Planning a Strategic HIV Population Science Training Grant in Peru

项目摘要/摘要 秘鲁受到艾滋病毒集中流行的影响，在这种情况下，男男性行为者 男男性接触者(MSM)和变性女性(TW)受影响最大。在过去的九年里，秘鲁一直 从四轮全球基金融资中获得资金，以支持国家应对措施 对流行病的影响。这允许在公立医院引入免费的抗逆转录病毒治疗，增加了 分发避孕套，并加强社区组织。虽然这些努力 成功地增加了获得治疗的机会，减少了与艾滋病毒有关的发病率 关于死亡率，尚不清楚预防工作在多大程度上产生了积极影响；事实上， 男男性接触者和TW人群的HIV发病率似乎保持稳定。尽管有大量的 秘鲁以艾滋病毒为重点的研究在过去的15年里，研究主要包括 不支持本地艾滋病毒预防的国际关注的临床试验 程序。 这项规划提案旨在开发艾滋病毒人口科学和培训方案 加强准备赠款申请和管理/监管的机构能力 资助的研究。它由健康、性和人类发展股领导，网址为 卡耶塔诺·赫雷迪亚大学(UPCH)与加州大学合作 伯克利、洛杉矶和旧金山。这项拟议培训的主要领域包括： 流行病学监测、心理社会和结构性风险决定因素研究 和脆弱性；组合实施研究(生物医学、行为学、 结构性)预防；以及旨在了解和改进使用 艾滋病毒政策制定的证据。这一培训计划被设想为协同和 与大学卫生学院和其他机构正在进行或计划开展的其他培训活动形成补充 秘鲁的机构。

Project Summary/Abstract Peru is affected by a concentrated HIV epidemic, in which men who have sex with men (MSM) and transgender women (TW) are most affected. For the past nine years, Peru has received funding from four Global Fund financing rounds to support the national response to the epidemic. This allowed the introduction of free ART in public hospitals, increased condom distribution, and strengthened community organizations. While these efforts succeeded in increasing access to treatment and reducing HIV related morbidity and mortality, it is unclear to what extent prevention work has had a positive impact; in fact, HIV incidence among MSM and TW seems to have remained stable. Despite substantial HIV-focused research in Peru over the past 15 years, research has mainly consisted of clinical trials of international interest that have not supported local HIV prevention programs. This planning proposal seeks to develop a training program in HIV population science and strengthen institutional capacities to prepare grant applications and manage/regulate funded studies. It is led by the Unit of Health, Sexuality and Human Development at Cayetano Heredia University (UPCH) in collaboration with the Universities of California at Berkeley, Los Angeles and San Francisco. The main areas for this proposed training are: epidemiological surveillance, studies of psychosocial and structural determinants of risk and vulnerability; implementation studies of combination (biomedical, behavioral, structural) prevention; and policy studies oriented to understand and improve the use of evidence for HIV policy making. This training program is conceived as synergistic and complementary with other training initiatives ongoing or planned at UPCH and other institutions in Peru.