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Tanzania Programs and Projects  Key participants of UCSF-MUCHS (now MUHAS) 2006 Medical Education Workshop Human Resource Capacity Development AIST-Tanzania Chair: Haile
T. Debas, MD Haile T. Debas and Global Health Sciences are leading curriculum development for a new African Institutes of Science and Technology (AIST) campus in Arusha. The Arusha campus will focus on integrated programs in health sciences, biomedicine, agriculture, environmental engineering, and business under the organizing principle of global health. The University of California has committed to providing academic support to AIST-Tanzania in the development and deployment of its curriculum. Initiated in 2002, the AIST serve as a network to link new and existing higher education institutions across Africa to create centers of excellence in science and engineering.
ASPIRE in Tanzania PI: Catherine
Lyons, RN, MS, MPH, NP AIDS Services, Prevention, Intervention, Research and Education (ASPIRE) is the international education and training component of the UCSF Positive Health Program at San Francisco General Hospital. In collaboration with EGPAF, ASPIRE's main activities include:
Click here for detailed project update. (MS Word)
Building HIV Nursing Capacity in Tanzania Director: Carmen
Portillo, RN, PhD, FAAN Sponsored by AIHA's prime grant with Health Resources Service Administration of the US Department of Health and Human Resources, this program aims to strengthen the capacity of the nursing schools in Tanzania (8 zones, plus Zanzibar) to provide quality education in HIV/AIDS care.
Comprehensive Abortion Care and Advocacy in Tanzania PI: M. Catherine Maternowska, PhD, MPH Working with the UCSF Department of Obstetrics, Gynecology, and Reproductive Sciences Population Fellows Programme and the Bixby Center, this project will train UMATI and ministry of health clinicians (including re-training of nine designated PAC clinicians currently providing services) to provide quality post-abortion care and comprehensive abortion care services to women to ensure safe abortions. Training includes manual vacuum aspiration procedures, contraceptive technology updates and national advocacy with numerous legal, NGO and activist organizations promoting safe motherhood. In addition to ensuring and improving access to services and integrating CAC services as one component of the national safe motherhood strategies, the project will evaluate individual and institutional performance over time.
GHS-MUHAS Academic Twinning Program Director: Sarah
Macfarlane, MSc, CStat, FFPH We are embarking on a two-year planning program to lay the foundations for a long-term institutional partnership between UCSF and Muhimbili University of Health and Allied Sciences (MUHAS). The goal of the program is to define the components and characteristics of, and start to build, a model institutional partnership between UCSF and MUHAS that will raise significantly the contribution of both institutions to the health workforce crisis in Africa and to global health. This program follows the twinning concept by pairing similar institutions in order to create a dynamic collaborative relationship. In mid-2007 the Muhimbili University College of Health Sciences transitioned from being a college of the University of Dar Es Salaam to become MUHAS, which received approval to appoint 200 new faculty members and acquired new land to re-house the university. The results of the planning period and the partnership evolved will provide a model for the creation of other such partnerships between US and African institutions to strengthen both institutions and benefit the populations their graduates and faculty serve. More here.
Human Resources for Health Program PI: Stephanie
Taché, MD, MPH Between September 2005 and August 2006, this project focused on how to address the shortage of trained healthcare personnel in Tanzania for better deployment of AIDS related services. Click here for final report. (MS Word)
I-TECH in Tanzania PI: Michael
Reyes, MD, MPH The International Training and Education Center on HIV (I-TECH) was established in 2002 as a collaborative between UCSF and the University of Washington Center for AIDS and STD. I-TECH supports health care worker training systems in the area of AIDS care and support. An I-TECH program office has been established in Dar Es Salaam. See I-TECH Tanzania website. Established in 2006, this project delivers training and support for health care workers in care and treatment of individuals with HIV/AIDS. I-TECH's activities in Tanzania for 2006-2007 focus on building the necessary human resources and training infrastructure for training health care professionals, and for building capacity to provide antiretroviral services. Click here for detailed project update. (MS Word)
Monitoring and Evaluation Data Triangulation PI: George Rutherford, MD Triangulation is the synthesis and integrated analysis of data from multiple sources for program decision-making. Beginning in December 2007, an in-country task force will be created to guide the identification of priority evaluation questions. This will be followed by pairing UCSF data analysts with Tanzanian data analysts to synthesize and analyze data, building in-country capacity for future data synthesis. Their findings and conclusions will be summarized in a draft report and a large stakeholder meeting will be held with strategic information, program and policy experts to build capacity around the triangulation methodology with a larger audience, disseminate findings, discuss use of findings, and identify gaps for future data synthesis work.
Modeling the Cost-Effectiveness of PEPFAR HIV Prevention Activities PI: James G. Kahn, MD The OGAC has contracted with UCSF to develop and apply a spreadsheet-based tool of the cost and cost-effectiveness of HIV prevention in each PEPFAR target country and overall. This effort includes refining a flexible and user-operable cost-effectiveness analysis tool; incorporation (as available) of available country-specific data on HIV epidemic environment and programs; review of new evidence on prevention effectiveness; estimating overall PEPFAR prevention cost-effectiveness; and providing more detailed cost-effectiveness assessments for target countries volunteering for participation.
Research Conditional Cash Transfers for STI/HIV Prevention PI: Carol
Medlin, PhD, MPA This project seeks to assess the effectiveness of using financial incentives to encourage safe sexual behavior among youth and young adults, aged 15-30, in a rural area of southern Tanzania.
International Standards for Tuberculosis Care PI: Philip
Hopewell, MD and Elizabeth
Fair, PhD, MPH Partners:
Location: Dar Es Salaam and other Tanzania locations The aim of this project is to pilot test the implementation of an evidence-based and broadly endorsed document, the International Standards for Tuberculosis Care (ISTC). The focus of the Tanzania project is to use the ISTC to review, update, and develop curricula in pre-service medical and nursing education for tuberculosis care and TB/HIV co-infection. Click here for detailed project update. (MS Word)
NIMH Project Accept: A Phase III Randomized Controlled Trial of Community Mobilization, Mobile Testing, Same-Day Results, and Post-Test Support for HIV in Sub-Saharan Africa and Thailand PI: Steve
Morin, PhD Project Accept is an international, multi-site HIV prevention trial in which subjects are randomized to receive either a community-based HIV voluntary counseling and testing intervention (including mobile voluntary counseling and testing, community mobilization and post-test support services) or standard clinic-based voluntary counseling. These strategies are designed to change community norms and reduce risk for HIV infection among all community members, irrespective of whether they participated directly in the intervention. This is the first international randomized controlled Phase III trial to determine the efficacy of a behavioral/social science intervention with an HIV incidence endpoint. NIMH Project Accept is based in the Kisarawe District, and is managed locally by Muhimbili University and internationally by the Johns Hopkins University Bloomberg School of Public Health. The study also has intervention sites in Thailand, Zimbabwe and South Africa. UCSF is the intervention coordinating center for all sites. Click here for detailed project update. (MS Word)
Perceived HIV/AIDS Stigma: A Multinational Study PI: William
Holzemer, RN, PhD, FAAN Supported by the National Institutes of Health's Fogarty International Center, this five-year collaborative research project links researchers in Lesotho, Malawi, South Africa, Swaziland, and Tanzania and researchers at the University of KwaZulu Natal to:
List of All Partners Mentioned Above
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