Namibia First African Country to Adopt the ECHO Model for HIV Treatment


In the fall of 2016 the Ministry of Health and Social Services (MOHSS) Namibia successfully concluded the first ever ECHO pilot in Africa. This sparsely populated country in Sub-Saharan Africa ranks 6th highest in the world in HIV prevalence with about 14% of the adult population being infected with the virus, accounting for over 230,000 people living with HIV. Over a period of ten months the MOHSS hub team facilitated over 30 weekly HIV ECHO Clinics with ten spoke sites at state hospitals around the country for mid-level physicians, nurses, health assistants, students and others who work with HIV patients. The ECHO program covering a basic comprehensive HIV curriculum was embedded in the country’s clinical mentorship program. Soon after the launch additional sites and individuals joined the HIV ECHO Clinic which saw on average of 72 participants zoom in from 20 to 30 sites.

A poster on the pilot was presented at the International AIDS Society conference in Durban, South Africa, in July 2016. The accepted abstract concluded that high levels of provider participation indicated acceptance and need for this model of clinical mentorship and training. The robust program evaluation encompassed four areas: 1) Knowledge, 2) Self-efficacy, 3) Professional satisfaction, and 4) CPD credits.

 ooo In October 2016 the Namibia MOHSS officially announced expansion of the ECHO program NBC Namibia news report on ECHO pilot special session. Speech by the US Ambassador in Namibia about the launch of the extension phase of Project ECHO in Namibia.
  spokes-newNamibia National HIV ECHO Consortium Partners:
  • Republic of Namibia Ministry of Health and Social Services (MOHSS)
  • CDC Namibia
  • CDC Atlanta
  • Elizabeth Glaser Pediatric Aids Foundation (EGPAF)
Project ECHO
  • University of New Mexico Health Sciences Center UNMHSC)
  • University of Washington
Additional Partners:
  • I-TECH Namibia
  • National Laboratory of Pathology (NIP)
  • TB Clinics – National Tuberculosis Leprosy Program (NLTP)
grouppicture ECHO Training Event in Windhoek Two Weeks Before the Launch With a Mock ECHO Session.
For information how to attend a Namibia MOHSS HIV teleECHO clinic, please email Jutta Lehmer,

Namibia Hub Team Staff

Leonard Bikinesi

Leonard Bikinesi, MD

Chief Clinical Mentor
MOHSS Namibia



Bruce Baird Struminger, MD, MA, FACP 

Associate Director, Project ECHO
Associate Prof. Medicine,
Div. of Infections Diseases
UNM-HSC Office: 505-272-9475
Karla Thornton

Karla Thornton, MD, MPH

Associate Director, Project ECHO
Professor, Div. of Infectious Diseases
Office: 505-272-8323

Michelle Iandiorio, MD

Medical Director, HIV ECHO
Associate Professor, Div of Infections Diseases

Office: 505-272-4903
Jutta Lehmer

Jutta Lehmer, BA

Program Planning Manager
Project ECHO