Despite remarkable success in preventing HIV infection and treating AIDS, Uganda still faces formidable challenges to control HIV in the country. Over the past 20 years, the AIDS International Training and Research Program at Case Western Reserve University has made substantive contributions to Uganda's efforts by training future leaders in the field and by contributing to the body of knowledge about HIV and its complications. The goal of this training program is to meet the public health and scientific challenges of the evolving HIV epidemic in Africa by developing scientific leadership in the field of HIV prevention and treatment. This goal will be achieved through a longstanding collaboration between Case, Makerere University, Mbarara University for Science and Technology, and the Ministry of Health in Uganda. The specific training objectives of this proposal are to: 1) Build long-term, sustainable research capacity by educating and promoting independent health scientists who can lead Uganda in its HIV prevention and treatment activities; 2) Advance knowledge in HIV prevention, treatment, and care through mentored research projects responsive to the needs of Uganda; 3) Promote graduate education at Ugandan universities by supporting Masters level training in Public Health, Clinical Research, and Clinical Epidemiology and Biostatistics; 4) Establish regional expertise on HIV and tuberculosis by building on the infrastructure and the unique aspects of the Uganda-Case Research Collaboration; 5) Develop a culture of mentoring of young and developing scientists through the Uganda Society of Health Scientists. To address the specific aims of this proposal, we propose a coherent, multi-disciplinary program of education and training in degree and non-degree experiences, based both at Case and in Uganda. The mainstay of the training will continue to be the graduate training with advanced degrees offered in disciplines relevant to HIV prevention and treatment. The proposed program will offer Masters level training in Uganda and Ph.D. training at Case. Non-degree training will include a mix of short and long-term training experiences both in the U.S. and in Uganda. As the cadre of young, trained scientists grows and with the shift of Masters training to Uganda, there will be a greater demand for mentors. To this end, we intend to develop a monthly seminar that explores the role of mentoring in the Ugandan context. In collaboration with other AITRPs in Africa, we propose to establish regional training in HIV and tuberculosis by launching the East African Consortium for Research and Care of HIV and TB. Finally, to meet the new research training needs outside of Kampala, the AITRP at Case will open a formal training post in western Uganda at Mbarara University for Science and Technology. ? ? ?

Agency
National Institute of Health (NIH)
Institute
Fogarty International Center (FIC)
Type
International Research Training Grants (D43)
Project #
2D43TW000011-21
Application #
7488132
Study Section
Special Emphasis Panel (ZRG1-BDA-K (50))
Program Officer
Mcdermott, Jeanne
Project Start
1998-09-30
Project End
2013-05-31
Budget Start
2008-06-01
Budget End
2009-05-31
Support Year
21
Fiscal Year
2008
Total Cost
$812,312
Indirect Cost
Name
Case Western Reserve University
Department
Public Health & Prev Medicine
Type
Schools of Medicine
DUNS #
077758407
City
Cleveland
State
OH
Country
United States
Zip Code
44106
Martinez, Leonardo; Handel, Andreas; Shen, Ye et al. (2018) A Prospective Validation of a Clinical Algorithm to Detect Tuberculosis in Child Contacts. Am J Respir Crit Care Med 197:1214-1216
Martinez, Leonardo; Shen, Ye; Handel, Andreas et al. (2018) Effectiveness of WHO's pragmatic screening algorithm for child contacts of tuberculosis cases in resource-constrained settings: a prospective cohort study in Uganda. Lancet Respir Med 6:276-286
Gibson, Richard M; Nickel, Gabrielle; Crawford, Michael et al. (2017) Sensitive detection of HIV-1 resistance to Zidovudine and impact on treatment outcomes in low- to middle-income countries. Infect Dis Poverty 6:163
Ankunda, Racheal; Atuyambe, Lynn Muhimbuura; Kiwanuka, Noah (2016) Sexual risk related behaviour among youth living with HIV in central Uganda: implications for HIV prevention. Pan Afr Med J 24:49
Martinez, Leonardo; Sekandi, Juliet N; Castellanos, MarĂ­a E et al. (2016) Infectiousness of HIV-Seropositive Patients with Tuberculosis in a High-Burden African Setting. Am J Respir Crit Care Med 194:1152-1163
Kyeyune, Fred; Gibson, Richard M; Nankya, Immaculate et al. (2016) Low-Frequency Drug Resistance in HIV-Infected Ugandans on Antiretroviral Treatment Is Associated with Regimen Failure. Antimicrob Agents Chemother 60:3380-97
Sande, Obondo J; Karim, Ahmad F; Li, Qing et al. (2016) Mannose-Capped Lipoarabinomannan from Mycobacterium tuberculosis Induces CD4+ T Cell Anergy via GRAIL. J Immunol 196:691-702
Ezeamama, Amara E; Mupere, Ezekiel; Oloya, James et al. (2015) Age, sex, and nutritional status modify the CD4+ T-cell recovery rate in HIV-tuberculosis co-infected patients on combination antiretroviral therapy. Int J Infect Dis 35:73-9
Greene, Meredith; Covinsky, Kenneth E; Valcour, Victor et al. (2015) Geriatric Syndromes in Older HIV-Infected Adults. J Acquir Immune Defic Syndr 69:161-7
Sekandi, J N; List, J; Luzze, H et al. (2014) Yield of undetected tuberculosis and human immunodeficiency virus coinfection from active case finding in urban Uganda. Int J Tuberc Lung Dis 18:13-9

Showing the most recent 10 out of 34 publications