Identifying HIV and related stigma in rural Haiti

描述（由申请人提供）：艾滋病毒感染是全球卫生紧急事件。最近已经获得资金，开始在资源贫乏的国家扩大艾滋病毒治疗。然而，关于发展中国家艾滋病毒护理的障碍或如何最好地识别和使这些环境中的艾滋病毒感染患者参与护理的数据很少，而这些问题对成功实施治疗方案至关重要。路易斯·艾佛斯医学博士是布莱根妇女医院和波士顿麻省总医院感染性疾病研究员。她在热带医学和传染病方面接受过广泛的临床培训，目前是社会医学和保健不平等司的研究员，在海地农村开展艾滋病毒治疗扩大项目。这项修订后的K23提案，题为“识别海地农村地区的艾滋病毒和相关耻辱”，有三个具体目标：(1)确定海地农村地区艾滋病毒检测和护理的迟报预测因素。(2)衡量艾滋病毒相关的耻辱感，并确定海地农村地区接受艾滋病毒检测和护理的障碍。(3)评估海地农村地区常规艾滋病毒检测项目的有效性。Drs。Kenneth Freedberg和Paul Farmer将担任该提案的导师和共同导师。两人都是哈佛医学院（HMS）的资深教员，具有丰富的艾滋病相关临床研究经验。HMS凭借其丰富的多学科研究环境以及与海地拟议研究地点长达20年的合作，为候选人的专业发展提供了良好的环境。Ivers博士的长期职业目标是成为一名独立的临床研究者，重点是在资源贫乏的环境中评估复杂的健康干预措施，如艾滋病毒治疗。在获奖期间，她将通过教学课程发展流行病学和定量方法的高级技能，最终获得哈佛大学公共卫生学院的公共卫生硕士学位，并将从知名导师的专业知识和对她成功的深刻承诺中受益匪浅。

DESCRIPTION (provided by applicant): HIV infection is a global health emergency. Funding has recently become available to begin scale-up of HIV treatment in resource poor countries. Few data exist however, on barriers to HIV care in the developing world or how best to identify and engage HIV-infected patients in care in these settings - issues which are critical to successful implementation of treatment programs. Louise Ivers, MD is a 3rd year Infectious Disease fellow at Brigham and Women's and Massachusetts General Hospitals in Boston. She has had extensive clinical training in tropical medicine and infectious diseases, and is currently a research fellow in the Division of Social Medicine and Health Inequalities, working on an HIV treatment scale-up project in rural Haiti. This revised K23 proposal, entitled 'Identifying HIV and Related Stigma in Rural Haiti' has three specific aims: (1) To determine predictors of late presentation for HIV testing and care in rural Haiti.(2) To measure HIV-related stigma and to determine barriers to uptake of HIV testing and care in rural Haiti.(3) To evaluate the effectiveness of a routine HIV testing program in rural Haiti. Drs. Kenneth Freedberg and Paul Farmer will serve as mentor and co-mentor for this proposal. Both are senior faculty members at Harvard Medical School (HMS), with extensive HIV-related clinical research experience. HMS, by virtue of its rich multidisciplinary research environment and 20-year collaboration with the proposed research site in Haiti, provides an excellent environment for the candidate's professional development. Dr. Ivers' long-term career goal is to become an independent clinical investigator with emphasis on the evaluation of complex health interventions, such as HIV treatment, in resource poor settings. During the award period, she will develop advanced skills in epidemiologic and quantitative methods through didactic coursework leading to a Masters in Public Health degree at Harvard School of Public Health, and will greatly benefit from the combined expertise of renowned mentors and a deep institutional commitment to her success.