Evaluation of HIV/AIDS Programs.

Funded by MDH through the CDC grant.

AAPH is currently working with its close partner Management and Development for Health (MDH) to conduct formal evaluation of its various ongoing interventions to identify the best models and key gaps that will inform improvement and increase program performance of its HIV care & treatment programs in Dar es Salaam and Kagera regions. To a larger part, AAPH is implementing formative evaluations with specific secondary data analysis to provide a background on performance versus the expected targets and offer recommendations for improvement where key gaps will be identified. 

 

National Food Fortification Assessment Survey

Funded by The Global Alliance for Improved Nutrition (GAIN – Geneva).

In 2015, AAPH lead the implementation for the first time of the National Food Fortification Assessment Survey in Tanzania mainland and Zanzibar (FACT 2015, Survey). The Fortification Assessment Coverage Tool (FACT) is a survey instrument developed by the Global Alliance for Improved Nutrition (GAIN) for carrying out coverage assessments of large-scale food fortification programs. 

 

Establishing a functional Independent Institutional Review Board (IRB) for trials conducted by AAPH.

Funded by the European Development Countries Clinical Trials Partnership.

The aim of this project was to establish an AAPH Internal Review Board (IRB). This project has been completed with annual technical and financial reports approved by the sponsor. Through this grant, AAPH has established an IRB with a fully-furnished office, maintained an administrative and financial officer, trained IRB members in collaboration with the Office of Human Subject Protection at the Harvard T.H. Chan School of Public Health, and appointed eleven members. The IRB is currently reviewing applicable standard operating procedures.

 

Healthy Options Project: Testing a Group Psychotherapy intervention For HIV-Positive Depressed Peri-Natal woman in Dar es Salaam.

Sponsored by National Institutes of Health (NIH) with a sub contract to AAPH from Harvard University.

This is an ongoing study with a focus on mental health particularly depression among pregnant women. Tanzania like many other countries in sub-Saharan Africa faces significant challenges in implementing comprehensive mental health care policy. One main reason for the huge gap is shortage of trained psychiatrists and other mental health care professionals. The aims of this randomized controlled trial are to examine the potential for successful integration of enhanced mental health services through structured group counseling among HIV-positive women who are receiving prevention of mother to child transmission-plus services including lifelong anti-retroviral treatment (Option B+), and to evaluate a combination of evidence-based approaches for treating depression in this population. The study is implemented in collaboration with Harvard Medical School. Preliminary findings have demonstrated significant reductions in suicidal thoughts (8.4% at baseline compared to 4.5% at first follow-up) for both the intervention and control groups. The study is ongoing and there is new evidence that enhances the importance of capacitating more providers and lay counselors on mental health care.

 

Assessment of Folate Levels for Women of Reproductive Age in Dar Es Salaam as an Impact Indicator for the National Food Fortification Program in Tanzania.

Funded by Hellen Keller International.

The objective of this study was to undertake a proxy evaluation of the national food fortification program; through clinic-based assessment of folate levels in women of reproductive age. AAPH enrolled 636 women who had 12 months of follow up within 10 sites in Dar es Salaam.  Through this project, we have strengthened the Management and Development for Health (MDH) reference lab in Dar es Salaam with an e-411 Cobas machine and training related micronutrient assessment. Findings from this study were presented at the Micronutrient Forum Global Conference in October 2016 in Mexico. Overall, the study found high rates of folate deficiency among women of reproductive age and that Folate fortification reduces risk of folate deficiency.

Contact Us

Africa Academy of Public Health (AAPH)

Plot #802, Mwai Kibaki Road, Mikocheni

P.O. Box 79810

Dar es Salaam, Tanzania.

 

Tel: +255 22 777 1623/1615

Fax: +255 22 2722 1610

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