The International Clinical, Operational, and Health Services Research
Training Award for AIDS and Tuberculosis (ICOHRTA-AIDS/TB) Program provides
extended support for training to foster collaborative, multidisciplinary
research in developing country sites where HIV/AIDS, tuberculosis (TB) or
both are significant problems. As used in this Request for Applications
(RFA), the term ICOHRTA-AIDS/TB is broadly defined to encompass building
capacity for integrated clinical, operational, and health services research
across the full range of conditions and issues that relate to care of adult
and pediatric patients with HIV/AIDS or TB (e.g., opportunistic infections,
HIV malignancies, neurological and mental health consequences, behavioral
issues, cardiovascular disease, hematologic conditions, blood safety issues,
pulmonary manifestations, ophthalmologic manifestations, gastrointestinal
conditions, drug and alcohol usage, gender-related issues and oral health
manifestations). This program is an integral and critical component of a
comprehensive global strategy of the National Institutes of Health (NIH) and
Department of Health and Human Services (DHHS) to address the needs of the
millions suffering from HIV/AIDS, TB, and related conditions in resource-
limited nations. It will extend and intensify efforts to provide clinically
appropriate and sustainable care to these individuals in a manner that
supports continuing and expanding prevention activities. These efforts will
have direct health, economic and security benefits for the United States
(U.S.), as well as the global community. This program will increase research
training across the span of clinical science and public health practice and
involve a wide range of health professionals (e.g. nurses, midwives,
physicians, dentists, health care administrators and public health workers).
The first phase of the ICOHRTA-AIDS/TB program began in fiscal year 2002
(FY02), with one-year planning grants (PA-02-022) to foreign institutions to
organize and execute an application for a Phase II Comprehensive ICOHRTA-
AIDS/TB Cooperative Agreement. Only the recipients of the Phase I planning
grants and their chosen U.S. (or pre-approved non-U.S) collaborating partner
institutions (together referred to as Research Training Units) are eligible
to apply for Phase II Comprehensive ICOHRTA-AIDS/TB awards, which will begin
in fiscal year 2004 (FY04). The Phase II awards to the Research Training
Units will provide support to both the foreign institution and its linked
U.S. partner (or pre-approved non-U.S.) institution through five-year
cooperative agreements to each partner institution. Each partner institution
will be responsible for implementation of its portion of the integrated
research-training program. Training will take place at the U.S. or foreign
sites and mentored research will be carried out mainly at the foreign site.
The program may also provide support at the foreign site for training to
develop and extend core research support capabilities necessary for long-term
sustainability of the research capacity of the foreign institution. In
support of the overall ICOHRTA-AIDS/TB program, a separate RFA will be issued
in fiscal year 2003 (FY03) to fund a single Coordination Center in FY04 which
will help to monitor and evaluate the ICOHRTA-AIDS/TB program research
training units and to develop programs to address common capacity building
needs across the research training.
The Fogarty International Center (FIC), together with the National Institute
on Alcohol Abuse and Alcoholism (NIAAA), the National Institute of Allergy
and Infectious Diseases (NIAID),the National Institute of Child Health and
Human Development (NICHD), the National Institute on Drug Abuse (NIDA), the
National Institute of Mental Health (NIMH), the National Institute of
Neurological Disorders and Stroke (NINDS), the Office of Research on Women's
Health (ORWH), the Centers for Disease Control and Prevention (CDC), and the
United States Agency for International Development (USAID), invites Phase I
awardees to submit applications for Phase II cooperative agreements to
develop comprehensive international clinical, operational, and health
services research training programs. These applications should foster the
development of integrated strategies to successfully implement evidence-based
interventions pertinent to the global health crises created by HIV/AIDS and
TB. Co-sponsoring institutions are U.S. Government (USG) agencies
contributing financial resources to the ICOHRTA-AIDS/TB Program. Applicants
are strongly encouraged to design programs that strengthen the capacity of
the foreign institutions to collaborate with the NIH, USG, other governments,
international agencies, non-governmental organizations, foundations, faith-
based organizations and other groups in their efforts to respond to this
global health crisis.