Medicine - PCCM
I will utillize the travel award to visit my field sites during the month of February and July for a total of four weeks on the ground. I plan to conduct two trips with the aim of precepting the MSPH student in Uganda as well as the Fogarty Fellow at initiation and mid-way point of our planned study to evaluate the prevelance and attributable-risk factors for COPD among those with HIV. Over my brief career in global health I have come to understand the importance of mentorship, both in my own individual career development as well as advancing the larger field of global health. The Lietman Fellowship will allow me to develop my skills as a mentor under the guidance of Dr. Checkley as well as continue my on going research. In the period when I am not in Uganda I will conduct weekly research meetings, establishing milestones and overseeing data collection, data analysis and manuscript preperation with trainees.
I completed my Lietman travel grant in Uganda over the spring of 2017 in Kampala and Nakaseke, Uganda. The Lietman allowed me to establish my research sites for a funded project involving COPD screening and case-finding in three low- and middle-income countries. I currently work out of the Makerere Lung Institute in Kampala and the ACCESS Center for Social Sustainability in Nakaseke, where I have been conducting population-based research over the past two years. The site visits allowed for continuing these collaborations while continuing to mentor Ugandan and US trainees in clinical research.
During the fall of 2015 I conducted a population-based study in Uganda aimed at assessing the risk factors and burden of CODP in urban and rural settings. The results of the study were used to obtain funding for a larger three country project aimed at implementing case-finding and self-management strategies in Peru, Nepal and Uganda. My visits under the Lietman award allowed me to meet with local investigators to set up the site for data collection and develop protocols for carrying out the research. Although we regularly hold meetings by Webex the in person meetings were invaluable to working through the logistic hurdles of conducting a large randomized control implementation study. The visits additionally informed protocol development through meetings with local health officials and stake holders.
During my Lietman, I co-mentored a Ugandan Fogarty trainee (Alex Kayongo) and a Johns Hopkins GDEC student (Tasmia Naz) on a COPD and HIV project in Nakaseke. To date we have recruited 500 participants out of 1000 for a study examining the role of HIV in COPD disease progression. The initial results were utilized to obtain funding from GlaxoSmithKline to examine microbiome among this population. We additionally worked on two training grants 1) Established Multidisciplinary Site from the Center for Global Health, as well as a 2) D71 planning grant to establish a training program for NCD research at Makerere. The grants allow for the continued training of US and Ugandan investigators in NCD-related research. The Lietman visit allowed me to ensure that my future research and training endeavors continue to be locally informed and oriented to capacity building.
I intend to continue my work in Global Health during the rest of my fellowship as well as in my future career. The Johns Hopkins Center for Global Health grants offer a unique opportunity to continue this work during fellowship. Time in country is essential to mentoring trainees and generating data which is pertinent to local needs.