South Africa has more HIV/AIDS patients than any other country and is home to the world’s largest antiretroviral program. According to the World Bank, as of 2018 the prevalence of HIV among South Africans ages 15 to 49 was 20.4%. Nearly one in three pregnant women attending antenatal care in South Africa is living with HIV. As South Africans with HIV move around the country, there is a risk they will disengage from the health care system or otherwise become lost to follow-up care.

The project connects Vanderbilt researchers across disciplines in order to understand how often people living with HIV move within or outside of the state, and if this mobility is associated with HIV outcomes.

Traditional healers, community-based partners with the national health system of South Africa, are exposed to patient blood an average of 1,500 times during their careers due to the practice of delivering herbal remedies via herbs rubbed into dozens of sub-cutaneous cuts. The purpose of this proposal is to compare two implementation strategies to increase consistent use of PPE: (1) a health care worker provided training program followed by 3 educational outreach and coaching visits at the healer's place of practice vs.

Principal Investigator: Edwin Trevathan, MD, MPH

The West African Ebola outbreak of 2014-2015 exposed the fragility of Sierra Leone’s health system and highlighted the need for further investments to ensure its future capability of responding to a disease outbreak of this magnitude.

Principal Investigators: Timothy Sterling, MD Bruno Andrade Thomas Hawn

PI: Martin C. Were, M.D., M.S. 

Principal Investigator(s):  Kate Clouse, Ph.D., M.P.H.

Principal Investigator(s):  Muktar Aliyu, M.D., M.P.H., Dr.P.H. William Wester, M.D., M.P.H.

Principal Investigator(s):  Muktar Aliyu, M.D., M.P.H., Dr.P.H. Edwin Trevathan, M.D., M.P.H.