Uganda faces problems of rapid population growth with minimal evidence of fertility decline and only modest increases in modern contraceptive use. There are high rates of STIs and cervical cancer, as well as a mature, generalized HIV epidemic. Thus, population and reproductive health problems are a priority. Since 1987, the Makerere University, Institute of Public Health (MUIPH), Columbia and Johns Hopkins Universities (JHU) have collaborated to address these problems via the Rakai Health Sciences Program (RHSP), a multidisciplinary research and service program in rural southwesternUganda. Training is funded by two Fogarty grants, including an International Training and Research in Population and Health (for which this application is a competing renewal), as well as foundation grants. This program has cumulatively trained 3 doctoral, 13 masters, 35 short-term and 10 post-doctoraltrainees at JHU, as well as bachelor and certificate trainees in Uganda. All graduates have returned to Uganda.Our goal is to train Ugandan scientists in disciplines relevant to population and reproductive health, including epidemiology, demography, behavioral and social sciences, clinical and basic sciences. MUIPH has developed an innovative MPH program and established faculty appointments for Junior Lecturers who can concurrently pursue a PhD degree (JL/PhD). This reduces costs relative to US training, and provides trainees with a career structure. MUIPH and JHU have established a """"""""sandwich"""""""" PhD program whereby doctoral candidates at MUIPH gain credit for advanced courses at JHU while pursuing a JL/PhD. Based on the prior capacity building at MUIPH and the JL/PhD mechanism, the present proposal plans to train two """"""""sandwich"""""""" JL/PhDs at MUIPH and JHU, 3 Masters students and 10 postdoctoral Fellows at JHU, and 5 Masters and 3 Batchelor-level trainees at MU. Short-term non-degree training will be provided in both the US and Uganda. In addition, we propose curriculum development in population and reproductive health at MUIPH via a """"""""south-to-south"""""""" collaboration with four West African universities which have received Gates Institute support for curriculum development.. We will also conduct workshops for Ugandan Fogarty recipients. The Program will be coordinated with other JHU training programs to facilitate cost-sharing, and will be jointly supervised by Dr. David Serwadda (Director MUIPH) and Dr. Ronald Gray PI (Robertson Professor of Reproductive Epidemiology, JHU).

Agency
National Institute of Health (NIH)
Institute
Fogarty International Center (FIC)
Type
International Research Training Grants (D43)
Project #
5D43TW001508-10
Application #
7799862
Study Section
Special Emphasis Panel (ZRG1-ICP2-B (91))
Program Officer
Liu, Xingzhu
Project Start
2000-09-29
Project End
2012-03-31
Budget Start
2010-04-01
Budget End
2012-03-31
Support Year
10
Fiscal Year
2010
Total Cost
$175,744
Indirect Cost
Name
Johns Hopkins University
Department
Miscellaneous
Type
Schools of Public Health
DUNS #
001910777
City
Baltimore
State
MD
Country
United States
Zip Code
21218
Nakigozi, Gertrude; Makumbi, Fredrick E; Bwanika, John B et al. (2015) Impact of Patient-Selected Care Buddies on Adherence to HIV Care, Disease Progression, and Conduct of Daily Life Among Pre-antiretroviral HIV-Infected Patients in Rakai, Uganda: A Randomized Controlled Trial. J Acquir Immune Defic Syndr 70:75-82
Wagman, Jennifer A; Gray, Ronald H; Campbell, Jacquelyn C et al. (2015) Effectiveness of an integrated intimate partner violence and HIV prevention intervention in Rakai, Uganda: analysis of an intervention in an existing cluster randomised cohort. Lancet Glob Health 3:e23-33
Kairania, Robert; Gray, Ronald H; Wawer, Maria J et al. (2015) Intimate partner violence and communication of HIV diagnosis in Rakai, Uganda. Soc Work Public Health 30:272-81
Grabowski, Mary K; Gray, Ronald H; Serwadda, David et al. (2014) High-risk human papillomavirus viral load and persistence among heterosexual HIV-negative and HIV-positive men. Sex Transm Infect 90:337-43
Tobian, Aaron A R; Gaydos, Charlotte; Gray, Ronald H et al. (2014) Male circumcision and Mycoplasma genitalium infection in female partners: a randomised trial in Rakai, Uganda. Sex Transm Infect 90:150-4
Tobian, Aaron A R; Grabowski, Mary K; Kigozi, Godfrey et al. (2013) Human papillomavirus clearance among males is associated with HIV acquisition and increased dendritic cell density in the foreskin. J Infect Dis 207:1713-22
Wilson, Lauren E; Gravitt, Patti; Tobian, Aaron A R et al. (2013) Male circumcision reduces penile high-risk human papillomavirus viral load in a randomised clinical trial in Rakai, Uganda. Sex Transm Infect 89:262-6
Tobian, Aaron A R; Grabowski, Mary K; Kigozi, Godfrey et al. (2013) High-risk human papillomavirus prevalence is associated with HIV infection among heterosexual men in Rakai, Uganda. Sex Transm Infect 89:122-7
Davis, Mitzie-Ann; Gray, Ronald H; Grabowski, Mary K et al. (2013) Male circumcision decreases high-risk human papillomavirus viral load in female partners: a randomized trial in Rakai, Uganda. Int J Cancer 133:1247-52
Ssekubugu, Robert; Leontsini, Elli; Wawer, Maria J et al. (2013) Contextual barriers and motivators to adult male medical circumcision in Rakai, Uganda. Qual Health Res 23:795-804

Showing the most recent 10 out of 29 publications