Lifelong Lessons

December 17, 2012 - 1:30am
How do you wrap up 6 months of work in a final blog?  You don’t.  You talk about perspectives and knowledge you have gained for the last 6 months.  Learning to live in a third world country and working with an organization that does not work for profit are two of the biggest challenges of my life.  They were also two of the best.  Going into a 6 month fellowship can be an intimidating experience... Read More

Why can't you stay?

September 10, 2012 - 4:02pm
As the end of August approaches so too does the end of fellowship here in Nairobi, Kenya. A recurring question posed to me over the past week by colleagues, staff at my apartment complex and the drivers who bring me to work has been ‘Why can’t you stay?’ My simple response is I have to return to my job back home. The Global Health fellows program has allowed me to experience both work and life in... Read More

Advancing Human Resources for Health (HRH) issues in a challenging environment

August 29, 2012 - 12:30pm
In one of my earlier blogs I posted about attending a workshop on Peer Learning. The output of that workshop was that each health facility created a three month action plan whereby they could partner with other health facilities with the aim of making advances on some key HRH issues. Currently, we are at the half-way point on achieving goals set in these action plans. An approach taken by my... Read More

Lasting Impact

August 29, 2012 - 12:30pm
In my last week at the Infectious Diseases Institute (IDI), I’m looking back over the last three months that I’ve spent here working on the Research strategic plan, while also looking forward to returning home to my project management role with a fresh perspective.  I have learned so much during my fellowship about global health issues, treatment of HIV and how to make the most of constrained... Read More

HIV: still more work to do

August 24, 2012 - 12:30pm
During her August 2-3 visit to Uganda, US Secretary of State Hillary Rodham Clinton called attention to a new survey that shows HIV prevalence in Uganda has increased to 7.3% in 2012 from 6.7% in 2011 and 6.4% in 2005. The survey suggests that behavior is largely driving the increase.  While the Infectious Diseases Institute (IDI) focuses on biomedical prevention and treatment of HIV,... Read More

HIV and personalized medicine

August 17, 2012 - 12:30pm
Personalized medicine is a hot topic worldwide, offering the promise of tailoring drugs to match the genetic variability of diseases, for maximum efficacy. As a Center of Excellence for HIV treatment, the Infectious Diseases Institute (IDI) is entering the realm of pharmacogenomics, in seeking to find optimal antiretroviral drug regimens for patients who have developed viral resistance to... Read More

Shifting gears - from planning to implementation

August 10, 2012 - 12:30pm
Last week I traveled to the district of Kibaale in Bunyoro-Kitara, western Uganda, to assess the readiness of some of the Infectious Diseases Institute (IDI)’s Outreach sites for participating in clinical trials.  Now that I’ve outlined IDI’s strategic plan for research it’s time to start working out the detail of how to put the high level plans into practice. During my stay I visited the... Read More

Synergies between projects.

August 10, 2012 - 12:30pm
Following a busy few days with field trips late last week I am now back in the office and have the opportunity to catch up on some tasks, one being to complete this blog entry. Being the first Monday in August it is a public holiday in Ireland. For some strange reason I partly feel hard done by working on a big holiday weekend back home, however when I look out the window here at a winter’s day... Read More

Supply Chain Challenges and Structures

August 3, 2012 - 12:30pm
Supply chain challenges exist around the globe.  Many facets of the pharmaceutical industry continue to diversify.  In an ever changing global society, there are consistent monitors to help maintain, control, and identify secure supply chains.  Although millions of dollars are spent, thousands of human resource hours are spent, and innovative ways of securing pharmaceuticals are created daily,... Read More


August 3, 2012 - 12:30pm
I returned from a week of travel yesterday to news of an outbreak of the deadly Ebola virus in Uganda that has claimed 14 lives in a village in Kibaale district, which is 140 miles or about 3 hours’ drive from Kampala.  The situation in Kampala is tense, since one of the victims, a health care worker from the district, was transferred to Mulago Hospital, the national referral hospital in Kampala... Read More