GloCal Alumni Presentation, April 2019 Building local research capacity for sustainable research practices in LMIC : Experience from Tanzania

Emergency Physician and Senior Lecturer Head of Department Emergency Medicine Department Muhimbili University of Health and Allied Sciences President Emergency Medicine Association of Tanzania Dar es salaam, Tanzania

Personal Background Academic Training: Doctor of Medicine (MD): MUHAS, Tanzania Masters of Medicine (MMED): MUHAS, Tanzania Master of Business Administration (MBA): Mzumbe University, Tanzania PhD in Emergency Medicine (ongoing): University of Cape Town, South Africa GloCal Health Fellowship Fellowship Site: Muhimbili University of Health and Allied Sciences (MUHAS), Tanzania Research interests: Trauma, Emergency Care Systems, Acute presentations of chronic illness (SCD and HIV) Add pictures of site/mentors in the green box

Life expectancy = 52 years Maternal mortality= 454* FACTS AND FIGURES Population= 50 Million F:M Ratio=1.1 Life expectancy = 52 years Maternal mortality= 454* HIV prevalence= 5.2% Leading cause of death (all age) HIV Respiratory infections Malaria Diarrhoeal disease Perinatal conditions Dar es salaam

Tanzania Trauma Registry Project

Trauma Form Project Public National Referral Hospital, Largest in Tanzania First dedicated ED in the Country , opened in 2010 ED acuity is high: 70% admission rate Developed the standardised trauma documentation

Local trauma research initiative

Standardized data points Health facilities Standardized Trauma documentation Standardized data points Registry

Local trauma research initiative

Research output Feasibility and yield of HIV screening among adult trauma patients presenting to an urban emergency department of a tertiary referral hospital in Tanzania. AIDS Res Ther. 2019 Apr 9;16(1):8. Pre-referral stabilization and compliance with WHO guidelines for trauma care among adult patients referred to an urban emergency department of a tertiary referral hospital in Tanzania. BMC Emerg Med. 2019 Feb 28;19(1):22 The prevalence of alcohol and illicit drug use among injured patients presenting to the emergency department of a national hospital in Tanzania: a prospective cohort study. BMC Emerg Med. 2019 Jan 24;19(1):15. Pain assessment and management of trauma patients in an emergency department of a tertiary hospital in Tanzania. Saf Health. 2018 Nov 7;4(1):12. , accounting for over 80% of the global prevalence of haemoglobin disorders.

Injury Burden

SUPPORT

Amplification Arusha (Mt. Meru RRH) Tanga(Bombo) RRH Mwananyamala RRH Morogoro RRH Tumbi Special Hospital 13

Amplification 14

Challenges and Lessons Learned Local research capacity building Impact both local research sustainability and also junior faculty and researchers Resource limitation Research funding is limited especially for LMIC Multiple responsibilities and priorities of PIs in LMICs Individuals with multiple administrative, teaching and research responsibilities. Multiple parallel initiatives There are situations in which same country or same institutions have parallel projects that have similar or near similar aims and hence deviating resources.

Acknowledgment Add pictures of site/mentors in the green box

Thank you hsawe@muhas.ac.tz