The HIV/AIDS epidemic in China is expanding both geographically and with respect to the sub-populations that are affected. China's Ministry of health and UNAIDS estimate that by December 2005 China had 650,000 people living with HIV/AIDS (of whom 75,000 had full blown AIDS). Without any effective public health response, China's HIV/AIDS epidemic will worsen significantly, as it has elsewhere in Asia. Currently, it is estimated that HIV prevention programs are reaching a small proportion of those most vulnerable. Global experience makes it clear that a key constraint to scaling HIV programs and services is the lack of technical and program implementation capacity.
The collaborative project between University of Manitoba and Sichuan University was supported by the Canadian International Development Agency (CIDA) in 2007. This project will promote the establishment of the West China School of Public Health (WCSPH) at Sichuan University as a Centre of Excellence in HIV/AIDS education and training in West China. First, the project will prepare faculty in WCSPH to develop and deliver comprehensive, state of the art educational curricula focused on HIV/AIDS prevention, surveillance and control. Second, the project will enhance the relationship between the WCSPH and the governments Center for Disease Control (CDC) at the district/county, city and provincial levels. The overall benefit will be to build the capacity of WCSPH to assume a leadership role within the wider public health community in responding to the emerging HIV/AIDS epidemic in West China.
The Karnataka Health Promotion Trust (KHPT) in Bangalore, India is a trust created, in part, to support activities and projects that will lead to the enhanced health and well-being of individuals and communities in India, and particularly the State of Karnataka. In about 2003, the Karnataka State AIDS Prevention Society and the University of Manitoba determined it was in their mutual interest to cause KHPT to be created as a cooperative effort. The University and KHPT have worked together with regard to a number of public health projects.
KHPT envisions empowered individuals and communities in Karnataka and India, working collectively to improve health, reduce the incidence and burden of HIV and AIDS, and assert their rights and dignity.
KHPT's mission is to:
St. John's Medical College (SJMC) is one of the premier medical education and service institutions in India. The University of Manitoba has had a formal collaborative working relationship with the SJMC for almost 10 yeas. Much of the collaborative relationship is based on joint research, training and service initiatives in south India. Members of the University of Manitoba are jointly appointed with our team in India, and one faculty member with a cross appointment at the University of Manitoba. The University of Manitoba's relationship with SJMC includes a large joint research and training program in areas of HIV/AIDS, STI's, and maternal and neonatal health.
Rajiv Gandhi University of Health Sciences (RGUHS) was established in 1996. The RGUHS motto is "Right for Rightful Health Sciences Education" through upgrading of standards of teaching and research and dissemination of knowledge in all branches of health sciences. The RGUHS has a geographical jurisdiction for the whole state of Karnataka with a population of approximately 55 million. RGUHS has 550 affiliated colleges in its coverage area, and over 5000 students in various institutions. As well, RGUHS conducts fellowship programs, doctorate and post-doctorate programs in various health institutions in the state of Karnataka.
Through this partnership, work will be undertaken for the development of research activities, as well as development of innovations to counter the threat of infectious disease. This is achieved through exchange programs, collaborative research and the development of new facilities and laboratories.
The Public Health Foundation of India (PHFI) is a response to redress the limited institutional capacity in India for strengthening training, research and policy development in the area of public health. It is a public, private partnership that was collaboratively evolved through consultations with multiple constituencies including Indian and international academia, state and central governments in India, ulti and bilateral agencies and civil society groups in India.
The overall collaboration is to support PHFI's mission to build the public health capacity in India, with specific objectives of:
The University of Manitoba has had a close working relationship with the University of Nairobi for over three decades. This has included a wide-ranging program of collaborative research and program development. In addition, the University of Manitoba has collaborated with the University of Nairobi to establish advanced laboratory infrastructure in Nairobi, supported by funding from the Government of Canada.
The State of Benue, Nigeria Benue is a state of 4.6 million people, primarily rural and agricultural. Nigeria now records 370,000 new HIV infections annually. The National Agency for the Control of Aids (NACA) reports Benue has an infection rate over 8%, which indicates it has the highest prevalence of HIV among the 36 states in Nigeria. The State of Benue has resources allocated to this purpose, but needs assistance. This was an excellent fit with the mandate and capabilities of the Centre with an opportunity to expand the University of Manitoba's research and services activities into West Africa.
Technical Support Unit for National and Provincial AIDS Control Programs
The Centre for Global Public Health - Pakistan, is working with the National and Punjab AIDS Control Programs to set up Technical Support Units (TSUs) at the national and provincial level to provide technical support to those programs in HIV surveillance, design, implementation and operations of service delivery programs, as well as drafting up action plans, increasing capacity in context to research and programs.
Learning site for female sex workers
A field-based learning site is being established aligned with the service delivery program for sex workers in Lahore, Pakistan. As part of this initiative a learning and capacity building will be facilitated. Additionally, design and development of the learning site and training program curricula will be undertaken, followed by organized training programs and follow-up mentoring programs.
Monitoring of field operations for the National Household drug use survey
As part of this study, technical support was provided for the National Household drug health behaviour survey - 2012 in Pakistan. In addition to providing technical support to the survey design, training and field implementation, CGPH-Pakistan also conducted monitoring of field operations of the data collection processes undertaken by the national implementing partner (Pakistan Bureau of Statistics) in more than 50 districts across Pakistan.
Prevention of Parent to Child transmission of HIV/AIDS in Punjab, "The District model approach": A review of the program
An evaluation of the PPTCT district model approach was conducted by CGPH Pakistan, working with UNICEF and the Provincial AIDS Control Punjab. The purpose of the study was to evaluate and gather the lessons learned from the first ever community based district model of PPTT (prevention of parent to child transmission of HIV) program, which is implemented in the district of Gujrat.
Problem Drug Use Assessment in Pakistan
This study was conducted alongside United Nations Office for Drug and Crime (UNODC), in a National Drug use assessment in Pakistan, conducting 4600 problem drug user interviews and 1225 Key Informant interviews in 23 districts across all 04 provinces and Northern areas of Pakistan. The project also entails conducting data management, monitoring and field technical support for smooth implementation of the survey and ensure adherence to the data collection protocols.
HIV prevalence and associated risk behaviours in selected prisons in Pakistan
CGPH Pakistan is working with UNODC to conduct a cross sectional survey to collect biological and behavioural information from 1500 male prisoners in Sind. The survey includes a detailed behavioural assessment of selected participants followed by serological sampling for HIV. The study also undertakes linked testing along with VCT for the study participants. Furthermore, this study helped to test a methodology for HIV surveillance that would provide optimal information on inmates and their high risk activities and HIV positivity. The results obtained will then be used to promote appropriate policy and HIV program response in prisons through dissemination and knowledge translation.
Mapping of the Most at Risk Adolescents and Especially Vulnerable Adolescents in thirteen cities of Pakistan
The objective of the study is to estimate the size of MARA and EVA through geographical mapping in thirteen cities across Pakistan. Furthermore, the extent and types of risk behaviours prevalent among these groups will be determined. The role of CGPH Pakistan in this study is to provide technical support in planning, designing and implementation.