IeDEA-CA: Central Africa International Epidemiologic Database to Evaluate AIDSPrincipal Investigator: Kathryn Anastos, MDDenis Nash PhD, MPHCo-Investigator(s):Adebola Ademeiji PhD, MPH, MsC, MBA Phuilip Castle PhD, MPH Mark Kuniholm, PhD, MS Don Hoover, PhD, MPH Stephany Duda PhD, MS Batya Elul, PhD, MsC April Kimmel, PhD, MS Qiuhu Shi, PhD, MS Marcel Yotebieng, MD, MPH, PhD Eugene Mutimura, MsC, PhD Anastase Dzudie, MD, PhD Jean d’amour Sinayobye, MD, MsC Heidi Jones, PhD, MPH Elizabeth Kelvin, PhD, MPH Theodore Niyongabo, MD Cristella Twizere, MDFunding Agency:National Institute of Allergy and Infectious Diseases (NIAID)Collaborating Institution: Centre National de Reference en Matière de VIH/SIDA (Burundi); Kinshasa School of Public Health and Kalembelembe Pediatric Hospital (DRC) Centre de Traitement Ambulatoire de Pointe Noire Centre de Traitement Ambulatoire de Brazzaville (Republic of Congo) Research for Development International (Cameroon) Rwanda Military Hospital Data Solutions LLC Vanderbilt University Columbia University Ohio State University Virginia Commonwealth UniversityStudy Location:Burundi, Cameroon, the Democratic Republic of Congo (DRC), and RwandaDescription:The IeDEA-CA network includes 15 partners in Burundi, Cameroon, the Democratic Republic of Congo (DRC), and Rwanda, who are utilizing implementation science to identify effective strategies for optimizing HIV care outcomes, including timely diagnosis and care enrollment, care retention, ART initiation and viral suppression. IeDEA-CA partners are also conducting clinical epidemiologic investigations of co-morbidities of aging among HIV+ persons and they are engaged in translational work to explore extreme clinical phenotypes of HIV infection, such as elite suppressors, long-term non-progressors, and poor responders to ART. IeDEA-CA also leads and contributes to multi-regional IeDEA projects,and maintains updated population-based data from various sources for use in examining contextual determinants of HIV outcomes Presentations/ Publications: Dusingize JC, Hoover DR, Shi Q, Mutimura E, Kiefer E, Anastos K. Associations of HIV infection with insulin and glucose levels in antiretroviral-naive Rwandan women: a cross-sectional analysis. BMJ Open. 2013 Dec 5;3(12): e003879.Kimmel AD, Nash D. (2017). HIV prevention resources: time to move toward affordability. Lancet HIV. 4(5):e191-e193Yotebieng M, Moracco KE, Thirumurthy H, Edmonds A, Tabala M, Kawende B, Wenzi LK, Okitolonda EW, Behets F. (2017). Conditional Cash Transfers Improve Retention in PMTCT Services by Mitigating the Negative Effect of Not Having Money to Come to the Clinic. J Acquir Immune Defic Syndr. 2017 Feb 1;74(2):150-157.Hu Y, Hoover DR. (2016). Non-randomized and randomized stepped-wedge designs using an orthogonalized least squares framework. Stat Methods Med Res. First Published July 10, 2016Yotebieng, Marcel, et al. (2016). Conditional cash transfers to increase retention in PMTCT care, antiretroviral adherence, and postpartum virological suppression: A randomized controlled trial. Journal of Acquired Immune Deficiency Syndromes 72.Suppl 2 (2016): S124.Freeman E, Semeere A, Wenger M, et al. (2016). Pitfalls of practicing cancer epidemiology in resource-limited settings: the case of survival and loss to follow-up after a diagnosis of Kaposi’s sarcoma in five countries across sub-Saharan Africa. BMC Cancer, 16:65.Yotebieng M, Tabala M, Batumbula ML, et al. (2016). Impact of WHO 2010 Guidelines on Antiretroviral Therapy Initiation among Patients with HIV-Associated Tuberculosis in Clinics with and without Onsite HIV Services in the Democratic Republic of Congo. Tuberculosis Research and Treatment. 2016;2016:1027570. Yotebieng M, Edmonds A, Lelo P, et al. (2015). High completion of Isoniazid Preventive Therapy among HIV-infected children and adults in Kinshasa, Democratic Republic of Congo. AIDS (London, England). 2015;29(15):2055-2057. Nathan LM, Shi Q, Plewniak K, et al. (2015). Decentralizing Maternity Services to Increase Skilled Attendance at Birth and Antenatal Care Utilization in Rural Rwanda: A Prospective Cohort Study. Maternal and child health journal. 2015;19(9):1949-1955. Adedimeji AA, Hoover DR, Shi Q, et al. (2015). Sexual behavior and risk practices of HIV positive and HIV negative Rwandan women. AIDS and behavior. 2015;19(7):1366-1378.