Discovery Research

Discovery Research

Our Discovery Research portfolio contributes to global knowledge about preterm birth and supports testing of tools to improve preterm birth prevention and management. We support projects through two distinct mechanisms: (1) a competitive request for proposal (RFP) process for East African investigators and (2) targeted studies that address priority research areas. By focusing on locally driven research questions, we are further defining this previously invisible problem.

The RFP program is shedding much needed light on preterm birth etiology and epidemiology in East Africa, and it is accelerating the development of promising East African researchers interested in prematurity-related research. Since 2015, we've selected 14 projects for funding. These projects span the life course – from elucidating risk factors associated with prematurity to developing clinical tools to improve preterm care to understanding what happens when these babies go home. Through this program, we also promote capacity-strengthening activities that include training at UCSF laboratories, in-country data analysis and writing workshops, and formal connections with research mentors.

Targeted studies, the second arm of our Discovery Research portfolio, represent key topic areas that organically surfaced from our measurement and implementation research efforts. Project topics include new biomarkers and approaches to accurately assess gestational age, preterm birth phenotyping, and exploration of preterm outcomes after facility discharge. Most of these projects leverage the research platforms of the large trials, and they will add much-needed knowledge around preterm birth epidemiology and community drivers of post-neonatal outcomes.

List of PTBi-EA Discovery publications

2015 RFP Recipients
  • The prevalence of chorioamnionitis and Group B Streptococcus among HIV infected and uninfected pregnant Ugandan women and its association with preterm birth
    John Ategeka, Infectious Diseases Research Collaboration
  • Kangaroo mother care in Eastern Uganda: A feasibility study to assess the factors influencing uptake, adherence, and acceptability into routine healthcare
    Doris Kwesiga, Makerere University
  • Feasibility and acceptability of NoviGuide: a mobile health device for the management of neonates
    Mary Muhindo, Infectious Diseases Research Collaboration
2016 RFP Recipients
  • Understanding knowledge and perceptions about menstruation, preterm birth and related care-seeking practices to inform new health interventions in rural Bondo, Western Kenya
    George Ayodo, Jaramogi Oginga Odinga University of Science and Technology
  • Evaluation of the utility of CRP among preterm infants with sepsis in a resource-limited setting: a retrospective study
    Victoria Nakibuuka, St. Francis Hospital Nsambya
  • Nutrition and infection in relation to preterm delivery and other pregnancy outcomes in Rwanda
    Etienne Nserko, College of Medicine and Health Sciences, University of Rwanda
  • Maternal periodontal disease, bacterial pathogens and leukocyte telomere length as predictors for preterm birth among women in Kisumu County, Kenya
    Linus Ndegwa, Kenya Medical Research Institute; Julius Oyugi, University of Nairobi; Janet Wojcicki, UCSF
  • Exposure mapping of household and environmental toxicants associated with adverse pregnancy outcomes in Migori County, Kenya
    Lydia Olaka and Margaret Oluka, University of Nairobi
2017 RFP Recipients
  • Newborn complications and outcomes within the neonatal period following preterm birth - Uganda
    Joseph Akuze, Makerere University
  • Is the association between ambient air pollution and perinatal outcomes causal? A systematic review and meta-analysis
    Rakesh Ghosh, UCSF
  • Maternal lead exposure in pregnancy and risk of preterm birth among women attending Mulago National Referral Hospital, Uganda
    Fatuma Namusoke, Makerere University
  • Newborn outcomes following preterm birth in the post-neonatal period in the first year of life, Uganda
    Charles Opio, Makerere University
  • Prospective phenotyping of preterm birth in Busoga Region, Uganda
    Phillip Wanduru, Makerere University
  • Periopathogenic bacteria serotypes and the association with preterm birth in Kenya
    Veronica Wangari, University of Nairobi
Targeted Studies
  • Placental proteins as a clock for gestational age
    Susan Fisher, UCSF
  • Gestational dating at birth by metabolic profile: Testing and adaptation in African settings
    Laura Jelliffe-Pawlowski, UCSF (co-funded with GCE)
  • Gestational dating at birth by metabolic profile: Translation into hospital settings in Uganda
    Laura Jelliffe-Pawlowski, UCSF
  • Use of a checklist and ultrasound at labor triage to improve identification and management of high-risk obstetric complications
    Jude Mulowooza, Iganga District Hospital
  • Magnitude of perinatal, neonatal and maternal mortality in Migori County
    Leah Kirumbi, Kenya Medical Research Institute
  • Understanding causes and determinants of neonatal preterm deaths in Migori County, Kenya, using verbal and social autopsy
    Beatrice Olack, Kenya Medical Research Institute
  • Health and neurodevelopment status of preterm and low birth weight babies in Migori County
    Phelgona Otieno, Kenya Medical Research Institute and Susanne Martin Herz, UCSF