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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
UCSF Sponsoring Program/Department: Global Health Sciences
Partner: African Institutes of Science and Technology (AIST)
Location: Arusha

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.

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ASPIRE in Tanzania

PI: Catherine Lyons, RN, MS, MPH, NP
UCSF Sponsoring Program/Department: Positive Health Program at San Francisco General Hospital
Partner: Elizabeth Glaser Pediatric AIDS Foundation (EGPAF)
Location: Kilimanjaro, Arusha, Shinyanga and Tabora Regions

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:

  • Participation in the development and provision of the Tanzania's national HIV/AIDS training program
  • Development and provision of a nationally approved refresher course
  • Specific focus on expansion of the role of nursing and development of nurse leaders and trainers

Click here for detailed project update. (MS Word)

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Building HIV Nursing Capacity in Tanzania

Director: Carmen Portillo, RN, PhD, FAAN
UCSF Sponsoring Program/Department: American International Health Alliance (AIHA)
Partner: School of Nursing, Muhimbili University Health Allied Sciences
Location: 8 zones in Tanzania, plus Zanzibar

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.

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MUHAS-UCSF Learning Project

Director: Sarah Macfarlane, MSc. FFPH
UCSF Sponsoring Program/Department: Global Health Sciences
Partner: Muhimbili University of Health and Allied Sciences (MUHAS)
Location: Dar Es Salaam

UCSF and Tanzania’s Muhimbili University of Health and Allied Sciences (MUHAS) are collaborating on a multi-dimensional two-year learning project, funded by the Bill and Melinda Gates Foundation, to define the components and characteristics of, and to start to build, a model institutional partnership between a U.S. and an African institution. The partnership aims to significantly raise the contribution of both institutions to the health workforce crisis in Africa and to global health generally. The results of the learning period will provide a model for the creation of other such partnerships between U.S. and African institutions to strengthen both institutions and benefit the populations, their graduates and faculty.

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I-TECH in Tanzania

PI: Michael Reyes, MD, MPH
UCSF Sponsoring Program/Department: Family & Community Medicine/ I-TECH
Partners: CDC Global AIDS Program Tanzania; National AIDS Control Program (NCAP); Tanzania Ministry of Health and Social Welfare
Location: Dar Es Salaam and other Tanzania locations

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)

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Monitoring and Evaluation

Data Triangulation

PI: George Rutherford, MD
UCSF Sponsoring Program/Department: Institute for Global Health
Partner: CDC Tanzania
Location: Dar Es Salaam

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.

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Modeling the Cost-Effectiveness of PEPFAR HIV Prevention Activities

PI: James G. Kahn, MD
UCSF Sponsoring Program/Department: Institute for Health Policy Studies, Institute for Global Health
Partner: Office of the U.S. Global AIDS Coordinator (OGAC)
Location: multinational

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.

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Research

Conditional Cash Transfers for STI/HIV Prevention

PI: Carol Medlin, PhD, MPA
UCSF Sponsoring Program/Department: Global Health Sciences
Partner: Ifakara Health Research and Development Center
Location: Ifakara District, Morogoro Region

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.

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International Standards for Tuberculosis Care

PI: Philip Hopewell, MD and Elizabeth Fair, PhD, MPH
UCSF Sponsoring Program/Department: Department of Medicine, Francis J. Curry National Tuberculosis Center

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)

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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
UCSF Sponsoring Program/Department: Center for AIDS Prevention Studies
Partner: Muhimbili University of Health and Allied Sciences (MUHAS)
Location: Kisarawe District

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)

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Perceived HIV/AIDS Stigma: A Multinational Study

PI: William Holzemer, RN, PhD, FAAN
UCSF Sponsoring Program/Department: Department of Community Health Systems, International UCSF Nursing Network for HIV/AIDS Research
Partner: Muhimbili University of Health and Allied Sciences (MUHAS)
Location: Dar Es Salaam

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:

  • Develop and validate two linguistically and culturally appropriate measures of perceived HIV/AIDS stigma appropriate for person living with HIV/AIDS and nurses.
  • Test a model of how stigma affects and is affected by quality of health care and quality of life for persons living with HIV/AIDS and quality of work life and quality of life for nurses.
  • Intervene with a stigma reduction intervention at a community level and track the impact of the intervention at individual client and nurse levels.

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List of All Partners Mentioned Above

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Updated: September 9, 2009
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