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This project focuses on adolescents and young adults (AYA) with cancer in Kenya, a group whose distinct care delivery needs have not been well described in sub-Saharan Africa. Grounded in clinical observations from investigators at Kenyatta National Hospital and Moi Teaching and Referral Hospital and developed through long-standing cancer care collaborations with the University of Michigan, the study assesses the specific needs of the AYA cancer population and the barriers to care delivery in the Kenyan setting. The team will combine surveys, group sessions and interviews, pairing Kenyan clinical and contextual expertise with Michigan’s strengths in implementation science and mixed-methods design. The study will co-design feasible, sustainable interventions that improve the cancer journey and outcomes for AYA people with cancer in sub-Saharan Africa.

This project addresses antimicrobial resistance at one of its most consequential sources in Nepal: antibiotic use in the poultry value chain. Led by the Institute for Social and Environmental Research-Nepal in collaboration with Bodh Insight, Agriculture and Forestry University, Pennsylvania State University and the University of Michigan, the team builds on years of Nepal-based antimicrobial resistance research, including several randomized trials conducted with policymakers at the Ministry of Health. Using a mixed-methods baseline assessment, the project maps how antibiotics move through and are used across the poultry sector, then works with local stakeholders to co-design interventions that reduce inappropriate use. The work connects food systems, nutrition and public health expertise and is designed to inform future studies and scale-up that protect both animal and human health.

This project strengthens the tools available to detect Alzheimer's disease and related dementias in Nepal, where cases are rising rapidly alongside an aging population but validated cognitive assessment instruments are lacking. Building on the Chitwan Valley Family Study on Cognition and Aging in Nepal and its Harmonized Cognitive Assessment Protocol data, the team examines how cognitive measures perform across differences in ethnicity, gender and education, so that detection is equitable rather than biased by social and linguistic factors. The collaboration links Michigan expertise in cultural neuropsychology and measurement with the Institute for Social and Environmental Research-Nepal, which provides the data and local infrastructure. Working with Nepali collaborators, the team co-creates a dissemination plan for local impact and sets the direction for the next stage of dementia research in Nepal.

This project maps the landscape for trustworthy artificial intelligence in health care in Lima, Peru, focusing on tools for chronic respiratory conditions such as tuberculosis. Peru's health system is fragmented across public, social security and private sectors, and AI tools are being developed and introduced without a shared framework for evaluating whether they are safe, equitable and appropriate for local settings. Partnering with the Universidad Nacional Mayor de San Marcos, the team brings together expertise in learning health sciences, epidemiology, and law and AI policy to build an equity-centered framework for evaluating AI tools across their lifecycle, and to identify the facilitators and barriers that connect research, clinical and public health information systems. The work establishes a durable global partnership and lays the groundwork to guide responsible AI development for a pressing health challenge in Peru.