Optimizing HIV Prevention in Ethiopia through Implementation Science

项目摘要 这项名为“通过实施科学优化埃塞俄比亚的艾滋病毒预防”的申请 建议建立和加强有能力进行实施的研究团队 埃塞俄比亚亚的斯亚贝巴大学(AAU)健康科学学院的研究，通过 与约翰·霍普金斯大学的一个培训小组合作。它将专注于预防 艾滋病毒，特别是优化预防母婴传播(母婴传播)和 治疗即预防(TasP)。我们建议的研究培训计划针对多个 NIH在其2012财年战略计划中优先考虑的领域。防止母婴传播是埃塞俄比亚目前的优先事项 而TasP预计将在不久的将来成为该国关注的焦点。这项建议 响应机构需求，在现有能力的基础上建设，利用其他正在进行的 培训基础设施和填补方法空白不仅对解决艾滋病毒至关重要 预防问题，但也是其他公共卫生挑战。它建立在历史悠久的基础上 AAU和JHU之间的合作，包括艾滋病毒研究，PEPFAR支持的艾滋病毒 项目实施、优先Fogarty支持培训与医学教育 伙伴关系倡议。我们现在提出一个由高级专业人员组成的计划 对3名对实施研究感兴趣的AAU中级教员进行培训，为期2年 为8名博士后初级教师开设教学和研究培训课程。培训路径将 提供4个可能的重点领域：生物伦理学、卫生服务研究、量化和 质的研究方法。授课培训将包括在线培训和 位于巴尔的摩的JH Bloomberg公共卫生学院课程，并由 在埃塞俄比亚教授的课程和正在进行的以视频会议为基础的研讨会。中年训练有素 AAU级别的教职员工将在未来几年协助JHU教职员工提供课程。三年级的 受训人员将开发和进行实施研究，以解决以下问题 预防艾滋病毒的重要性，该计划的毕业生将成为更多 初级实习生。评价指标将包括受训人员的科学产出(出版物、补助金 提交材料、在科学会议上的陈述)，尤其是包括 跨学科方法和受训人员满意度指标 程序。该计划将培养一支训练有素的跨学科研究人员队伍 将重点放在艾滋病毒预防上，这是该机构和国家艾滋病毒方案的优先事项， 他们的具体研究技能将对确定最佳实施方法至关重要 当前和未来的艾滋病毒预防战略。

Project Summary This application, "Optimizing HIV Prevention in Ethiopia through Implementation Science," proposes to create and strengthen research teams capable of conducting implementation research at Addis Ababa University in Ethiopia (AAU) College of Health Sciences, through collaboration with a Johns Hopkins University training group. It will focus on prevention of HIV, in particular on optimizing prevention of mother to child transmission (PMTCT) and on treatment as prevention (TasP). Our proposed research training program addresses multiple areas prioritized by NIH in its FY 2012 strategic plan. PMTCT is a current priority in Ethiopia and TasP is expected to be a focus of the country's attention in the near future. The proposal is responsive to institutional needs, building upon existing capacity, leveraging other ongoing training infrastructure and filling a methodologic gap critical not only to addressing HIV prevention issues but other public health challenges as well. It builds upon a long standing collaboration between AAU and JHU that includes HIV research, PEPFAR-supported HIV program implementation, prior Fogarty supported training and the Medical Education Partnership Initiative. We are now proposing a program composed of advanced specialized training for 3 mid-level AAU faculty interested in implementation research, and a 2 year didactic and research training curriculum for 8 post-doctoral junior faculty. Training tracks will provide 4 possible areas of focus: bioethics, health services research, quantitative and qualitative research methods. Didactic training will be include a combination of online and Baltimore-based JH Bloomberg School of Public Health courses and supplemented by coursework taught in Ethiopia and an ongoing videoconference-based seminar. Trained mid- level AAU faculty will assist JHU faculty in delivering courses in future years. The junior trainees will develop and undertake implementation research addressing an issue of importance to prevention of HIV and graduates of the program will serve as mentors to more junior trainees. Evaluation metrics will include trainee scientific output (publications, grant submissions, presentations at scientific meetings), in particular any that include an interdisciplinary approach and indicators of trainee satisfaction and perceived benefit of the program. This program will create a cadre of well-trained interdisciplinary researchers focusing on HIV prevention, a priority for both the institution and the National HIV program, whose specific research skills will be crucial in identifying means of optimally implementing current and future HIV prevention strategies.