"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.
In 2005, Kathryn Whetten, director of the Center for Health Policy and Inequalities Research (CHPIR), and her colleagues set out to examine predictors of physical and emotional well-being, cognitive development, relationship outcomes and achievement outcomes for a cohort of more than 3,000 orphaned and separated children (OSC) living in five low-income countries (Cambodia, India, Ethiopia, Kenya and Tanzania).
Fourteen peer-reviewed papers, dozens of conference presentations and 12 years later, the “Positive Outcomes for Orphans” (POFO) project is still ongoing. Whetten, the principal investigator, was recently awarded a third round of funding for the project—a five-year, nearly $2.8 million National Institutes of Health grant.
CHPIR is continuing the National Evaluation of Quality of Childcare in El Salvador project (ENCCI), an evaluation of the Salvadorian government funded implementation of the Whole Child International intervention to improve the care of children in residential and child care settings.
As the new research project director, Dr. Hy Huynh traveled to El Salvador this October to visit child care centers, support office activities, as well as provide ethical humanitarian photography for Whole Child International’s visual storytelling purposes. Below is a selection of photos from his field work:
A Southern AIDS Strategy Initiative report written by CHPIR staff was cited in a Jezebel article titled, “What Do Teens Think About When They Think About HIV?”
“If you were to overlay a map of Medicaid expansion and where we’re seeing new HIV diagnoses, they basically line up with states that don’t have Medicaid expansion through the ACA and states where we’re seeing incredibly high rates of HIV infections,” said Leonard on the socio-economic aspect of new infections. Of the Southern AIDS Strategy’s assessment of the nine states that had the highest HIV and AIDS diagnosis rates in the U.S. from 2008 to 2013— Alabama, Florida, Georgia, Louisiana, Mississippi, North Carolina, South Carolina, Tennessee, Texas—none of them had Medicaid expansion (Louisiana has since expanded).”