Research in Africa

Adoption of HIV-Related Technology (Arusha, Tanzania)

Principal Investigators: Flavio F. Marsiglia, Bertram Jacobs, & Damien Salamone

The purpose of this project is two-fold. The first stage was to determine what local barriers might prevent the adoption of a new assay for HIV in Northern Tanzania. A mixed-methods approach was undertaken to evaluate barriers to its adoption in a developing country amongst medical professionals including doctors, medical officers, assistant medical officers, nurses, nurse midwives, medical assistants, laboratory technicians, laboratory assistants, and HIV counselors actively working in healthcare in Northern Tanzania. Participants were queried for information about service populations, services offered in relation to HIV, testing and treatment priorities, willingness to adopt a new HIV viral load test, and for attitudes about HIV transmission.  This study also created a private GoogleMap (Google) to dynamically map the location of HIV clinics in Northern Tanzania. In the second-stage, SIRC is partnering with HEAL International to collect additional information with medical professionals regarding patients’ adherence to HIV treatment and providers’ attitudes towards HIV/AIDS.


Burundi Women’s Health Study (Burundi, Africa)

Principal Investigator: Crista Johnson –Agbakwu

In partnership with the Refugee Women's Health Clinic (RWHC) of Maricopa Integrated Health Services this project is advancing knowledge about health issues faced by women survivors of war who are either internally displaced, affiliated with ex-combatant or returnees (repatriated). The long term goal of this health education initiative is to reduce health disparities through culturally and gender specific health interventions sustainable in the urban and rural communities of Burundi. This would first be achieved through a needs assessment of the community. Using a community-based participatory research approach, this program will focus on several culturally sensitive dimensions of wellness (spiritual, mental, and physical) important for health behavior.  This work may also provide the opportunity to compare health changes between those still in the native country to those who have left and reside in other countries (e.g. the United States). Additionally, the information collected could be transformative for disease prevention.

Needs Assessment & Efficacy Trial of keepin’ it REAL in Kenya – (Nairobi, Kenya)

Principal Investigators: Flavio F. Marsiglia & Judy Krysik

In partnership with the African Institute for Children Studies (AICS) in Nairobi, Kenya, the Global Center for Applied Health Research and Center for Child Wellbeing are facilitating community needs assessment and efficacy trial of a prevention program. The project begins with a community needs assessment  to identify and better understand substance use behaviors, attitudes, and resistance strategies utilized by adolescents in Nairobi, Kenya This needs assessment will consist of administering anonymous questionnaires to 7th and 9th grade students and facilitating focus groups with students, teachers and other community stakeholders. The goal of this project is to understand the attitudes, norms and behaviors of adolescents in Kenya to help inform a future effective and evidence based prevention intervention for this age group.  The second phase of the project is to test the efficacy of the keepin’ it REAL school-based drug prevention program in order to inform potential cultural adaptation of the program, and examine whether desired outcomes of the program are related to the social emotional well-being of youth participants.