Improving the HIV Care Cascade in Kenya through Implementation Science Training

通过实施科学培训改善肯尼亚的艾滋病毒护理梯级

• 批准号: 8516285
• 负责人: CAREY FARQUHAR
• 金额: $ 27.03万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-08-01 至 2018-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8516285
• 关键词: Acquired Immunodeficiency Syndrome; Address; Adherence; Africa South of the Sahara; Anti-Retroviral Agents; Appointment; Award; Awareness; Caring; Collaborations; Communicable Diseases; Discipline of Nursing; Distance Learning; Doctor of Philosophy; Educational process of instructing; Evaluation; Faculty; Future; Grant; HIV; Health; Healthcare; Hospital Referrals; Hospitals; Human immunodeficiency virus test; Individual; Institutes; Institution; International; Kenya; Leadership; Medical Research; Medicine; Mentors; Mentorship; Metric; Monitor; Outcome; Pharmacy facility; Policies; Positioning Attribute; Public Facilities; Public Health; Recording of previous events; Research; Research Institute; Research Priority; Research Project Grants; Research Training; System; Training; Training Programs; Training and Education; Tropical Disease; Universities; University Hospitals; Washington; Work; field study; implementation science; improved; meetings; programs

ABSTRACT The University of Washington (UW) has a 30 year history of collaboration with three Kenyan institutions (University of Nairobi, Kenyatta National Hospital, Kenya Medical Research Institute) and has strong ties to the Kenya Ministry of Health, particularly the National AIDS and STD Control Program (NASCOP). The proposed training grant will focus on building capacity at Kenyatta National Hospital (KNH), the largest teaching and referral hospital in Kenya, to improve HIV testing, linkage to care, antiretroviral initiation, adherence and retention in care, a continuum known as the HIV care cascade. Leadership at KNH and NASCOP has identified addressing "know-do gaps" in this care cascade locally, nationally and regionally in sub- Saharan Africa as a top HIV research priority. To meet this need, the University of Washington, in collaboration with KNH and the University of Nairobi, propose training in implementation science and health metrics, two fields studying delivery challenges and real-world outcomes in order to improve healthcare programs and underlying systems. The program will be led by Dr. Carey Farquhar, Director of the UW AIDS Research and Training Program (AITRP) since 2003, and Dr. John Kinuthia, Deputy Chair, Department of Research at KNH. Two complementary long-term training tracks will be offered: 1) a 3-year MPH/PhD sandwich program in implementation science which will take place in Seattle, USA (year 1) and in Nairobi, Kenya (years 2-3) and 2) a 1-year certificate program which will include 3 months of relevant coursework at the UW followed by completion of two additional UW courses offered by the Institute for Health Metrics and Evaluation (IHME) via distance learning, and completion of a mentored research project. Candidates for the training will have permanent positions at KNH, or at the Ministry of Health with appointments at KNH, and may be from different fields of medicine or public health, including nursing and pharmacy. In addition to the long- term tracks, we will offer short-term training lasting 2 weeks which will reach a larger number of KNH and MOH professional staff (200 individuals short-term vs. 16 long-term), and will include those who may be working in affiliated decentralized public facilities. This kind of short-term training will build broader institutional capacity, promote awareness of key research concepts and practices, and identify the best candidates for future long- term training. Teams including faculty from KNH and UW, as well as from the University of Nairobi Institute of Tropical and Infectious Diseases (UNITID) for those doing their PhD, will provide mentorship within a formal mentoring program. Immediate and long-term outcomes will be monitored externally by the International Training and Education Center for Health (I-TECH) during the 5-year award period. We envision the program will build the KNH research department into a robust program recognized for its expertise in implementation science training and research, and also improve the HIV care cascade at KNH and beyond its walls by influencing national policies and producing high-quality, locally relevant research.

摘要 华盛顿大学（UW）与三所肯尼亚机构有着30年的合作历史 （内罗毕大学、肯雅塔国立医院、肯尼亚医学研究所），并与 肯尼亚卫生部，特别是国家艾滋病和性传播疾病控制方案。拟议 培训补助金将重点用于肯雅塔国家医院（KNH）的能力建设，这是肯雅塔最大的教学和 肯尼亚转诊医院，以改善艾滋病毒检测、与护理的联系、抗逆转录病毒治疗的启动、坚持和 保持护理，这是一个被称为艾滋病毒护理级联的连续体。KNH和NASCOP的领导层 确定在地方、国家和区域各级解决这一护理级联中的“知识差距”， 撒哈拉非洲是艾滋病毒研究的最高优先事项。为了满足这一需求，华盛顿大学，在 与KNH和内罗毕大学合作，提出实施科学和健康方面的培训 指标，两个领域研究交付挑战和现实世界的结果，以改善医疗保健 程序和底层系统。该计划将由华盛顿大学艾滋病主任凯里·法夸尔博士领导 研究和培训计划（AITRP）自2003年以来，和博士约翰Kinuthia，副主席，系 KNH的研究。两个互补的长期培训轨道将提供：1）3年MPH/博士 将在美国西雅图（第一年）和内罗毕举办的实施科学三明治方案， 肯尼亚（2-3年）和2）1年的证书课程，其中包括3个月的相关课程，在 随后完成两个由卫生研究所提供的额外的UW课程， 通过远程学习进行评估（IHME），并完成一个指导研究项目。候选人 培训将在KNH有永久职位，或在卫生部任命KNH，并可能 来自不同的医学或公共卫生领域，包括护理和药学。除了长- 长期跟踪，我们将提供为期2周的短期培训，这将达到更多的KNH和MOH 专业工作人员（200名短期人员对16名长期人员），并将包括那些可能在 附属的分散的公共设施。这种短期培训将建立更广泛的机构能力， 提高对关键研究概念和实践的认识，并确定未来长期研究的最佳候选人。 长期训练。包括KNH和UW以及内罗毕大学研究所教师在内的团队 热带和传染病（UNITID）为那些做他们的博士学位，将在一个正式的导师 辅导计划。近期和长期成果将由国际 培训和教育中心的健康（I-TECH）在5年的奖励期。我们设想 该计划将建立KNH研究部门成为一个强大的计划承认其专业知识， 实施科学培训和研究，并改善KNH的艾滋病毒护理级联， 通过影响国家政策和产生高质量的、与当地相关的研究，