SEARCH is currently active in three regions through East Africa. The region straddles the equator and has a tropical climate. Although there are a few large cities in the region, most of the people live in rural areas. According to the East African Community Statistics Portal, the average life expectancy throughout East Africa ranges from 50-55 years. Eastern Africa is the second most HIV/AIDS effected region of the world after Southern Africa, with HIV prevalance amonst adults is estimated to be 7.2% in Uganda, 6.1% in Kenya and 5.1 % in Tanzania (UNAIDS). Although prevalance has been going down over time in the region, new areas of concern with regards to infection among the most-at-risk populations are emerging (UNICEF). Additionally, the effects of the epidemic have the left region with an estimate of over 3.2 million children orphaned due to HIV/AIDS.
Due to the multi-facted and evolutionary approach to treatment that SEARCH takes and the focus on community outcomes such as education and wealth, the SEARCH model has great promise to become a new healthcare model for the region, African continent and entire developing world.
SEARCH held its first Community Health Campaign (CHC) in southwest Uganda on June 5th, 2013. There are ten communities in the Western region enrolled in SEARCH that are served by the following government Health Centers: Nsiika, Bugamba, Rugazi, Mitooma, Kitwe, Rubaare, Rwashamaire, Ruhoko, Kazo and Nyamuyania.
Current leadership in this region includes: Uganda Project Manager Dalsone Kwarisiima; Project Coordinator Jane Kabami, overseeing all the field activities including enumeration of households, planning and implementing community health campaigns, and conducting surveys at the households; Clinical Operations Coordinator Dr. Asiphas Owaraganise, works with the health center facilities caring for all community members linked to care at the health clinics; and Laboratory Coordinator Hellen Nakato, oversees all aspects of laboratory testing and processing.
The first CHC in the Eastern region of Uganda took place on October 14, 2013. There are ten communities in the Eastern region enrolled in SEARCH that are served by the following government Health Centers: Nsinze, Nankoma, Kiyunga, Kamuge, Buguno, Muyembe, Merikit, Kiyeyi, Kameke and Kadama. .
Current leadership in this region includes: Project Manager Dr. Dalsone Kwarisiima; Project Coordinator Dr. Mucunguzi Atukunda overseeing both field and clinical operations at the health center facilities; Field Coordinator Irene Odongo, overseeing testing operations in the communities; and Laboratory Coordinator Sam Okiror, oversees all aspects of laboratory testing and processing.
The first CHC in Kenya took place on September 9th, 2013. There are twelve communities in two regions in Kenya, Suba and Rongo, enrolled in SEARCH that are served by the following Health Centers: Nyatoto, Nyamrisra, Ogongo, Kitare, Magunga, Kisegi, Tom Mboya, Sena, Ongo, Othoro, Sibouche, Bware.
Current leadership in this region includes: Study Manager Norton Sang, overseeing all aspects of the SEARCH trial in Kenya; Clinical Operations Director Dr. James Ayieko, works with the health center facilities caring for all community members linked to care; Project Coordinator, Kevin Kadede overseeing community activities including the census, community health campaigns (CHC), and are tracking participants at their homes; and Laboratory Manager Bernard Awuonda, overseeing all laboratory testing for the SEARCH trial.
Since 2011, Kakyerere Parish has been a community in which initiatives crucial to the SEARCH study have been developed and pilot tested, including a community health campaign (CHC) in May 2011 (CHC-1), followed by a CHC-2 in May 2012, and the EARLI study (initiated in 2011). During the first week of April 2014, the Kakyerere community had a third CHC (CHC-3), which included many new initatives new and distinct from the ongoing SEARCH cluster-randomized control trial such as dermatological and ocular testing, acute HIV testing and Afropad distribution.