Global Health Research Seminar Series – Spring 2018.

My work in tuberculosis epidemiology comprises field-based implementation research and contributing to epidemiologic estimates for pediatric tuberculosis. My talk focuses on work I recently completed in Peru to improve the management of comorbidities for patients with tuberculosis. In addition, I have worked with tuberculosis programs in the United States, Peru, and Kenya to improve tuberculosis case-finding and prevention. Prior to my current position, I trained at the U.S. Centers for Disease Control and Prevention as an Epidemic Intelligence Service Officer.

We will present recently-collected data we collected as part of Dr. Bor’s K01 research on Economic, Health, and Behavioral Aspects of HIV Treatment Scale-Up.

In Tanzania, 44% of ever-married women have experienced physical and/or sexual violence from partners (NBS and ICF Macro 2011). Our team conducted a mixed methods, cluster randomized controlled trial to test the effectiveness of interpersonal and community level interventions to prevent IPV. 450 couples living in nine villages in Karatu District participated in the study. Villages were randomly assigned to one of three study arms: one control and two intervention arms. At baseline and endline we measured men’s and women’s attitudes on gender norms and relations and perpetration and experience of intimate partner violence. Qualitative data on the impact of the intervention were collected from 53 men and 53 women at the end of the study. This presentation will focus on the analysis of the endline results.

Professor McClean’s research focuses on the characterization of environmental and occupational exposures for the purpose of exploring pathways and developing metrics to investigate exposure-related disease. He joined the faculty at BUSPH in 2004, following his graduate and postdoctoral training in exposure assessment and environmental epidemiology at the Harvard School of Public Health. He also oversees the Exposure Biology Research Laboratory and directs two NIEHS-funded training programs focused on the investigation of exposure-related health outcomes.

In 2012, an estimated 5.6 million people in Zambia lacked access to improved sanitation and 2.1 million people practiced open defecation. Consequently, there was high prevalence of water, sanitation and hygiene (WASH) related morbidity and mortality, and Zambia was not on track to achieve MDG 7. To address the high burden of WASH related morbidity and mortality, the Zambian government, with support from DFID, UNICEF and other partners implemented the Zambia Sanitation and Hygiene Program (ZSHP). This evaluation assessed the impact of ZSHP in improving hygiene and sanitation practices and behavior and WASH related morbidity.

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