HAITI AIDS RESEARCH TRAINING: MODELS TO IMPLEMENTATION

描述(由申请者提供)：GHESKIO-Cornell ICOHRTA培训计划的目标是提高综合临床、业务和卫生服务研究的能力，以支持海地扩大艾滋病毒预防和护理服务的国家规模。海地是最贫穷的国家，也是西半球艾滋病毒感染率最高的国家，估计有5%的成年人感染了艾滋病毒。作为回应，海地卫生部正在发起海地全国艾滋病毒护理和预防网络，这是全国各地公共和私营保健组织的合作项目，每年将向30万人提供标准化一揽子艾滋病毒护理和预防服务，包括自愿咨询和检测、结核病和性传播感染的管理、预防母婴艾滋病毒传播和全面的艾滋病毒护理。卫生部已要求GHESKIO中心通过培训、监督、监测和评估以及开展业务和卫生服务研究来领导这一网络。GHESKIO中心是一家国际研究和培训机构，受益于康奈尔大学和范德比尔特大学二十年来在福格蒂国际中心的支持下进行的研究能力建设。盖斯基奥现在是公认的国际卓越研究中心，是美国国立卫生研究院艾滋病毒疫苗试验网络(HVTN)、艾滋病临床试验小组(ACTG)的成员，也是世界卫生组织热带病研究计划(TDR)的现场站点。在目前的提案中，GHESKIO将成为主要的培训机构，并将研究能力扩展到参与海地全国艾滋病毒护理和预防网络的海地其他组织。盖斯基奥将与海地和国际合作伙伴合作，开发临床、操作和卫生服务研究方法以及伦理、项目管理和科学写作方面的短期和长期培训课程。在海地开设的公共卫生硕士课程将是这一课程发展的高潮。其目标是培训一支研究领导干部队伍，并提高全国艾滋病毒护理和预防网络的研究能力。将构成ICOHRTA培训计划基础的综合临床、业务和卫生服务研究的具体领域包括：1)成人抗逆转录病毒治疗；2)预防母婴艾滋病毒传播和艾滋病毒感染母亲和婴儿的抗逆转录病毒治疗；3)结核病；4)性传播感染；5)伦理；6)艾滋病毒护理和预防的健康结果。研究培训的重点将是将艾滋病毒护理和预防模式转化为大规模的国家实施。

DESCRIPTION (provided by applicant): The goal of GHESKIO-Cornell ICOHRTA training program is to increase capacity in integrated clinical, operational, and health services research in support of Haiti's national scale-up of HIV prevention and care services. Haiti is the poorest country and has the highest rates of HIV infection in the Western Hemisphere, with an estimated 5% of the adult population infected. In response, the Haitian Ministry of Health is initiating the Haitian National HIV Care and Prevention Network, a collaboration of public and private health care organizations across the country that will provide a standardized package of HIV care and prevention services to 300,000 people/year, including voluntary counseling and testing, management of tuberculosis and sexually transmitted infections, prevention of mother to child HIV transmission and comprehensive HIV care. The Ministry has asked the GHESKIO Centers to lead this network through training, supervision, monitoring and evaluation, and through the conduct of operational and health services research. The GHESKIO Centers is an international research and training institution that has benefited from twenty years of research capacity building from Cornell and Vanderbilt Universities, supported by the Fogarty International Center. GHESKIO is now recognized as an international center of research excellence, and is a member of the NIH HIV Vaccine Trials Network (HVTN), the AIDS Clinical Trials Group (ACTG), and a field site of the WHO's Tropical Disease Research Programme (TDR). In the current proposal, GHESKIO will become the primary training institution and extend research capacity to other organizations in Haiti that are participating in the Haitian National HIV Care and Prevention Network. GHESKIO, in collaboration with Haitian and International partners, will develop short- and long-term training curricula in clinical, operational, and health services research methodology and in ethics, program management, and scientific writing. A Masters in Public Health Program offered in Haiti will be the culmination of this curricula development. The objective is to train a cadre of research leaders and to increase research capacity in the National HIV Care and Prevention Network. The specific areas of integrated clinical, operational, and health services research that will form the basis of the proposed ICOHRTA training program include: 1) adult antiretroviral treatment; 2) prevention of mother to child HIV transmission and antiretroviral treatment of HIV-infected mothers and infants; 3) tuberculosis; 4) sexually transmitted infections; 5) ethics; and 6) health outcomes of HIV care and prevention. Research training will focus on translating models of HIV care and prevention to large scale national implementation.