University of Pittsburgh HIV-Comorbidities Research Training Program in South Africa - Although the life expectancy of HIV-infected individuals increases with effective antiretroviral therapy (ART) use,
they remain at higher risk of multi-morbidity and mortality than the general HIV-uninfected population.
Long-term ART-related toxicity, persistent inflammation, and lifestyle have been hypothesized as
mechanisms for non-AIDS defined conditions such as cardiovascular disease (CVD), chronic kidney
diseases (CKD), and neuropsychiatric disease (NPD), which are increasing in frequency with the aging
of the HIV-infected population. Very little research has been conducted to quantify the burden of these
three HIV-comorbidities or to design and evaluate the effectiveness and cost-effectiveness of preventive
and treatment strategies in sub-Saharan Africa. Moreover, South Africa, the country with the highest
burden of HIV globally, unfortunately has a paucity of qualified investigators to effect change in these
HIV-comorbidities. The overall objective of the University of Pittsburgh HIV-comorbidities Research Training
Program in South Africa (Pitt-HRTP-SA) is to build a critical mass of the next generation of basic,
translational, clinical, and public health researchers at Stellenbosch University in Cape Town, to conduct
high-quality research, generate new knowledge, improve outcomes, and become successful,
independent investigators. The specific aims are: 1) To gain research methodology, ethics, leadership
and management skills; 2) To conduct mentored HIV-CVD, CKD, and NPD research that address new, locally
relevant questions and test meaningful hypotheses; 3) To become proficient in scientific presentations
and writing, grantsmanship, research ethics and management; 4) To evaluate the outcomes of the
program and make adjustments as needed and acquire skills to translate research findings into clinical
practice and public health policies. We will achieve these aims using an innovative North-South and South-
South triangular mentoring model. Each trainee will have one South African core mentor (affiliated with SU
or University of Cape Town) and one US co-mentor (University of Pittsburgh; Johns Hopkins University;
Harvard University; University of California, San Francisco; University of California, Los Angeles), short-
term training experience at one of the collaborating US institutions. The strategies utilized to build and
enhance research capacity will include: didactic coursework (Masters and/or PhD), mentored high-caliber
research, experiential learning, pilot research grants, workshops, seminars, journal clubs, scientific
writing retreats, and Pitt-HRTP-SA website resources. A Steering Committee, after consultation with an
independent Training Advisory Committee, will approve the recruitment, research, monitoring, and evaluation
of twelve highly competitive trainees, each of whom will be provided a seed research grant and up to 50%
of protected research time up to 5 years. Each trainee will have an individualized career development plan
that will be monitored and tracked throughout their tenure and after completion of the program.