Evaluating a Research Training Program in Environmental Health and Noncommunicable Diseases in Georgia

The Clean Air Research and Education (CARE) program, launched in 2020, aims to enhance environmental health (EH) and noncommunicable disease (NCD) research capacity in the Republic of Georgia. This paper evaluates the first 4.5 years of CARE, summarizing fellows' activities and achievements to date and fellow and faculty reactions to CARE. In February 2025, CARE leadership anonymously surveyed fellows (100% response rate: n = 23/23; 4 Master's of Public Health [MPH], 19 PhD) and faculty (66.7%: n = 10/15; 6 Georgia-based, 4 US-based). Thesis/dissertation topics included tobacco (43.5%), air pollution and respiratory outcomes (each 21.7%), lead exposure and cancer-related and cardiovascular outcomes (each 13.0%), and others. Fellows leveraged CARE's financial support for research execution (78.3%), scientific conferences (34.8%), specific training (21.7%, n = 5/23), and/or publication fees (26.1%). Fellows indicated that the most valuable program aspects were opportunities for (1) building/expanding professional networks; (2) exposure to experts and training; and (3) instrumental support to pursue their PhD and conduct research. Fellows and faculty prioritized sustaining the following: structured mentor-mentee relationships; involvement of US-based mentors; support identifying research funding and preparing publications; and training in methods/data analysis. This study provides a model for evaluating other research training programs and highlights the important role such programs may play in developing the capacity to conduct relevant public health research in low- and middle-income countries.