Planning a Strategic HIV Population Science Training Grant in Peru

描述(申请人提供)：秘鲁受艾滋病毒集中流行的影响，男男性行为者(MSM)和变性女性(TW)受影响最大。在过去九年中，秘鲁从全球基金的四轮融资中获得了资金，以支持国家应对这一流行病。这使得可以在公立医院引入免费的艺术，增加避孕套的分发，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，减少了艾滋病毒相关的发病率和死亡率，但尚不清楚预防工作在多大程度上产生了积极影响； 事实上，男男性接触者和台湾妇女之间的艾滋病毒发病率似乎保持稳定。尽管秘鲁在过去15年里进行了大量以艾滋病毒为重点的研究，但研究主要包括国际上感兴趣的临床试验，这些试验并没有支持当地的艾滋病毒预防计划。这项规划建议旨在制定艾滋病毒人口科学方面的培训计划，并加强准备拨款申请和管理/管理资助研究的机构能力。它是由卡耶塔诺·赫雷迪亚大学(UPCH)的健康、性和人类发展部门与加州大学伯克利分校、洛杉矶大学和旧金山大学合作领导的。这项拟议培训的主要领域是：流行病学监测、风险和脆弱性的心理社会和结构性决定因素研究；综合(生物医学、行为、结构性)预防的实施研究；以及旨在理解和改进艾滋病毒决策证据使用的政策研究。这一培训方案被认为是与联合圣保罗大学和秘鲁其他机构正在进行或计划开展的其他培训举措的协同和补充。

DESCRIPTION (provided by applicant): 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.