Health-professional Education Partnership Initiative - Transforming Ugandan Institutions Training Against HIV/AIDS (HEPI-TUITAH)

卫生专业教育伙伴关系倡议 - 乌干达艾滋病毒/艾滋病培训机构转型 (HEPI-TUITAH)

• 批准号: 10460427
• 负责人: Celestino Obua
• 金额: $ 59.8万
• 依托单位: MBARARA UNIVERSITY/SCIENCE/ TECHNOLOGY
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-09-19 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10460427
• 关键词: AIDS prevention; AIDS/HIV problem; Address; Adopted; Adult; Africa South of the Sahara; Behavioral Research; Biomedical Research; Caring; Clinical; Clinical Research; Clinical Skills; Communities; Community Health; Community of Practice; Competence; Complement; Counseling; Country; Decentralization; Discipline of Nursing; Dose; Education; Educational Curriculum; Epidemic; Frequencies; Funding; General Hospitals; General Population; HIV; Health; Health Personnel; Health Professional; Health Services Research; Health care facility; Health system; Healthcare; Human Resources; Human immunodeficiency virus test; Institution; Interdisciplinary Study; Knowledge; Knowledge Management; Leadership; Mainstreaming; Massachusetts; Medical; Mentors; Mentorship; Midwifery; Modeling; Nurse Midwives; Nurses; Operations Research; Participant; Patient Care; Patients; Persons; Policies; Population; Prevalence; Prevention; Primary Health Care; Professional Education; Provider; Research; Research Ethics; Research Training; Resources; Role; Rural; SERPINI2 gene; Science; Seroprevalences; Service delivery model; Services; Strategic Planning; Structure; Students; Support System; System; Technology; Testing; Time; Training; Training Programs; Uganda; Universities; Woman; Work; base; burden of illness; care delivery; care providers; care systems; clinical care; comorbidity; health care delivery; low income country; men; mortality; prevention service; profession allied to medicine; programs; research study; response; rural area; service delivery; success; surveillance data; undergraduate student; underserved community; urban area

Abstract Uganda is one of the 10 countries that, together, account for 81% of the estimated 24.7 million people living with HIV (PLWH) in Sub-Saharan Africa (SSA). The most recent surveillance data (2016) show an HIV prevalence of 6.5% in the general population in Uganda (1.4 million PLHIV), and this burden is disproportionately born by women (7.6% seroprevalence) vs. adult men (4.7%). Although HIV prevalence in rural Uganda is somewhat lower (5.8%), this is where 80% of the population resides; yet, 71% of doctors and 41% nurses and midwives serve urban areas. Thus, although the majority of PLWH are in rural areas, these communities are underserved – often with widely scattered healthcare facilities – and need strategic approaches to attract and retain a well-trained workforce to confront the healthcare and prevention challenges of the epidemic. The Ugandan National HIV/AIDS Strategic Plan 2016-2020 prioritizes human resources for delivery of health, prevention, and community-based HIV/AIDS services in both public and non-public sectors. To address the health-professional training that will be critical to lessening the HIV/AIDS burden – particularly in rural Uganda – the Mbarara University of Science and Technology (MUST) in rural southwest Uganda and its partner institutions in rural Uganda (Bishop Stuart, Busitema and Lira Universities) and the US (Massachusetts General Hospital) propose the HEPI-TUITAH (Transforming Ugandan Institutions Training Against HIV/AIDS) program. This inter-professional HIV/AIDS service-improvement training program will build on our successes in the MEPI-MESAU consortium and our current Mbarara University Research Training Initiative (MURTI; D43TW010128, PI: Obua) and Mbarara University Research Ethics Education Program (MUREEP; R25TW010507, PI: Kiwanuka) to address the following specific aims: (1) To increase the competency of undergraduate medical, nursing, midwifery, and allied health professional students in the management of HIV/AIDS through the "low dose, high frequency" training model for quality clinical education, patient care, and HIV prevention services in Uganda; (2) To enhance the capacity of primary health care providers to provide comprehensive HIV services and strengthen bidirectional linkages between health facilities and communities in rural Uganda; (3) To develop the capacity of undergraduate health professional students in rural Uganda to conduct locally relevant biomedical, behavioral, clinical, and operations research in HIV and its co-morbidities; and (4) To strengthen a network of health professional training institutions (HPTIs) by building a community of practice and leveraging local resources and expertise to mitigate the national HIV/AIDS burden. At the completion of the TUITAH, we expect to have trained 2,368 health professionals students and up to 240 Primary Care Providers in HIV/AIDS prevention, care, and research, thus contributing significantly to the cadre of health professionals serving rural Uganda. The TUITAH program has the potential to be a model for health provider training throughout SSA.

摘要

项目成果

Influence of intensified adherence counselling on viral load suppression of people receiving antiretroviral therapy at a health centre IV in southwestern Uganda: a qualitative study.

• DOI: 10.1186/s12981-021-00372-w
• 发表时间: 2021-07-28
• 期刊: AIDS research and therapy
• 影响因子: 2.2
• 作者: Pius A;Josephine NN;Erick S;Winifred A;Rita M;Silverjoseph O;Lucy E;Novatus N
• 通讯作者: Novatus N

Care Burden and Coping Strategies among Caregivers of Paediatric HIV/AIDS in Northern Uganda: A Cross-Sectional Mixed-Method Study.

• DOI: 10.1155/2021/6660337
• 发表时间: 2021
• 期刊: AIDS research and treatment
• 影响因子: 1.7
• 作者: Mujjuzi I;Mutegeki P;Nabuwufu S;Wosukira A;Namata F;Alayo P;Amanya SB;Nyeko R
• 通讯作者: Nyeko R

Behavioral and psycho-social impairments among people living with dementia and their management by caregivers in South-Western Uganda: a qualitative study.

• DOI: 10.1080/13607863.2022.2146053
• 发表时间: 2023-09
• 期刊: AGING & MENTAL HEALTH
• 影响因子: 3.4
• 作者: Arinaitwe, Innocent;Karungi, Christine K.;Gopez, Abigail;Wakida, Edith K.;Talib, Zohray M.;Mubangizi, Vincent;Obua, Celestino
• 通讯作者: Obua, Celestino

Perceptions of females about trauma-informed services for survivors of sexual violence in south western Uganda- a qualitative study.

• DOI: 10.1186/s12889-021-12227-0
• 发表时间: 2021-11-23
• 期刊: BMC public health
• 影响因子: 4.5
• 作者: Amwiine E;Ainembabazi B;Obwona I;Opoka R;Akatuhumuriza M;Niyonzima V;Mubangizi V
• 通讯作者: Mubangizi V

Exploring parental understanding of child sexual abuse and prevention as a measure for HIV prevention in Rwampara district.

• DOI: 10.1371/journal.pone.0269786
• 发表时间: 2022
• 期刊: PloS one
• 影响因子: 3.7