STD/AIDS Research Training Fellowship Program
STD/HIV in Maternal, Child, & Adolescent Health Track
Director: Grace John-Stewart, MD, MPH, PhD
Overview: The STD/HIV in Maternal, Child, & Adolescent Health Track attracts trainees committed to an academic career
in the study of research in the area of maternal, reproductive, and pediatric (including adolescent) populations. In response to
this need, the Center for Global Integrated Health of Women, Adolescents, and Children (Global WACh) was established at UW in 2011,
directed by Dr. John-Stewart. Because of the highly successful prevention of maternal to child transmission of HIV in developed
countries, many of the relevant projects on this topic occur internationally at well-established developing country sites, at
which our faculty have worked for decades. Projects with an adolescent focus are generally mentored by faculty affiliated with
Seattle Children's Hospital (Drs. Richardson, Moreno, and Evans). Most MDs in this track already have, or obtain during fellowship,
an MPH degree in Epidemiology and they have close linkage with the Epidemiology & Prevention Interventions for HIV/STD Track.
This track often includes field research experience in Africa, Asia, Latin America, or the Caribbean.
5 Training Faculty and 3 Junior Training Faculty
John-Stewart, Grace MD, PhD, MPH Track Director, Training Faculty
Dr. John-Stewart's major research interest is the epidemiology and transmission of HIV-1 infection in Africa. She directs
several large cohort studies aimed at defining mechanisms of HIV transmission between sexual partners, from mothers to infants,
and pediatric HIV-1 treatment response. Her work also focuses on molecular epidemiology of cofactors for HIV-1 transmission and
progression. Her group is conducting studies to evaluate the role of co-infections on HIV-1 pathogenesis. Finally, she is leading
several projects aimed at assessing programmatic implementation in HIV prevention and treatment, family planning, and maternal
Farquhar, Carey MD, MPH Training Faculty
Dr. Farquhar's studies focus on mother-to-child HIV transmission, HIV-discordant couples and pediatric HIV, and include a new
implementation science study assessing HIV testing and partner notification in rural and urban Kenyan communities. Since 2004,
she has directed the University of Washington (UW) AIDS International Training and Research Program which builds research capacity
in Kenya, Peru, Uganda, Mozambique and India by funding physicians and scientists for MPH and doctoral degrees and through
offering in-country courses on grant writing, mentorship, and research methods.
Frenkel, Lisa MD Training Faculty
Research focuses on understanding HIV-1-drug-resistance, prevention of mother-to-child- transmission, and mechanisms that allow
HIV-1 infection to persist despite suppressive antiretroviral therapy, including defining viruses that persist to form reservoirs,
and viruses shed from the genital tract of adults when blood tests show that HIV-1 replication is suppressed by antiretroviral
treatment. Her group also is working to develop and transfer practical and economical assays to facilitate HIV-1 diagnosis in
infants and to monitor antiretroviral treatment and drug-resistant mutants in resource-poor communities.
Moreno, Megan MD, MPH Training Faculty
Dr. Moreno's research focuses on novel ways to prevent and intervene to reduce causes of morbidity and mortality in the
adolescent population. Research centers on adolescents' use of media and technology and how these may impact adolescent health
behaviors. Previous studies have shown links between exposure to substance use and sexual content in media, and initiation of
these behaviors. Social media are a particular interest of the research team, as these types of media allow adolescents to be
both producers and consumers of media messages about health.
Richardson, Laura MD, MPH Training Faculty
Dr. Richardson's research focuses on understanding interactions between mental and physical health in adolescents, reducing
engagement in health risk behaviors, and improving care for adolescents in primary care settings with a focus on depressed youth.
Areas of study include examination of the impact of adolescent depression on development of obesity in adulthood, impact of
depression and anxiety on smoking and symptom burden among asthmatic youth, patterns of opioid use among youth, and development of
health services interventions to improve depression management in primary care.
Evans, Yolanda MD Junior Training Faculty
Current research involves the use of technology, via telemedicine and text messaging, to engage pediatric and adolescent patients.
Dr. Evans is currently involved in a qualitative study on how social support helps or hinders parents in a pediatric obesity
treatment program. Future interests include using telemedicine to reach adolescent patients in rural locations.
Mitchell, Caroline MD, MPH Junior Training Faculty
Research focuses on understanding the mucosal immune response to bacteria in the female genital tract, and how this might
influence reproductive health. One area of focus is the syndrome of bacterial vaginosis, trying to understand its etiology as well
as its effects on outcomes such as HIV-1 genital tract shedding and preterm delivery. Current work is focused on understanding the
mechanisms by which vaginal bacteria induce a mucosal immune response, and what factors modify that response.
Prager, Sarah MD Junior Training Faculty
Research is focused on education of family planning topics. Dr. Prager has been involved in a project training midwives in
immediate post abortion IUD insertion, and in a multi-year project training family medicine physicians in office-based miscarriage
management. She has mentored a number of residents and fellows through various family planning oriented research projects.
^ back to top