In 2019 active CIET-PRAM research projects included; participatory development of culturally safe flyout deliveries in Nunavik, a cluster randomized controlled trial (RCT) of a structural intervention for HIV prevention in young women in Botswana, in Nigeria, a cluster RCT of universal home visits to engage men in pregnancy care and childbirth in and an exploratory study about kunika (lack of child spacing), a cluster RCT working with traditional midwives to promote safe birth in cultural safety in indigenous groups in Mexico, a RCT testing game learning for intercultural medical education in Colombia, two pilot RCTs promoting Mayan indigenous group dynamics in safe birth in Guatemala and a seed project of safe birth in northern Uganda.