1. Global Health Research What do you need for starters?
Local collaborator(s)
Ideas
Population
Protocol(s)
Ethical oversight/Informed consent
IRB with OHRP Federal Wide Assurance (FWA)
Funding
Well trained local staff

2. The Best International Collaborator
Too busy to collaborate with you
High level of curiosity
Interest and expertise in the research question
Extremely well respected in his/her own environment
Known for honesty and ethical behavior
Well grounded in how to deal with the local government
NOT a government official – but often will be a civil servant
Willing to collaborate in developing protocol
Willing to FOLLOW a protocol
Not trying to immigrate to the United States

3. Opportunities to Study Work and Research
India – Contact Clare Bunker
Rwanda – Contact Trevor Orchard
Others – Contact Ron LaPorte

4. Pittsburgh Epidemiologists go to India
Dr. Clare Bunker – Faculty
Background – SHARE INDIA
Dr. Maggie Whelan – MD/PhD Student
Dissertation, low birth weight & infant mortality
Dr. Catherine Haggerty – Faculty
IVPI (LIFE) Study (cohort – pregnancy outcome)
Maggie Whelan, Jamie Eastman, non-Epid students
Dr. Tushar Singh – PhD Student, Dissertation
Allison Gerger – MPH Student, Internship
MILES Study (elderly cohort – functional disability)
Anne Newman, Jane Cauley, Pallavi Jonnalagadda, Carly Switalski, Bellefield Clinic staff, non-Epid students

5. Dr. PS Reddy Professor of Cardiology, University of Pittsburgh
Chairman, SHARE India

6. Land
100 Acres

7. SHARE INDIA Research Foundation
MediCiti Institute of Medical Sciences (MIMS)

8. SHARE INDIA MediCiti Institute of Medical Sciences
500 bed teaching hospital
Medical school – English medium
Nursing school – English medium
Respiratory therapy school
SHARE INDIA Research Institute
REACH Project
CATCH/Johns Hopkins University
APAIDSCON/U.S. CDC
LIFE, MILES/University of Pittsburgh

9. RURAL EFFECTIVE AFFORDABLE COMPREHENSIVE HEALTH-CARE
Reduction in infant and maternal mortality rates to conform with national goals
Stabilization of population growth
Prevention of vaccine preventable diseases
Prevention of diseases due to nutritional deficiencies
Control of blindness due to cataract
SHARE-RESEARCH-2007

10. REACH Medchal Mandal Population 47,780 Households 8,660
Household census - detailed
Households mapped by GPS
Dynamic database maintained
Healthcare delivery model
System of Community Health Volunteers and field workers
96% aged12-24 months immunized for BCG, measles, and 3 doses each of polio/DPT) (vs 43% nationally)*
* Tatineni et al. Indian J Public Health 2009

11. Research Opportunities
Population-based research
Collaborators
Fogarty International Training Program for MIMS faculty
Indian Institute of Public Health, Hyderabad
National Institute of Nutrition, Hyderabad
Range of laboratory facilities
Imaging
Outstanding hospitality for visiting faculty, staff and student researchers

12. Residents Primary occupation is farming Low household income
Rice, goats, chickens
Low household income
Women generally are married in their late teens to a man a few years older
Couple generally moves to home of husband’s parents
Goal is to become pregnant within first year of marriage
Women generally choose sterilization after two children, mean age 26