CGH Annual Report 2017

Center for Global Health

Annual Report

CONTENT DIRECTOR'S NOTE

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INTERNATIONAL OPPORTUNITIES

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GLOBAL HEALTH ON GROUNDS

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STUDENT LEADERSHIP

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GLOBAL HEALTH EDUCATION & TRAINING

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PARTNER SITES

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THANK YOU

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Director's Note

WELCOME We invite you to enjoy our report on many of CGH’s activities from 2017. The energy of the students, faculty, and partners as well as their ceaseless commitment to identifying and working to erase h e a l t h inequities collaboratively inspires me and all of us at CGH. We take this opportunity to share with you some of the stories that have propelled us forward during this remarkable year.

As we look forward to 2018, I am reminded of the words of a cherished mentor, Dr. Jonathan Mann, physician and human rights activist. He spoke at the World AIDS Summit almost 30 years ago when HIV was still untreatable. He told us then: "We live in a world threatened by unlimited destructive force, yet we share a vision of creative potential... AIDS shows us once again that silence, exclusion, and isolation -- of individuals, groups, or nations -- creates a danger for us all.”

Spurred by the horrors of the HIV epidemic and through the pursuit of an equitable and inclusive response to it, the work of many has resulted in enormous progress in the care of people living with HIV -- therapy now can result in a normal life span for those living with HIV and effective treatment is available globally.

That shared “vision of creative potential” remains essential. It guides us as we continue to work as a University community to confront complex local and global health challenges ranging from the opioid epidemic to the refugee crises that too often rob individuals near and far of their potential to participate fully in their lives and with their families, communities, and world.

With hope and gratitude, Rebecca Dillingham, MD, MPH

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“We were able to talk to a wide array of people across society about the local healthcare system, as well other societal issues, politics and culture. Ultimately, I gained an informed, crosssectional perspective of a new country and its culture."

CGH Scholar in Peru, Thrisha Potluri

Thrisha Potluri is a biology and sociology major and 2017 CGH scholar. Of the CGH scholar program, Thrisha says, "it is one of the few truly collegiate programs I had the fortune of being involved in during my time at the University. Drawing directly from theories learned in recent sociology classes and a research background in the medical field, I had the opportunity to put learned principles to practice in the field. Personally, the research study my partner and I conducted this summer in Peru ended up being a interdisciplinary integration of the, at-times, disparate majors that I pursued."

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International Opportunities Global mentored health experiences in underserved communities remain the focus of the Center’s efforts to develop new leaders and scholars for global health. The CGH University Scholar Awards, our largest program, encourages UVa students to design and conduct interdisciplinary research projects, which leverage their interests, concerns, and ideas into inquiry, service and transformative experiences in a global context.

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In 2017, we enjoyed a remarkable increase in the number of successful scholar applications and emerging faculty mentors. CGH supported 29 research projects involving 65 individual students and engaging 10 new faculty mentors.

The Scholars represent 8 schools in addition to UVa College at Wise and conducted 4-10 week intensive, mentored global health research projects.

Over half of the scholars conducted research at our priority partnership sites where they engaged in longitudinal, community-based projects whose impacts can be rigorously assessed and where faculty leaders can build additional opportunities.

We are delighted to report that experienced faculty mentors who have guided scholars within existing research structures are now developing new collaborative research with investigators at partner sites.

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"This experience has re-invigorated my passion for global health work and it is something I will carry with me for the rest of my life."

CGH Scholar in Rwanda, Shefali Hegde

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Endowed awards for developing and mentoring rigorous research projects could not be maintained without the support of existing and new donors who support both our scholars and our projects. The endowed awards represent a special honor and are awarded to students whose work resonates with the intent of the award. We are deeply grateful to our donors for their generosity and commitment to the support of emerging global health leaders.

Glenn and Susan Brace and Catherine and James MacPhaille collaboratively fund the endowment for the Sister Bridgit Haase CGH Scholar Award which supported three outstanding scholars in 2017. Emerson Aviles (MPH), Samuel Case (CLAS), and Gloribel Bonilla (MPH) conducted a project on Type 2 Diabetes at the U n i v e r s i d a d Iberoamericana (UNIBE) in the Dominican Republic. Their work, mentored by two new UVA faculty mentors, will facilitate additional opportunities in rural and urban communities in the region.

The 2017 Glenn and Susan Brace Center for Global Health Award supported work conducted by Rawan Abdelrahman (CLAS) and Samantha Bergeron (CLAS) under the mentorship of Dr. Lalitha Swaminathan. Their work focused on youth health initiatives and education in multiple schools in the Gandigram region, India.

The Pamela B. and Peter C. Kelly Award for Improving Health in Limpopo / Center for Global Health Scholar Award sustains equitable partnerships involving UVA and University of Venda students. In 2017, Kelly Scholars, Chung Do Kim (CLAS) and Evan Lesmez (SEAS), advanced field testing of the effectiveness of the Madi Drop, a ceramic tablet used for water purification, and other point-of-use water purification strategies. With additional support for scholars and faculty, CGH invests in the continued advancement of research critical to PureMadi and MadiDrop.

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"My time in Limpopo changed my whole perspective of our global world. I learned about and assimilated myself into an entirely different culture while conducting important research... that will continue to affect my perceptions and actions for the rest of my life" CGH Scholar in South Africa, Neeka Nazari

Neeka Nazari is a Global Public Health major, and collaborated with a Batten policy student, a medical student and another undergraduate.

“Not only has this award enabled my partner and I to travel to South Africa, it opened so many doors for further research and professional connections.

CGH provides support for their scholars before, during, and after the research projects are conducted, which is something that is exceptional to their program. All of the staff at CGH are attentive, passionate, and want each of their scholars to succeed – this goes a long way and allows scholars to flourish.”

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The Ram Family Center for Global Health Scholar Award supported Ashwinraj Karthikeyan (SEAS) who is developing better strategies for chronic wound care management for diabetic patients in developing areas.

The Joy Boissevain Scholar Award for Global Public Health was awarded to Bickey Chang (SOM) and Riley Hazard (CLAS) who worked at the Uganda Cancer Institute in Kampala, Uganda on better understanding chemotherapyassociated infections.

T h e Richard and Nancy Guerrant Center for Global Health Scholar Award supported four diverse scholar projects in 2017. “Secondary Language Acquisition in Adult Refugees: Barriers and Facilitators” was conducted by Emily Cloyd, CLAS, who worked in close collaboration with Dr. Fern Hauck, Director of the International Family Medicine Clinic (IFMC) at UVA to better understand successful second language acquisition and the quality of “integrativeness” that helps or hinders local refugees as they learn English and assimilate with the local community. This critical study was shared with IFMC clinicians, colleagues at the local International Rescue Committee (IRC) and study participants in the hope of directly informing their respective efforts.

Luke Harris, Masters in Landscape Architecture, conducted the first phase of, “Mosquito Urbanism: The relationship between mosquito control practices and the built environment”, a planned comparative global study of attempts to control populations of the Aedes aegypti mosquito, carrier of the Zika virus, along with Dengue and Chikungunya. He examines mosquito control, traditionally a part of the discipline of public health, as a collection of spatial and ecological practices that influence human behavior and the form of cities, considering how spatial arrangements, topography, and water drainage in urban areas contribute to the creation of mosquito habitats in multiple areas in Nicaragua.

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Joshua Sagartz, Frank Batten School of Leadership and Public Policy, worked under the mentorship of Professor Jeanine Braithewaite, Professor of Public Policy at Batten, to implement, “Social Welfare and Traditional Healing in Limpopo, South Africa.” This study examined the interrelationships between social welfare, including social grants and traditional healers and the traditionally religious by employing student teams at the Batten School and the University of Venda to analyze development, poverty, and health factors through multiple different lenses, incorporating both theoretical understandings and the practical application of data analysis.

Fota Sall, CLAS, building on the work of prior CGH Scholars, examined breastfeeding practices among HIV positive mothers at the University central Hospital of Kigali (CHUK). This study informed a curriculum supporting new mothers who are HIV positive in practices including taking daily medication to reduce the mother’s viral load, limiting breastfeeding to the first 6 months and diminishing the risk of transmission of HIV to the infant.

The commitment of our generous donors to CGH and UVa reflects their conviction that the CGH Scholar Award experience is potentially transformative and will have long-term positive effects on individuals and communities.

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“this experience confirmed an interest in pursuing a career in medicine in combination with research as a working physicianscientist. ” CGH Scholar in Uganda, Gillean Kelly

Gillean Kelly is a 4th year majoring in Biology. “In Mbarara, Uganda, I collaborated with both American and Ugandan researchers in the lab to study antimalarial drug resistance. My time in Mbarara allowed me to grow as an independent researcher. Strong collaboration was critical to produce quality work and develop valuable relationships with Ugandan colleagues.

This experience taught me how to work professionally with a diverse group in a novel environment.

Additionally, this experience confirmed an interest in pursuing a career in medicine in combination with research as a working physician-scientist."

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In collaboration with the Office of the Dean of Students, CGH welcomed and enhanced the work of three new Hannah Graham Memorial Scholars. College of Arts and Sciences student, Jessica Amick, contributed to an important study, “Maternal Mortality and Morbidity Following Cesarean Sections in Rwanda”with mentorship and direction provided by Rwanda site leader, Dr. Marcel Durieux. She was joined

by CGH Scholar, Shefali Hegde and reported that the experience and the site were transformative.

Golda Youna Houndoh and Nadjad Nikabou-Salifou, worked with faculty mentors, as well as an experienced graduate mentor, Ms. Lauren Falk, herself a CGH Scholar. This team worked to build a new collaboration focused on neonatal care in Lome, Togo.

We are encouraged that the award is continuing to grow and attract promising student scholars in this rare, year long educational opportunity.

“People always ask me "How was your summer?" and I honestly never know where to begin. This experience has reinvigorated my passion for global health work and it is something I will carry with me for the rest of my life. The support I felt, both structurally and personally, from the Center for Global Health is something truly special and I consider myself incredibly blessed for being a part of this organization.”

CGH Scholar in Rwanda, Shefali Hedge

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CGH also develops and oversees global health opportunities targeted at health science students and post-doctoral trainees. These opportunities may have a research or clinical focus. In 2017, we awarded 20 School of Medicine students as CGH Scholar Awardees in Medicine.

CGH Scholar in Medicine Rodolfo Villarreal-Calderon, received support to engage in a clinical rotation at TotonicapĂĄn National Hospital in Guatemala. Of his experience, he stated:

“I appreciated how the Socratic Method was applied equally to me as it was to the other students, maximizing my learning experience and opportunities to teach the other students. It became clear within the rst week that UVa had prepared me well and I could function at the knowledge level of the interns in the hospital. The ED was equally exciting, as I saw patients on my own or in tandem with the other students, weighed in on differentials, and was taught how to maximize the physical exam and limited lab tests available to best serve patients.�

Post-doctoral medical trainees also received support from CGH to pursue research and/or clinical experiences in global health, many which are mentored by faculty in the Global Health Leadership Track, coordinated by Dr. Julia den Hartog. Outstanding residents from nine clinical departments engage in collaborative classroom training, journal clubs, international rotations, and research presentations.

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"I relished the opportunity to be involved in the care of Spanish speaking patients."

CGH Scholar in Medicine, Rodolfo Villarreal-Calderon

Rodolfo Villarreal-Calderon is a member of the UVa School of Medicine class of 2018 and participated in the Guatemala Service, Language, and Culture elective offered to medical students. The program offers Spanish language immersion, medical service and learning, and exposure to Guatemalan culture.

During his time in Quetzaltenango, Rodolfo completed rotations in internal medicine and in the emergency department. He also participated in point-of-care ultrasound workshops and has been inspired "to help guide the building of an ultrasound training curriculum" and expanding on this project at UVa.

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Global Health on Grounds

GHoG works to make global health issues accessible and relevant to the UVa community. These events, collaborations, and initiatives represent an opportunity to reiterate, in multiple forums, the critical need for developing interdisciplinary approaches to global health.

We work to partner with organizations, faculty leaders, and student CIOs, which focus on areas critical to global health: community health, healthcare policy, marginalized communities and gender discrimination, education, and violence, race, and healing.

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“Global Health Month takes a truly interdisciplinary approach to community engagement. Through engaging speakers and conversations with representatives from every corner of the University, these intimate dinners are important first steps to solving health challenges at home and around the globe."

CGH SAB Leader, Matthew J. Salit

Global Health Month In 2017, we have offered a unique faculty mentoring experience to students through the 2017 Global Health Month, during which students were selected to dine with small groups of faculty and peers. Focused on studentselected areas of interest, the dinner workshops included the following; Mentorship and Methodology, Conversation and Careers in Global Health and Global Health Across the Disciplines.

Global health month facilitates connections and discussion among leading faculty mentors and students who seek guidance as they navigate opportunities for collaboration and deeper involvement in global health.

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"Global Health Month was the perfect way to connect to faculty and students with interests that parallel my own.�

Parks Remcho, CLAS

CGH Scholar Research Symposium The CGH Scholar Symposium is an annual research symposium for recipients of CGH endowed awards and CGH-University Scholars to present their summer research projects to the University community.

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The CGH Global Health Photography Contest reception was held during Global Week at UVA, a University-wide initiative to celebrate and encourage engagement in global programs. CGH received over fifty submissions to the contest themed, “One Health.� The Centers for Disease Control describes One Health as the recognition that the health of people is connected to the health of animals and the environment. The goal of One Health is to encourage the collaborative efforts of multiple disciplines-working locally, nationally, and globally-to achieve the best health for people, animals, and our environment. Emily Lazaro, art educator with the UVa Fralin Museum of Art, recognized three photographers for their outstanding work.

Photographs of each entrant are on display in the CGH Corner Building.

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CGH connects students with both near-peers and global health leaders at a variety of exciting events on Grounds.

In the wake of events in Charlottesville which focused global attention on division, race, and conflict, CGH organized, “Love Over Fear: The Role of Solidarity in Promoting Social Justice at Home and Around the World." This conversation with Dr. Joia Mukherjee, Medical Director of Partners in Health, and the Reverend Seth Wispelwey, Co-Moderator of Sojourners United Church of Christ in Charlottesville, brought the community together to discuss the events of August 11th and 12th and responses to them.

In partnership with the Peace Appeal Foundation and the Virginia Film Festival, CGH co-sponsored a screening of “Bending the Arc” chronicling the pioneering work of Partners in Health, the NGO founded by Paul Farmer, Jim Kim, Ophelia Dahl, Todd McCormack and Thomas White. Dr. Dillingham organized and moderated an on-site panel featuring Partners in Health Medical Director, Dr. Joia Mukherjee, Dr. Scott Heysell (UVA Infectious Diseases), Tim Cunningham (School of Nursing Compassionate Care Initiative) and Derek Brown (Peace Appeal Foundation). Both events were attended at capacity.

As part of the UVa Bicentennial Celebration, the Women’s Global Leadership Forum was convened in November 2017. CGH Director, Dr. Rebecca Dillingham was honored to have the opportunity to lead the development and moderation of the opening panel focused on Health and Education Challenges for Women and Girls. The panelists, including Dr. Vivian Pinn, former Director, Office of Research on Women’s Health, National Institutes of Health; Dr. Agnes Binagwaho, Vice Chancellor of the University of Global Health Equity and Former Prime Minister for Health, Rwanda; Maya Ajmera, Founder, Global Fund for Children; President and CEO, Society for Science & the Public; and Abinet Sitotaw, Gender and Nutrition Advisor, CARE-Ethiopia. Women and girls from across Grounds, the Commonwealth, and the world were in attendance, thinking together about how to take the next steps to support the potential of all people.

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"Having the chance to engage with professors in a space outside the classroom is so invaluable - it gives us the opportunities to hear their stories, become inspired by their passions, and ask questions to them directly."

CLAS CGH SAB member, Nanki Kaur

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Community Mobilization Conference We are grateful for our university partners including the Global Infectious Disease Institute, the Batten School, Global Development Studies, University Career Center, the Center for Global Inquiry and Innovation, and the Center for Health Policy.

We are particularly proud to have co-sponsored with CGII and CHP, the “Best Practices in Community Mobilization in Response to Substance Use Related Epidemics Conference� For this conference, under the leadership of Kate McManus, MD and Rebecca Dillingham, MD/MPH a remarkable array of practitioners, researchers, and community stakeholders convened at the historic UVA Rotunda to examine community-based, culturally-competent care to address the issues of substance use and related epidemics such as HIV, Hepatitis C, and neonatal abstinence syndrome.

Community members and chiefs from Big River First Nation and Ahtahkakoop First Nation in Saskatchewan and other community organizations came together to discuss the impact of law, health policy, politics, and stigma on the social determinants of the opioid epidemic and its outcomes,especially as they relate to vulnerable populations.

CGH worked to catalyze a broad array of involvement in this opportunity to learn the perspectives and strategies of international colleagues who have developed innovative care solutions for substance use and related epidemics.

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Student Leadership

Student Advisory Board members are leaders in global health initiatives at UVa. SAB offers remarkable leadership and collaboration opportunities to a diverse range of students who work in tandem with CGH. Students are part of committees for Global Health Month, Global Health Case Comp, & Global Health on Grounds, which are all supported by COM-COR for dissemination of information via social media, the CGH newsletter and event support. Students also developed the highly impressive Conux: A Global Health and Research Journal. 2015 CGH Scholar, Aubrey Doede, a doctoral candidate in Nursing, who serves as the Editor-in-Chief.

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Student Leadership Training Opportunities The 2017 CGH Research Symposium featured a record number of poster presentations by CGH Scholars; the Keynote Presentation, “Addressing the STEM Gender Disparities in Africa: A Global Health Perspective” was delivered

by Kwadwo Sarpong, Cofounder and Chief Executive Officer of African Research Academies for Women. ARA-W, is a non-profit organization that seeks to increase the representation of women in STEM professions, around the world, through research.

CGH also collaborated with University Career Center, Global Development Studies, the Batten School, and the NGO, Millennium Partners to support Global Development Career Day. The 2017 Global Development Career Day shifted to a primarily educational and networking format, featuring leaders in near-peer panelists and mentors including former CGH affiliated students now working at USAID, Booz Allen Hamilton, and Smart Electric Power Alliance. Their educational path, informed by a global health perspective, impacts their current career trajectory.

Designed to connect leading global development organizations with talented UVA students trained in critical interdisciplinary global development practices, the day-long conference including roundtable lunch discussions, and one-onone and small group meetings with experienced mentors and UVa resource representatives was again attended at capacity.

T h i s event is growing and offers access to critical career pathways for students whose interests and skills intersect global development and health.

Based on collaborative planning, a recruiting fair focused on global health and development employers will occur in the spring.

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Global Health Education & Training

Critical research, professional training and collaborative capacity building coordinated through CGH is shaped by three strong, interconnected, NIH-sponsored Training Grants which provide critical support and structure for CGH undergraduate, graduate, pre and postdoctoral emerging researchers. The trainee experiences supported by these grants represent more competitive, longer, and more intense training opportunities.

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"Due to the taboo nature of the subjects being studied, it was critical for US and SA partners to work together to ensure cultural acceptability."

CGH Faculty Mentor, Karen Ingersoll

Professor Karen Ingersoll in the Dept of Psychiatry and Neurobehavioral Sciences, has recently initiated one of these exciting new projects. Dr. Ingersoll is leading a team of UVa-based students who work closely with colleagues and students from the School of Health Sciences at the University of Venda in South Africa, to address alcohol-related sexual risk behaviors in university students.

The project draws on Dr. Ingersoll’s substantial expertise in reducing alcohol risk behaviors and applies it to a critical issue that affects the health of university students in South Africa and in the U.S. In this project, U.S. and UNIVEN students learned to conduct individual and focus group interviews on highly sensitive and in some cases, taboo subjects, with university students from another culture.

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"As an MHIRT scholar, I have been inspired to work towards increasing the health equity and the well-being of people everywhere. Participating in a research project abroad certainly helped me grow as a researcher; however, my inspiration mostly comes from the passion and dedication of all the mentors I gained through MHIRT." Yolande Pokam-Tchuisseu, MPH MHIRT Graduate Mentor

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MHIRT: Minority Health International Research Training The MHIRT program, a ďŹ ve-year grant funded by the National Institute on Minority Health and Health Disparities (NIMHD) provides underrepresented minority undergraduate students with an intensive, international mentored research training and professional development experience that focused on addressing global rural health disparities.

2017 marked the third program year of the grant and supported mentored research experiences at priority partner sites in Mbarara, Uganda and Thohoyandou, South Africa. A total of 13 students worked on a wide range of projects with faculty mentors.

In Uganda, students focused on drug resistant malaria, understanding the sexual and reproductive health of very young adolescents; evaluating the relationship between socioeconomic status and diabetes markers among HIV infected and uninfected adults; and determining the relationship between perceived stress levels and blood pressure among HIV infected and uninfected individuals in Southwestern Uganda.

In South Africa, research projects included understanding palliative care practices among home-based caregivers; exploring intimate partner violence among university students; and working with CGH scholars on testing on the effectiveness of Madi Drop on water puriďŹ cation. MHIRT students also had the opportunity to conduct research locally in Charlottesville examining the usability of mobile health apps for people living with HIV. We look forward to introducing Thailand as a new site for the summer 2018 cohort along with continuing projects in Uganda, South Africa, and St. Kitts and Nevis.

The MHIRT program has been highly successful in preparing underrepresented students for careers in the health sciences. Several students have won outstanding positions including Fulbright awards, medical school acceptances including Harvard Medical School, and well-respected doctoral programs including UNC-Chapel Hill and UCSF. CGH is committed to preparing diverse global health leaders for the future.

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GIDRT: Global Infectious Diseases Research Training The Global Infectious Diseases Research Training (GIDRT) program supports an outstanding group of pre-doctoral fellows from the University of Venda (UNIVEN), South Africa. Fellows have achieved excellent outcomes, with international conference presentations in Germany, Mexico, USA, South Africa, and Côte d’Ivoire.

Fellows have also been busy publishing their impressive results in notable journals including the Journal of Infectious Diseases. Recently, we welcomed a fellow from Tanzania who will continue her research on tuberculosis. We look forward to welcoming the 2018 UNIVEN cohort to Charlottesville in February, 2018.

The opportunity provided by the GIDRT training grant focuses on young emerging researchers who have a significant impact at UNIVEN. These fellows participate in an intensive, year-long pre-doctoral training program at UVa, mentored by a collaborative team of UVa and UNIVEN faculty. After returning to South Africa to complete their doctoral degree at UNIVEN, fellows contribute to strengthening institutional ties, developing capacity, and expanding the network of research engagement.

There is a strong impetus among fellows, personally and professionally, to share the benefits of this important engagement. The structured bilateral faculty mentoring support fosters this active focus on collaboration.

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"The GIDRT fellowship offered me an opportunity of a lifetime. I received the best training in new technologies, such as Next Generation Sequencing, and offered me opportunities to attend and participate in scientiďŹ c meetings.

It has enhanced my perspective in research and I hope to pursue a postdoctoral fellowship."

Daphney Matume, GIDRT Fellow

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WHIL: Water & Health in Limpopo The WHIL postdoctoral fellowship completed its final year in 2017.

WHIL focused on the closely related issues of poor access to water and sanitation in rural areas of Southern Africa and unacceptably high rates of morbidity and mortality associated with early childhood diarrhea. We have had ten trainees complete the training program – four from the United States and six from UNIVEN. WHIL fellows collaborated closely with undergraduates and graduate students from UVa and UNIVEN and the GIDRT fellows. This kind of trans-disciplinary collaboration with multiple opportunities for near-peer mentoring is an important model that fosters outstanding learning and sustains innovative research.

To celebrate ten years of collaborative training with the University of Venda, we hosted an international symposium, "Global Health Research in Africa: Inspiration, Innovation and Implementation," in Thohoyandou, South Africa. The symposium brought together post doctoral fellows, pre-doctoral fellows, and faculty from African and American universities who learned about the supported scholars’ ongoing research and developed new collaborations.

Dr. Flora Katz, program officer from the Fogarty International Center, leadership from the South African National Research Foundation and Medical Research Council, and other funding institutions participated to encourage the next generation of researchers. This symposium brought together over 90 attendees and highlighted the value of interdisciplinary collaboration, program integration and the importance of continuing to invest in trainees.

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Additional Grant Applications CGH’s Finance Director, Elizabeth Olmsted, has supported CGH afďŹ liated faculty from Nursing, Psychiatry & Neurobehavioral Sciences, Pediatrics, Public Health Sciences, and Infectious Diseases in their pursuit of opportunities to grow research collaborations. In 2017, 10 faculty members have submitted 12 applications for grant support totaling $15 million.

An additional 2 applications are currently in progress. Liz has also submitted her own grant for infrastructure development training programs for critical HIV research in low and middle income countries. Expanding faculty research portfolios in the context of trusted community partnerships is a priority for CGH, as UVa works to expand its research programs and CGH continues to respond to growing student demand for mentored, authentic global healthrelated experiences.

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Partner Sites

CGH partner collaborations are speciďŹ c to and reective of each region and institution.

They are responsive to community needs and regional research priorities. Faculty leaders and partners determine the research and learning opportunities available at each site. The goal of support provided by the Center for Global Health is to facilitate the development of emerging researchers, professionals, and students who approach health with the global perspective required. Established research sites, Brazil, South Africa, Uganda, Rwanda, provide sustained opportunities involving CGH scholars and faculty. CGH continues to invest in the development of emerging sites utilizing successful models for engagement, which have grounded our pivotal research experiences. SigniďŹ cant development of partner sites in the Dominican Republic, Nicaragua, and Rwanda is summarized here.

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Dominican Republic In collaboration with colleagues at the Universidad Iberoamericana (UNIBE) in Santo Domingo, Professors Paige Hornsby and Aaron Pannone from the Department of Public Health Sciences are leading research in the Dominican Republic on topics that include: Diabetes Maternal mortality Adolescent pregnancy Motor vehicle injury Supported by the Sister Bridgit Haase CGH Scholar Award Emerson Aviles, Sam Case and Gloribel Bonilla, worked to develop a foundation for additional student projects in the Dominican Republic summer 2018.

Nicaragua The University of Virginia has had a longstanding relationship with two Universities and several organizations in BlueďŹ elds, Nicaragua. Through sustained engagement, partners have identiďŹ ed key areas for collaborative research. Foci for 2018 include: maternal/child health; disaster preparedness; and social entrepreneurship in the context of environmental health promotion.

We are seeking students interested in joining inter-professional teams aiming to use an assets based approach to assessment of topic areas, partnered implementation of project ideas, and sustained evaluation. Led by School of Nursing Professor, Dr. Emma Mitchell, this work is the expression of her many years of preparation and development, initially as a UVA student, under the mentorship of Professor Brad Brown, and now as a highly trained professional with extensive expertise and leadership ability.

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Rwanda Sustained connections involving Center for Global Health scholars, clinical exchanges and the Human Resources for Health program are the foundation for expanded collaborative ties with multiple institutions in Rwanda. Dr. Marcel Durieux will continue to lead and mentor CGH Scholars conducting work with researchers at CHUK - University Teaching Hospital of Kigali (Centre Hospitalier Universitaire de Kigali)/ University of Rwanda and Rwanda Military Hospital. Projects for 2018 include the following: - Rate of infections in intensive care units (ICU) of referral hospitals in Rwanda - University Hospital Kigali.

The aims of the study will be to determine the prevalence of infections in ICU patients and the related mortality; to determine the most common microbial agents and medication utilized with regard o their sensitivity and resistance; to determine the length of stay and days on mechanical ventilator; and to attempt to understand the risk factors associated with infections in ICU. - Pregnancy with Cardiac disease in Rwanda - University Hospital Kigali.

The aims of the study will be to determine the prevalence of the most common cardiac diseases in pregnancy, evaluate the portion of rheumatic heart disease in pregnant patients; to evaluate the associated maternal-fetal outcomes; and to propose possible solutions to improve outcomes - Outcomes in oral and maxillofacial surgery - Military Hospital Kigali.

The aims of these studies will be to determine whether appropriate protocols are used after oral and maxillofacial surgery and what the associated patient outcomes are. Examples include appropriate use of perioperative antibiotics and associated infection rates; management of patients in the ICU vs. on the ward, and associated outcomes.

Additional opportunities in collaboration with the University for Global Health Equity, where Dr. Agnes Binagwaho leads as Vice-Chancellor offer students in CLAS, SOM, SON, SEAS, and other schools an unprecedented opportunity to work under the mentorship of a global health leader at a rapidly expanding and innovative university.

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Corner Building Renovation The long awaited renovation of the Center for Global Health space in the Corner Building was completed in 2016. The new space includes designated workspace for visiting fellows, two new offices, and an open concept central gathering space. The renovation brought much needed flexibility to the office making it more student centered with moveable furniture to encourage collaboration and discussion. We have hosted numerous events including MHIRT and CGH scholar orientations, Journal Clubs, GIDRT Skype calls and look forward to enjoying the beautiful space in the years to come.

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Thank You THE ACTIVITIES OF THE CENTER FOR GLOBAL HEALTH WOULD NOT BE POSSIBLE WITHOUT THE SUPPORT FROM THE FOLLOWING President Teresa A. Sullivan, PhD Executive Vice President and Provost Thomas C. Katsouleas, PhD Ian Baucom, PhD; Dean of the College & Graduate School of Arts & Sciences Dorrie Fontaine, RN, PhD, FAAN; Dean of the School of Nursing Craig H. Benson, PhD, Dean of the School of Engineering & Applied Sciences David S. Wilkes, MD, Dean of the School of Medicine Vice Provost for Global Affiars The Glenn & Susan Brace Center for Global health Scholarship Fund The Pamela B and Peter C. Kelly Award for Improving Health in Limpopo Province The Class of 1985 Nancy Walton Pugh Scholarship Fund The Ram Family / Center for Global Health Scholar Award The Sister Bridget Haase / O.S.U. Center for Global Health Scholar Award The Joy Boissevain Scholar Award for Global Public Health The Lyle Global Health Scholar Award The Hannah Graham Memorial Award Mrs. Jane Rotch KC Graham Catherine and James MacPhaille Eleanor Sturgill Leigh Grossman The Framework Program in Global Health, FIC/NIH Water & Health in Limpopo Project International Studies Office Medical Alumni Association UVA-Guatemala Initiative Health Appalachia Institute UVA Global Surgery Initiative in Rwanda Center for Global Inquiry & Innovation Batten Global Global Development Studies

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"Once you see other parts of the world, learn it, live it, the contributions you can offer as a result become endless, both at the local and global level."

-Neeka Nazari

The UVa Center for Global Health (CGH) engages multiple disciplines across the University of Virginia as well as across cultural, economic, and geographic divides to focus on improving health and well-being. CGH enriches the UVa academic mission, emphasizing academics and research while bridging centers, departments, and schools to build lasting collaborations within the University and globally.

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UNIVERSITY OF VIRGINIA Center for Global Health