). In 1999 he was appointed to the first
mental health position at the World Bank in Washington, DC, where he
worked to develop the Bank’s capacity to respond to the rising global
burden of mental disorders. He continues to work with the Australian
government and international agencies on the design, implementation,
and evaluation of mental health programs.