"Local is Global When Dealing with Health Inequalities."
The mission of our Center is to improve health of individuals and communities, locally, nationally, and internationally, by addressing health inequities through interdisciplinary policy-relevant research, interventions, and evaluations.
Our faculty and staff teach and mentor students both on campus and in the field. Our interdisciplinary Center fosters a collaborative, investigative environment that seeks to educate Duke students by providing experiences in working with our research teams and through individual mentorship.
Multi-disciplinary research and rigorous evaluation provide the path to understanding health disparities, locally and globally. CHPIR values our long-lasting relationships with communities and organizations that allow us to understand health inequalities and changes over time.
At the core of many CHPIR projects is translating research into services, policy, and new interventions. The Center bridges research and service by adapting lessons learned between the US and international settings, bringing efficiency and innovative approaches to our work.
The objective of this multi-country longitudinal study of orphaned and separated children in Cambodia, Ethiopia, India, Kenya, and Tanzania is to examine the influence of residential characteristics, caregiver characteristics, and culture, on: 1) children's behavior and emotional adjustment; 2) health status including health related quality of life; 3) learning and achievement outcomes; and 4) relationship outcomes.
This study's mission is to understand and improve the holistic health of United Methodist clergy in North Carolina. Recent work has focused on analysis and dissemination of intervention results, positive mental health findings, and contributions to the literature on the interplay between physical and mental and spiritual well-being.
This multi-site study tests the efficacy of Epic Allies, a mobile phone application (app) that utilizes game mechanics and social networking features to improve engagement in care, anti-retroviral therapy (ART) uptake, ART adherence and viral suppression rates among HIV+ young men who have sex with men (YMSM).
This Bass Connections project serves as the pilot for an ambitious multidisciplinary effort to develop a culturally appropriate, robust healthcare model that can help reduce health disparities among some of Durham’s newest, most vulnerable community members.
Check out these two articles published recently featuring a few of our CHPIR team members!
Spotlight: staff Amy Hobbie and Andrew Weinhold, faculty Nathan Thielman, & affiliate Jan Ostermann
Journalist, Charles Pensulo, wrote a comprehensive article for “The Equal Times” about deinstitutionalization in Malawi and interviewed Dr. Kate Whetten about findings from the Positive Outcomes for Orphans (POFO) Study:
Speaking to Equal Times, Whetten adds: “There is no NIH study of older children that has found that they do poorly in orphanages or institutions. All of these rigorously peer-reviewed studies have found that children in need do as well or better in orphanages relative to family settings, and that orphanages can be the place where children who are going to drop out of school, have severe emotional difficulties and learn no job trade, are able to thrive.”
“The majority of the world’s population lives in low-income countries with extremely limited access to mental health care. This gap is largest in African nations, which have the world’s lowest ratio of mental health professionals: just 1.4 per 100,000 people.
For more than a decade, a multinational team of researchers has been exploring ways to close that gap for nearly 50 million orphans in Africa who are grieving the loss of one or both parents. HIV/AIDS and respiratory infections are the leading cause of death.
Being orphaned predicts other problems – problems like substance abuse, dropping out of school, or unemployment. Orphans are also more likely to engage in risky sexual behavior that may lead to new cases of HIV — and perpetuate a vicious circle.