Concepts represent early planning stages for program announcements, request for applications, or solicitations for Fogarty Advisory Board input. Clearance of a concept by Fogarty's Advisory Board does not guarantee it will become an initiative.
Updated June 14, 2017
Role of Stigma in HIV/AIDS Prevention, Treatment and Care in Low- and Middle- Income Countries
Purpose/Goals and Objectives: To stimulate fresh ideas to study interventions for HIV/AIDS-associated stigma and its outcome on the prevention and treatment of HIV/AIDS and on the quality of life of People Living with HIV/AIDS (PLWH). Specifically, this initiative will support research to address a) innovation in measurement of stigma, b) stigma and adolescent and/or youth health, c) effects of stigma on family members or care givers of PLWH, d) novel stigma reduction interventions that link to increase in care-seeking behavior and/or decrease in transmission and e) coping with the double burden of stigmatization due to HIV and to one or more comorbidities/coinfections.
Background/Rationale: Despite significant advances in biomedical approaches to prevent HIV transmission, acquisition of new infections has not abated, suggesting the need for further research into the possible causes of and new ways to mitigate the spread of the disease. One barrier to getting tested and treated, especially in Low- and Middle-Income Countries (LMICs), is HIV-associated Stigma. Adolescents and youth are particularly vulnerable and their unique psychological and physiological response to stigma-related stress have not been well studied. Exposed but uninfected people can be targets of stigma that can affect their health in different ways, especially children of infected parents and caregivers. There is also a need for better stigma measures that can help in assessing the efficacy of stigma reduction interventions at different stages.
Prior/Current Related FIC and other NIH Initiatives: The Fogarty International Center convened an international conference on Stigma and Global Health in 2001, followed by issuance of an FOA from which 19 awards were made in 2003 by FIC and 11 other partners at NIH, HRSA, CIHR, and IDRC (RFA-TW-03-001; see also 2006 Lancet supplement based on these awards; and independent review of the program [PDF, 1M, 101 pages]). These grants covered a wide range of topics; however only four concerned stigma and HIV/AIDS. Two other NIH initiatives addressing stigma were a series of PAs issued in 2013, from which eight awards were made, and an RFA for competitive supplements from NIMH in 2014 focusing on HIV, from which 2 grants were issued, one for work in Kenya. There are currently no active initiatives at NIH specifically focused on stigma. The FIC Brain Disorders in the Developing World program encourages applications in this area related to mental health and neurological disease.
Overview of Proposed Program: Through this initiative we hope to stimulate new research into the aspects of stigma that hinder progress towards HIV prevention, treatment and care in LMICs. Applicants will also be asked to address the needs of collaborating LMIC institutions to develop capacity for carrying out research in this field. Research teams should contain an appropriate mix of disciplines to accomplish the proposed studies. The small research grant mechanism to initiate new ideas and to determine feasibility is aptly suited for exploratory studies of novel approaches to understand and reduce stigma as a factor in HIV transmission. Applicants should develop their studies in keeping with the NIH and OAR priorities for HIV research.
Relevance to FIC Strategic Plan: The proposed initiative supports several of FIC’s strategic goals. It stimulates innovation in the development and implementation of technologies and other locally relevant solutions to address global health problems (Goal 2). It advances research on prevention and control of the dual burden of communicable and noncommunicable diseases and disabilities (Goal 4). It builds and strengthens partnerships to advance global health research and research capacity (Goal 5).
Eligibility: US and LMIC investigators for work to be done in partnership at LMIC sites.
Partnership Initiative for Health Professional Education and Research in Selected PEPFAR countries
Purpose and Objectives: Fogarty International Center (FIC) proposes to issue a Request for Applications (RFA) from eligible African institutions in selected PEPFAR priority countries with the highest HIV burden and the most limited resources in Africa. The main objectives of the RFA are to support African health education institutions in selected countries to:
- strengthen the quality of medical and nursing education and increase the retention of health professionals post-training;
- carry out research on best educational practices and disseminate results of those studies, as well as introduce and evaluate innovative training modalities and approaches;
- enhance the capacity of African health professional students to conduct locally relevant health research;
- enhance the capacity of African health professional students to develop, implement and evaluate evidence-based services, with an emphasis on HIV/AIDS and its comorbidities; and
- articulate and address specific needs of the countries with respect to the health professional workforce that could be addressed during training, including the need for more health professionals in rural areas.
In addition to focusing on their own Schools and Departments, the awardees are expected to work with health professional educators in other Schools or Departments within their institutions and with other Universities and Institutions in their country to expand the reach of their programs to other health professional education Schools and Departments. This may include building on and further enhancing the networks of medical and nursing schools established under the Medical Education Partnership Initiative (MEPI) and the Nursing Education Partnership Initiative (NEPI) prior programmatic support. Applicants will be encouraged to incorporate inter-professional education, where appropriate, and engagement of inter-professional research teams. Awardees should collaborate with the newly constituted African Forum for Research and Education in Health (AFREhealth) as well as with local and international partners who might contribute to these aims.
Background/Rationale and Prior FIC activities: With funding support from PEPFAR, this program will build on the achievements and lessons learned from the MEPI and NEPI programs and networks, supported by PEPFAR and administered by NIH and HRSA, and the work of the former MEPI PI Council, in advancing and transforming medical and nursing education in Africa. Significant investments by the NIH and other international funding organizations in research and training at African health professional institutions (see World Report), in addition to the direct follow-on NIH Common Fund program “Research Training for Career Development of Junior Faculty in Medical Education Partnership Initiative Institutions” have built considerable infrastructure, research expertise, and international networks at African institutions that might also be leveraged to contribute to this educational effort.
Overview of Proposed Program: Facets of the programs may include curriculum development, courses for skills development, practicum experiences, mentoring activities, leadership training, research training, educational research, and dissemination of educational practices, research findings, and evidence-based policies. Applicants will be encouraged to explore potential linkages to the national Ministries of Health, for example by engaging students in impact evaluations that might inform policy, and by considering national health priorities for research and workforce in their educational plans.
Relevance to FIC Strategic Plan: Strategic Goal 1: Build research capacity through Individuals, Institutions and Networks to meet future and evolving global health challenges. Strategic Goal 5: Build and strengthen partnerships to advance global health research and research capacity.
Timeline: An RFA would be targeted for release in CY16 for funding in CY17.
Global Brain and Nervous System Disorders Research across the Lifespan (GLOBAL BRAIN, R21, R01) continuation
For the published request for applications, see the June 13, 201 NIH Guide announcements, Global Brain and Nervous System Disorders Research Across the Lifespan (R21) (PAR-17-313) and Global Brain and Nervous System Disorders Research Across the Lifespan (R01) (PAR-17-314).
African Association for Health Professions Education and Research
Purpose: To advance the transformative impact on health education in Africa that has been initiated through the Medical Education Partnership Initiative (MEPI) and Nursing Education Partnership Initiative (NEPI) programs by:
- enhancing, expanding, and diversifying the leadership structure created through the MEPI Principal Investigator (PI) Council,
- building on the initial successes, infrastructure, and momentum of the MEPI and NEPI networks, and
- including additional institutions that did not participate in MEPI or NEPI, to create a sustainable African organization of health professions.
Consultations: An NIH-funded consultation was held in February 2016 with a meeting summary prepared by the National Academy of Medicine.
Proposal: Based on this and other consultations, core features of an African Association of Health Professions Education and Research would include:
- Inter-professional, with inclusion of doctors, nurses, and other Health Professions over time, as appropriate
- Organizational structure to share educational resources and best practices in health professional education in Africa, and encourage research to further enhance education methodologies and approaches
- Integration of biomedical, behavioral, clinical, and/or operational research into health professional education and practice
- Include geographically diverse members over time, e.g. francophone African institutions
- Convene annual meetings of Association members and convene working groups to carry out special initiatives
- Create a governance structure, implementing plan, business plan, and well-defined activities to support these goals, and lead over time to a self-sustaining association
- Include an evaluation framework to determine if the Association is meeting its goals
Strategy and Mechanism: Fogarty International Center, with the collaboration and funding support of the Office of the U.S. Global AIDS Coordinator, will develop a competitive funding opportunity announcement to invite applications from African institutions or organizations for an African Educational Association to meet the requirements above. Applicants must include at least one each of the MEPI and NEPI Schools of Medicine and Nursing in the program leadership, are encouraged to build on (but not be confined to) existing networks, and should describe how these networks will grow over time. Applicants must fully describe how they will obtain expertise on organizational and financial management. Other non-African partners may be brought in as needed to create a robust organization. It is envisioned that a solicitation will be published in 2016 that will lead to one five-year award in 2017.
Fogarty Global Health Program for Fellows and Scholars
For the published request for applications, see the May 23, 2016 Guide announcement, Fogarty Global Health Training Program (D43) (RFA-TW-16-002).
International Tobacco and Health Research and Capacity Building Program (TOBAC)
For the published request for applications, see the July 11, 2016 NIH Guide announcement, International Tobacco and Health Research and Capacity Building Program (R01) (RFA-TW-16-003).