Specific Projects

Some of the specific projects that we have planned are included below. Some are more theoretical than others, and funding will be sought through conventional research grantors for these.

• Early detection of transmission chains of communicable disease as a model of what can be done in slum communities. We are focusing on tuberculosis clusters with active surveillance and targeted intervention. We will use DOTS (directly observed therapy) community volunteers.
• Early warning of transmission will come from “molecular clustering” (genetically identical strains) and geographic clustering to allow for the earliest possible detection. We have the commitment of the Ministry of Health, the Ghana TB Control Program, and the Ghana Health Service to treat any patients and any exposed individuals at no cost. We hope to demonstrate that this method is feasible in poor urban communities throughout Africa and other developing countries.
• Development of a program using DOTS volunteers and other citizens for early detection and continuing assessment of individual diseases and need.
• A comprehensive health status survey of Nima-Maamobi based upon a household survey that we have already developed and validated. There has never been a comprehensive health status survey in Nima. This is to serve as input to address the major public health needs of the community.
• A qualitative health survey based upon community perceptions of health priorities and needs.
• Assisting community members to articulate their own health needs, and applied research and planning in support of policy addressing these needs.
• An assessment of household access to both potable and non-potable water, as well as an assessment of the household budget expended on water. Water quality has never been tested, and up to 40% of the household budget may be spent on water.
• An assessment of access to sanitary facilities, including sewage, toilets, and pit latrines.
• A comparative analysis of the use of western medicine and traditional healers in Nima-Maamobi.
• The establishment of comprehensive health education programs situated within existing community groups
• Health screening—comprehensive public health screening of simple measures such as blood pressure and weight-height comparisons.
• Community gardens and cultivation of nutritious crops, many of which have proven medicinal properties.