2023 GHCC Program

11th February, 2023

CGHE Global Health Case Competition 2023 The Fight for Equitable Prevention and Treatment of Tuberculosis in Tanzania Authors: Noura Abousy, Emma Morris, Navya Annapareddy, and Sophia Bufalino with guidance and contributions from: Dr. Stellah Mpagama, Kibong’oto Hospital; Dr. Scott Heysell, University of Virginia; Bibie Said, Kibong’oto Hospital The goal is to create a proposal for building an innovative, effective, implementable, and financially sound solution to address issues that will be presented to a panel of judges. Importantly, the idea of a sustainable approach is stressed (e.g., leveraging existing resources, such as government institutions, health programs, NGOs; integrating the solution into communities) for appropriate response to assess and offer solutions to improve health.

University of Virginia

Event Schedule 11th February, 2023 9:00 AM

Presentation Deadline All teams must submit their GHCC slides (powerpoint format only) by 9 AM

11:00 AM - 12:00 PM

Team Check-in Newcomb Lobby Team members check in individually at the check-in table.

BOX LUNCH IS AVAILABLE in the Newcomb Main Lounge at 11:15AM Food is NOT allowed in the Newcomb Ballroom or Commonwealth Room.

12:00 -12:20 PM

Welcome Address Newcomb Ballroom Welcome Remarks: Scott K. Heysell, MD and Pranay Sinha, MD All competition participants please be in attendance

12:30 -1:45 PM

First Round of Presentations Newcomb presentation rooms as assigned Teams will have 10 minutes to present, followed by 5 minutes of Q&A by judges.

Teams awaiting their presentation time can wait in the lobby or ballroom, but are NOT permitted to watch other presentations until after they have presented.

Event Schedule 11th February, 2023 1:45 - 2:30 PM

Afternoon Break (judges deliberate) Opportunity to network with other competition participants, attendees, and guests.

Coffee and Donuts available in the Main Lounge.

2:30 - 3:15 PM

Announcement and Finalist Team Presentations Newcomb Ballroom Presentations by 3 Finalist Teams All participants are highly encouraged to attend and ask questions during Q&A rounds.

Finalist teams awaiting their presentation time can wait in the lobby, but are NOT permitted to watch other finalist presentations until after they have presented.

Room.

3:15 - 3:30 PM

3:30 PM

Final Adjudication Winner Announcement and Closing Remarks

Room Assignments Commonwealth Room

Pranay Sinha, MD Stellah George Mpagama, MD, MSc, PhD

12:30PM: Team 1 12:45PM: Team 6 1:00PM: Team 23 1:15PM: Team 21

South Meeting Room

12:30PM: Team 22 12:45PM: Team 7 1:00PM: Team 12 1:15PM: Team 17

Newcomb Ballroom

12:30PM: Team 3 12:45PM: Team 8 1:00PM: Team 13 1:15PM: Team 18

Conference Room 389

12:30PM: Team 4 12:45PM: Team 28 1:00PM: Team 19 1:15PM: Team 24

Board Room 376

12:30PM: Team 20 12:45PM: Team 30 1:00PM: Team 15 1:15PM: Team 10

Chris Colvin, PD, MPH Bibie Said, MD, MSc, PhD candidate Anne E. Liu, MD

Rebecca Dillingham, MD, MPH Scott Heysell, MD, MPH Tracy Kelly, DNP, MSN

Christian W. McMillan, PhD Jackie Hodges, MD, MPH

Paul Matherne, MD, MBA Sasheenie Moodley, DPhil, MPH

Welcome The UVA Center for Global Health Equity (CGHE) 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. It has been an honor working on the case and supporting the 2023 Global Health Case Competition which includes over 150 student participants, outstanding faculty and guest judges representing multiple critical disciplines, and a diverse and dynamic group of peer mentors whose experience and guidance is essential. We are delighted and proud of the support and guidance of our global partners, our faculty mentors, and the faculty judges. In the spirit of collaboration, we welcome each and every one of you. Thank you for being here today.

Case Summary The goal of mitigating tuberculosis in Tanzania will require engaging diverse stakeholders and reflecting on the unique needs of its various populations.

Tanzania is one of the top 30 countries with the highest rates of tuberculosis.

Compounded with a high prevalence rate of HIV, the rate of TB is severely exacerbated. There are several other challenges that students will have to address such as regional disparities, stigma and discrimination, shortage of medical personnel, along with other existing health burdens. Likewise, because Tanzania is a country that has been subject to many colonial structures, students should consider the historical forces at play that have shaped Tanzania’s health care status. While international initiatives have been implemented to combat TB, many of them are not sustainable and do not help Tanzania build a stronger and more resilient healthcare infrastructure.

Each team’s task is to incorporate a program that: Works to deliver a comprehensive initiative with an emphasis on equality of access to health educational resources and inequality reduction Considers areas and populations that are disproportionately affected by the social determinants of contracting tuberculosis and healthcare inequalities, especially in rural and other underserved areas Mobilizes the community to work towards empowerment for tuberculosis mitigation while working to reduce misconceptions or educational gaps Strengthens community involvement with key stakeholders such as the community and healthcare providers and locations

Participants Team 1

Team 2

Team 3

Team 4

Team 5

Team 6

Team 7

Team 8

Team 10

Team 11

Team 12

Team 13

Team 15

Team 17

Team 18

Team 19

Team 20

Team 21

Team 22

Team 23

Team 24

Team 25

Team 27

Team 28

Darius Walker Bettina Wagner Tatev Gomtsyan Anushka Dar

Vazira Ahmedjonova Christine Yu Caleigh Smith Jenna Sleiman

Unoma Aguolu Sami Kandil Eren Okandan Rachel Lee Callahan Burton

Ruoyun Li Yirui Gui Chelsea Qian Sudhir Shenoy Sophia Wilbourn Jamilla Peng

Liza Khutsishvili Hannah Tuma Abby Lohmeyer Carolin Fabian

Team 29

Jonah Wilentz Payton Turner Sam Cooper Sally Jane Lloyd George Constable

Anne Schuster Catherine Schwarzschild Damir Galimzhanov Ardavan Davoodi

Mandana Ravanpak Garrett Schreck Yilun Zhou Ellah Thomas

Lydia Church Joshua Maggiano Hayden Penczak Emily Ashkani Chloe Alpert

Stephanie Liu Emily Zheng Katie Costin Natalia Tegenfeldt

Amanda Yo Chelsea Park Dillen Chung Maddie Lee

Team 32

Keltoum Laghjibi Reem Saifudin Sanjida Azad Sumaya Mohammed

Nikki Pettry Jayeesh Chennupati Ritika Bawa Caroline Sublett Austen Day

Bailey Logan Fawzia Tahsin Catherine Ballard Lara Moore

Madhumita Venkatadasari Hadley McQuerrey Vyshnavi Tatta Lyon Rivera Kehleh Rivera Dylan Nguyen Nina Jannatifar Briana Corrielus Mackenzie Chen Yash Patel Vazira Ahmedjonova Angelina Lu

Team 26

Jonathan Du Pranav Ravichandran Emmanuel Zappata William Greig Zoey Golabek

Rita Wang Anna Mason Angelina Lu Mohammad Jawad Sarsour Annabelle Daley

Chas Huang Mason Mcgrady Liam Heaslip Alex Wang Andrew Jones

Grant GianGrasso Eugene Choo Niya Gupta Emilie Kim Noelle Koo

Riddhi Dixit Lauren Watts Bella Tesoriere Mabel Franklin

MaryGrace Gozzi Alysha Akhtar Sophie Li Mahum Gohar

Team 30

Haile Mokrzycki Leah Cocker Carson Patrick Scott Durkin Nora Shanahan

Jade O Pettaway Omamus Oghenerhuohwo Sophia Jang Mashall Rasul Christine D'Souza

Anand Colaco Allie Kim Rishi Vuppala Ananya Sai

Sarah Kim Liana Semaan Mira Rizk Nasira Seddiq Serena Mardini

Kaya Lynch Mary Ong Laura Lee Jade Strand

Baanee Raheja Salonee Raheja Parvathi Pullanchodan Mariana Ortegon

Team 31

Kunaal Agarwal Rohan Kanchetty Daivik Siddhi Shaurya Bedi

Judges We are deeply grateful for the contributions of the GHCC judges each year. Their expertise, insight, and attention to each team make the case competition a rich experience.

Chris Colvin, PD, MPH Associate Professor, Public Health Sciences, University of Virginia Rebecca Dillingham, MD, MPH Associate Professor, Infectious Diseases and International Health, University of Virginia Scott Heysell, MD, MPH Associate Professor, Infectious Diseases and International Health, University of Virginia Jackie Hodges, MD, MPH Infectious Diseases Clinical Fellow, University of Virginia Tracy Kelly, DNP, MSN, CPNP-PC/AC Assistant Professor, School of Nursing, University of Virginia Anne F. Liu, MD Brigham and Women's Hospital Paul Matherne, MD, MBA Professor of Practice, Darden School of Business & Professor Emeritus, School of Medicine, University of Virginia Christian W. McMillan, PhD Professor, Corcoran Department of History, Associate Dean for the Social Sciences, University of Virginia Sasheenie Moodley, DPhil, MPH MD candidate, School of Medicine, University of Virginia Stellah George Mpagama, MD, MSc, PhD Kibong’oto Hospital, Tanzania Bibie Said, MD, MSc, PhD candidate Kibong’oto Hospital, Tanzania Pranay Sinha, MD Assistant Professor, Infectious Diseases, Boston University, Co-Founder of GHCC at UVA

Writing the case The 2023 UVA Global Health Case Competition team greatly appreciates the efforts and time of our case writers, Noura Abousy, Emma Morris, Navya Annapareddy, and Sophia Bufalino with guidance and contributions from: Dr. Stellah Mpagama, Kibong’oto Hospital; Dr. Scott Heysell, University of Virginia; Bibie Said, Kibong’oto Hospital. Special thanks to Hamna Shafiq, Eliza Piche, Cyrena Matingou, and Julia Barua for research and editing contributions.

Acknowledgements The Center for Global Health Equity gratefully acknowledges the collaborative expertise of all those who aided in the development of this year’s Case Competition. We are also grateful for the dedication of time and effort of the Global Health Case Competition judges. Sincere thanks to the CGHE Student Advisory Board (SAB); the CGHE SAB Chair, Hamna Shafiq; 2023 GHCC Chair, Noura Abousy, Congratulations and thanks to the case writers and contributors for developing a nuanced, real world case, and to each participant for your dedication and drive.

The Case Competition and CGHE Scholars programs are made possible by institutional support from the University of Virginia, including: President James E. Ryan; Executive Vice President and Provost Ian Baucom, PhD; Ambassador Stephen D. Mull, Vice Provost for Global Affairs; Louis Nelson, PhD, Vice Provost for Academic Outreach; Christa Davis Acampora, PhD, Dean, College and Graduate School of Arts & Sciences; Marianne Baernholdt, PhD, MPH, MSN, Dean of the School of Nursing; Jennifer L. West, PhD, NAE, School of Engineering and Applied Sciences; Melina R. Kibbe, MD, Dean, UVA School of Medicine