Projects
Pragmatic Randomized Adaptive Clinical Trial to Investigate Controlling Alcohol-related Harms in a Low-Income Setting: Emergency Department Brief Interventions in Tanzania
PRACT evaluates Punguza Pombe Kwa Afya Yako (PPKAY), a brief intervention adapted to the Tanzanian context and Swahili language. The study examines whether PPKAY reduces alcohol use and related harms among injury patients receiving emergency care in Moshi, Tanzania, and whether text-message boosters improve its effectiveness.
Duke faculty: Catherine Staton, Joao Vissoci, Joao Souza, Anna Tupetz.
Partner institutions: Kilimanjaro Clinical Research Institute and Kilimanjaro Christian Medical Centre.
Location: Moshi, Tanzania
Trauma Research Capacity Building in Kilimanjaro, Tanzania
TReCK is an international research training program designed to strengthen capacity for trauma and injury research in Kilimanjaro, Tanzania. The program is led by Kilimanjaro Christian Medical Centre in collaboration with Duke University and brings together faculty from both institutions to support research training.
Duke faculty: Catherine Staton, Joao Vissoci, Joao Souza, Anna Tupetz.
Partner institutions: Kilimanjaro Clinical Research Institute and Kilimanjaro Christian Medical Centre.
Location: Kilimanjaro, Tanzania
Funding: Fogarty International Center, National Institutes of Health
SAVING & AJURI: Expanding Access to Snakebite Care in the Brazilian Amazon
SAVING (Snakebite AntiVenom Immunoglobulins Need to Be Guaranteed) improves access to snakebite treatment by decentralizing antivenom care to community health centers in the Brazilian Amazon. AJURI, a Tupi word meaning “working together,” adapts this model for Indigenous communities and evaluates its effects on time to treatment and patient recovery.
Duke faculty: Charles Gerardo, Joao Vissoci, Joao Souza.
Partner Institutions: Fundação de Medicina Tropical Doutor Heitor Vieira Dourado, Butantan Institute, Brazilian Ministry of Health, Amazonas State Health Department, and Liverpool School of Tropical Medicine.
Location: Manaus, Amazonas, Brazil.
Funding: MRC/UKRI.
Multicomponent Intervention to Improve Acute Myocardial Infarction Care
MIMIC is a quality improvement intervention co-designed with healthcare professionals in northern Tanzania. It aimed to improve the diagnosis and evidence-based treatment of acute myocardial infarction in emergency care and was evaluated at Kilimanjaro Christian Medical Centre.
Duke faculty: Julian T. Hertz
Partner Institution: Kilimanjaro Christian Medical Centre
Location: Moshi, Tanzania
Prehospital Emergency Care Systems Evaluation Tool
PECSET develops and implements a tool to evaluate prehospital emergency care systems in resource-constrained settings. The tool helps health systems identify service gaps, define priorities, and guide improvements in the quality of prehospital care.
Duke faculty: Anjni Patel Joiner and Catherine A. Staton
Collaborating institution: Duke-NUS Medical School
Location: South and Southeast Asia