The Harvard PEPFAR program developed an extensive electronic medical record system that provides real-time access to clinical data for >200,000 patients on antiretroviral treatment. These databases enabled implementation science studies to promote better clinical care and to answer operational research questions to understand the efficacy and modulators of ART and PMTCT interventions. In collaboration with Nigerian colleagues, the Kanki research group has addressed topics including HIV co-infections, determinants of ART efficacy, and evaluation of PMTCT interventions. In efforts to optimize HIV outcomes, they have characterized loss to follow-up in HIV care, treatment and PMTCT interventions, and HIV drug resistance. The team is collaborating with APIN Public Health Initiatives in the conduct of the National Public Health Assessment Survey for the country.
