ThepreviousthreecyclesoftheDartmouth-BostonUniversity-Muhimbili(DBM)FogartyHIVtrainingprogram haveresultedinamulti-facetedresearchandtrainingcollaborationbetweenDartmouth,BUandMuhimbili UniversityofHealthandAlliedSciences(MUHAS).Ithasproducedlandmarkstudiesontheepidemiologyof HIV,tuberculosis(TB)andHIV-relatedTB(HIV-TB),clinicalfeaturesofadultandpediatricHIV-TB,vaccine trialstopreventHIV-TB,andnutritionalsupplementationforwomenwithHIV-TB. Ourcurrent5-yearawardculminatedinMUHAS?approvalofaTBResearchInstitute(TRIM-TB),whichisan HIV-TBresearchcollaborationbetweentheDBMFogartyprogram,MUHASandtheTanzanianNational ProgrammeonTuberculosisandLeprosy(NTLP).RecognizingthebenefitsofTRIM-TB,MUHASleadership endorsedtheconceptofabroaderinitiative,designatedastheInfectiousDiseaseInstitute(IDI).Thenewly approvedIDIwillsupportresearchandtraininginallinfectiousdiseasesofimportanceinTanzania,withan initialfocusonHIVandTB.MUHAS,theNTLPandtheNationalAIDSControlProgram(NACP)havesolicited theDBMFogartyProgramtoprovidethetrainingneededtoachievetheIDI?sgoals.Tothatend,wepropose: 1)TrainIDIresearchfacultytoconductHIVandHIV/TBepidemiologicresearchandclinicaltrials 2)EstablishamentoringprogramthroughIDItoensurejuniorfacultyaresupportedandsuccessfulin performingresearchandobtainingindependentresearchfunding. 3)ExpandtheportfoliooffundedcollaborativeHIVandHIV/TBresearchforMUHASfaculty/trainees. 4)DevelopaprogramofresearchtrainingforTanzanianfieldscientistsledbyIDIfaculty Todevelopthepresentproposal,weconductedacomprehensiveneedsassessmentincluding:1)discussions withkeystakeholders/leadershipatMUHAS,NTLPandNACP,2)interviewswithkeyMUHASfaculty,and3)a surveyofDBMFogartyalumni.Inresponse,wefocusedourprogramontraininginepidemiology,biostatistics andclinicaltrials,developingstrongTanzanianmentors,expandingtheresearchportfoliousingNTLPand NACPdata,andsupportingtheIDItodevelopitspermanentresearchtrainingprogram. Attheendofthisproposedtrainingprogram,5TanzanianresearcherswillhavegraduatedwithPhDdegrees inepidemiologyand/orbiostatistics,1withaMastersdegreeinEpidemiology,and4withMastersofPublic Healthdegrees;?18willhavecompletedshortcoursetrainingoutsideofTanzaniainepidemiology,biostatistics, TB/HIV/STDresearchmethods;?andover150willhaveattendedinteractive,hands-onworkshopsinDares SalaamonHIV-TBclinicalresearch,monitoring&evaluation,dataanalysis,andgrantandmanuscriptwriting. ThistrainingprogramwillprovidetheexpertisetoestablishIDIasthepremiereself-sustainingresearchand traininginstituteforHIVandTBinEastAfrica.

Public Health Relevance

OurDartmouth-BostonUniversity-Muhimbili(DBM)FogartyHIVtrainingprogramwillbuildonourpriorFogarty- supportedcapacitybuildingactivitiesandtrainresearchfacultytoconductHIVandHIV/TBepidemiologic researchandclinicaltrialsatthenewlyestablishedInfectiousDiseaseInstitute(IDI)atMuhimbiliUniversityof HealthandAlliedSciences(MUHAS).Wewillestablishacollaborativementoringprogramtoensurejunior facultyaresupportedandsuccessfulinperformingresearchandinobtainingindependentfundingaspartof IDI?sresearchtrainingprogramwhilealsoexpandingMUHAS?portfoliooffundedHIVandHIV/TBresearch. ThistrainingprogramwillprovidetheexpertisetoestablishIDIasthepremiereself-sustainingresearchand traininginstituteforHIVandTBinEastAfrica.

Agency
National Institute of Health (NIH)
Institute
Fogarty International Center (FIC)
Type
International Research Training Grants (D43)
Project #
5D43TW009573-07
Application #
9709357
Study Section
Special Emphasis Panel (ZRG1)
Program Officer
Bansal, Geetha Parthasarathy
Project Start
2013-08-01
Project End
2023-04-30
Budget Start
2019-06-01
Budget End
2020-04-30
Support Year
7
Fiscal Year
2019
Total Cost
Indirect Cost
Name
Dartmouth College
Department
Public Health & Prev Medicine
Type
Schools of Medicine
DUNS #
041027822
City
Hanover
State
NH
Country
United States
Zip Code
03755
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Kim, Faith; Neke, Nyasule M; Hendricks, Kristy et al. (2014) Deficiencies of macronutrient intake among HIV-positive breastfeeding women in Dar es Salaam, Tanzania. J Acquir Immune Defic Syndr 67:569-72