Fellows

Andreas-M-NshalaAndreas M. Nshala is currently involved in Monitoring and Evaluation (M&E), supporting the Neglected Tropical Diseases Control Program of the Ministry of Health and Social Welfare in Tanzania.
Pallangyo_PeterPeter is a highly motivated, enthusiastic medical doctor committed to providing outstanding patient care. He graduated with MD at Muhimbili University of Health and Allied Sciences in 2009. He then worked for a year as an Intern Doctor at the St Francis Designated District Hospital – Ifakara, Tanzania. Since his undergraduate career, the health and health behaviors of disadvantaged populations around the world has been of great personal concern. He desired a career that helped a large number of people, emphasized prevention and primary care rather than tertiary care, and would continue to challenge and motivate him to improve. He joined The Dartmouth Institute for Health Policy and Clinical Practice during the Fall of 2010 for his Master of Public Health. He believes public health practice and global health is an evolving science that entails being a catalyst to build relationships and create programs that empower participants to achieve success through shared learning and connectivity across disciplines and institutions. Now that he has graduated he is confident that he has the energy and creativity to harness the knowledge of existing centers and faculties to forge new directions and discoveries in public health practice in Tanzania.

In August 2011, Peter was hired as an assistant lecturer in the Department of Community Medicine at St. Francis University College of Health and Allied Sciences in Dar Es Salaam, Tanzania.

In the nearby future Peter is looking forward to pursue a PhD in the field of Clinical Epidemiology. He has joyfully realized that while the world around him is constantly changing, the opportunities to combine his interests and pursue his passions are growing exponentially.

Dr. Conrad Kabali earned his Ph.D. in Epidemiology from Boston University School of Public Health (BUSPH) in January 2010 under the mentorship of Dr. C. Robert Horsburgh. His Ph.D. work focused on the effects cigarette smoking, treated tuberculosis, and isoniazid preventive therapy on HIV disease progression and mortality. He then worked as post doctoral research fellow at BUSPH until July 2010.  

Dr. Kabali is currently involved in two multi-country epidemiologic studies at McMaster University in Canada, examining the environmental, societal and biological determinants of obesity and other chronic health problems. Dr. Kabali is a 2004 Fogarty Scholar and a recipient of CROI 2008 Young Investigator Award.

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Emmanuel has just begun training as a graduate student in the Program in Experimental and Molecular Medicine (PEMM). Currently he is working with Timothy Lahey in the HIV Immunology research laboratory, with interest in describing the impact that semen may have on the phenotype of immune cells, and ultimately on HIV-1 infectivity of target cells. Preliminary studies that they conducted demonstrated an inherent ability of semen to lower the surface expression of CD4 receptors on T-lymphocytes and subsequently reduce HIV-1 infectivity of these cells.

In the future, he is expecting to further investigate the impact that semen may have on cells of the female reproductive tract and HIV-1 transmission, thereafter. Findings from these studies have a potential to open up novel approaches in prevention of heterosexual transmission of HIV-1.

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PhD from Dartmouth Medical School's Graduate program in Molecular and Cellular Biology (Sep 2004-June 2010)

This fall, I began my fourth year in the Molecular, Cellular and Systems Physiology Phd programme. I have developed my thesis project, with my mentors Ruth Connor and Alexandra Howell, in the area of mother-to-child transmission of HIV. The proposed work will determine how protective factors in breast milk inhibit cell-free and cell-associated HIV-1. Transmission of HIV-1 through breast milk is a major public health concern especially in developing countries where HIV-infected women have limited access to anti-retroviral treatment and/or safe alternatives to breast feeding.

This study will provide a better understanding of the mechanisms by which breast milk confers protection against oral transmission of the virus to the infant during breastfeeding.

I joined the Molecular and Cellular Biology (MCB) graduate program at Dartmouth in the fall of 2004, under the direction of Dr Charles Sentman. The focus of my work has been to understand the biology of Natural killer cells in the female reproductive tract (FRT), and whether they play a role in the protection against HIV-1. This understanding is important since modulating NK cell function in the FRT can be used as a strategy to modify the FRT environment and confer protection against heterosexual transmission of HIV-1. We have been able to describe the presence of NK cells in the human FRT, their unique subtypes and function. The work on HIV has demonstrated that NK cells from the FRT release factors with anti-HIV-1 activity. The search for other anti-HIV-1 factors and ways in which the anti-HIV-1 ability of FRT NK cells could be potentiated are ongoing.

After graduation I am now back in Tanzania, establishing research capacity at Muhimbili University to map innate immune defenses in the FRT among women in sub Sahara Africa.

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helga naburiBefore joining Dartmouth MPH program at 2008, I was on my second year of employment as a lecturer in the department of Pediatrics and child health at Muhimili University of Health and Allied Sciences(MUHAS), holding an MD and Mmed degree from MUHAS. Also I was working as a clinical director for the Dar Dar pediatric clinic (DPP) which was formed under collaboration between MUHAD and Dartmouth. While studying at Dartmouth, I worked with the database from the Maine state to “assess the maternal underweight as a risk factor for preterm delivery” and I am currently working on publishing the findings.

After graduating from the MPH program I went back home to work with the same institution with more focus in research in addition to teaching and clinical practice. Recently I was awarded a one year fellowship by ICOHRTA Training Program at the Harvard School of Public Health focusing on strengthening pediatric HIV/AIDS researchers in the context of global health. After completing the fellowship I am planning to register for doctoral program at Karolinska institutet focusing on Mother to child prevention of HIV (PMTCT).

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I am a Tanzanian physician working at the Dardar Health study, a collaborative Project between Muhimbili University of Health and Allied Sciences and Dartmouth Medical School and currently pursuing a master's degree in Public Health at The Dartmouth Institute for Health Policy and Clinical Practice, Hanover NH under the fogarty scholarship. Being a physician has been my life long dream as I have always wanted to be that person to help the society become healthy. With research experience I am in a position where I can provide primary, secondary as well as tertiary prevention within my society.

I have been involved in various community projects towards building a healthier society. For several years I have been producing as well as presenting a popular community radio talk show focusing on community health issues. Also I have been volunteering in providing health care services to orphans and vulnerable children at orphanage centers through own initiative called Health care ambassadors.

Throughout MPH course at Dartmouth, I have done several projects focusing on Tanzania perspective. The projects included;

  • Malnutrition and AIDS, twin evils to an African child: analysis of existing programs in East Africa
  • Vitamin A supplements in children with HIV/AIDS: A systematic review
  • Patient Education on Type 2 diabetes mellitus in Tanzania clinics: A quality improvement approach.
  • Silica dust exposure and risks for silicosis and Active Tuberculosis among Tanzania small scale miners: evidence and strategic preventive approaches.

I have published one report on prevalence, modes of management and treatment outcomes among patients with HIV/AIDS and Tuberculosis co-infections in Dar es salaam, Tanzania 2005. Dar es salaam Medical Students' journal, Vol 14 No 2 December 2007

I have been able to present one poster on Patient education on type 2 Diabetes mellitus in Tanzania Clinics at the 2nd International Conference on Advanced Technologies and Treatments for Diabetes. Athens, Greece, February 25-28, 2009. The manuscript for this project is in the process of being published.

Vitamin A supplementation in children with HIV/AIDS: A systematic Review is also in the process of being submitted for publication as well.

Currently I am working on two exciting projects on active tuberculosis on Nutritional status and Disseminated Tuberculosis in Hospitalized patients in Tanzania the two projects of which I am expected to complete before June 2009 for the former and before June 2010 for the later.

Dartmouth MPH, September 2006-June 2007

Before joining the MPH program at the Center of Evaluative Clinical Sciences' (CECS) at Dartmouth as a Fogarty Trainee, Dr. Kimambo was a medical officer working with DARDAR HIV Study. During her MPH internship training, she returned to Tanzania for four weeks and carried out a survey among the DARDAR Study subjects to determine the magnitude and influence of lipodystrophy and traditional medicine use on acceptance of ART. The survey showed that self perceived lipodystophy was common in patients who were on ART compared to patients who were not on ART, and did not influence ART adherence or alter ART initiation. The survey also found that traditional medicine use was common in HIV-infected patients in Tanzania, and it decreased the likelihood of ART initiation. A manuscript is being prepared for publication. Dr. Kimambo received her MPH degree at Dartmouth College as a Fogarty Trainee in 2007 and returned to Tanzania to continue her work with DARDAR Health Study.

Dartmouth MPH, September 2005-June 2006

Dr. Munseri was a lecturer and specialist physician at Muhimbili University College of Health Sciences (MUCHS) in Tanzania before joining the MPH program at Dartmouth in 2005 as a Fogarty Trainee. In her MPH project, she went back to Tanzania for 4 weeks and carried out a survey among DARDAR Study subjects in Tanzania to determine the acceptance of Isoniazid Preventive Therapy (IPT) among HIV-infected patients. This study of IPT implementation showed that it was widely accepted by patients, and associated with minimal side effects. Results were presented at the XVI International AIDS Conference in Toronto in 2006, and a manuscript is being submitted for publication. Dr. Munseri received her MPH degree at Dartmouth as a Fogarty Trainee in 2006 and returned as a specialist physician and lecturer in Internal Medicine at MUCHS. Her follow up Fogarty research project, currently underway, is a study with Drs von Reyn and Talbot to determine optimal methods for the diagnosis of disseminated TB in 300 hospitalized patients with fever using mycobacterial blood culture and an investigational urine assay for mycobacterial lipoarabinomannin.

She was recently accepted in a sandwich PhD program in Medical Science between MUCHS and Karolinska University, Sweden. Her doctoral research focus will be HIV vaccinology and TB diagnostics (both are areas of emphasis for the Dartmouth-BU AITRP). She will investigate the suitability of the Dar es Salaam Police Officers Cohort for a phase III HIV vaccine trial and the use of rapid tests for the detection of TB in a high HIV prevalence, resource-poor setting.

PICDartmouth MPH, September 2004-June 2005

Dr. Lyimo entered the Dartmouth MPH program from his position as Study Physician in the DARDAR HIV Study in 2004. For his MPH project he returned to Dar es Salaam for 4 weeks to conduct a survey of patient satisfaction among subjects in the DARDAR HIV Study. This survey documented a high level of overall satisfaction but identified areas for improvement (e.g., reducing wait times, improving patient understanding of illness reporting requirements) which were subsequently implemented in the Study. The results of the survey were presented at the XVI International AIDS Conference in Toronto in 2006 and have been submitted for publication. After receiving his MPH degree from Dartmouth in June 2005, he returned to Tanzania as a research study physician in the DARDAR Study in charge of Quality Control. In August 2007 he accepted a new position in Tanzania as HIV Program Manager for IMA World Health Dar es Salaam, Tanzania and the following year (2008) he decided to concentrate more on TB by moving to the National TB and Leprosy Programme within the Ministry of Health and Social Welfare where he work has been focusing on TB and MDR TB.