Sustaining HIV Research in Resource-Limited Settings Using PLAN (People, Learning, Adapting, Nurturing): Evidence from the 4 Youth by Youth Project in Nigeria.
Sustaining HIV Research in Resource-Limited Settings Using PLAN (People, Learning, Adapting, Nurturing): Evidence from the 4 Youth by Youth Project in Nigeria.
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DOI：
10.1007/s11904-023-00652-2
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发表时间：
2023-04
影响因子：
4.6
通讯作者：
中科院分区：
文献类型：
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在资源有限的情况下维持循证干预措施是一项长期挑战。尽管对可持续性重要性的研究越来越多，但很少有框架描述为什么以及如何在资源有限的情况下规划可持续性。借鉴可持续性文献的综合，包括动态可持续性框架，我们回顾了迄今为止从研究中吸取的经验教训，指出了在资源有限的环境中维持循证干预措施的前进道路。我们描述了为什么人们学习，适应和培养干预的核心价值观可以随着时间的推移增强其可持续性。该框架是一个动态框架，它简化了在干预措施的整个生命周期中规划循证干预措施可持续性的过程，同时考虑到重要的人以及学习，适应和培养，了解和研究干预措施/创新，实践环境，干预措施之间的相互作用，以及更广泛的生态环境。我们使用的案例研究数据，从我们正在进行的务实的艾滋病毒实施试验，4青年由青年项目，详细的价值和意义，为什么人们学习，适应和培育艾滋病毒干预措施实施在资源有限的设置事项。该项目旨在进一步开展对话，探讨研究和实践团队如何能够批判性地开展工作，以确保其循证干预措施从一开始就具有可持续性，特别是在资源有限的环境和人口中。它还说明了如何从一开始就关注可持续性可能会促进持续计划→持续效益→持续能力→持续价值所需的行动，但如果没有早期和积极的规划，这一切都不会发生。最后，我们希望加快循证艾滋病毒干预措施的可持续性，最低限度的干预可以确保实现继续和保持任何循证干预措施的理想特征的目标。
Sustaining evidence-based interventions in resource-limited settings is a perennial challenge. Despite growing research on the significance of sustainability, few frameworks describe why and how to plan for sustainability in settings limited with resources. Drawing on a synthesis of the literature on sustainability, including the Dynamic Sustainability Framework, we review lessons learned from research to date, to point out a path forward for sustaining evidence-based interventions in resource-limited settings. We describe PLAN or why people learning, adapting, and nurturing the core values of an intervention can enhance its sustainability over time. PLAN is a dynamic framework that simplifies the process of planning for sustainability of evidence-based interventions throughout the lifecyle of an intervention, taking into consideration the people that matter as well as the learning, adaptation, and nurturing involved with understanding and studying the interactions between interventions/innovations, practice settings, intervention fit, and the broader ecological contexts in which implementation occurs. We use case-study data from our ongoing pragmatic HIV implementation trial, the 4 Youth by Youth project, to detail the value and implications of why people learning, adapting, and nurturing HIV interventions implemented in resource-limited settings matter. PLAN is designed to further the dialogue on ways research and practice teams can critically work to ensure the sustainability of their evidence-based interventions from the onset, particularly in settings and with populations limited with resources. It also illustrates how attention to sustainability from the beginning may foster actions necessary for sustained program → sustained benefits → sustained capacity → sustained value, but in the absence of early and active planning, none of this will occur. Ultimately, we hope to accelerate the sustainability of evidence-based HIV interventions, and making a PLAN at the bare minimum may ensure that the goals of continuing and maintaining desirable features of any evidence-based interventions can be realized.
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影响因子：
168.9
作者：
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通讯作者：
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影响因子：
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期刊：
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发表时间：
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影响因子：
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