Optimizing HIV Prevention in Ethiopia through Implementation Science

描述（由申请人提供）：该申请名为“通过实施科学优化埃塞俄比亚的艾滋病预防”，提议通过与约翰霍普金斯大学培训小组的合作，在埃塞俄比亚亚的斯亚贝巴大学（AAU）健康科学学院建立和加强能够进行实施研究的研究团队。它将侧重于预防艾滋病毒，特别是优化预防母婴传播（PMTCT）和治疗即预防（TasP）。我们提出的研究培训计划涉及NIH在其2012财年战略计划中优先考虑的多个领域。预防母婴传播是埃塞俄比亚目前的优先事项，预计在不久的将来，TasP将成为该国关注的焦点。该提案响应了机构需求，以现有能力为基础，利用其他正在进行的培训基础设施，填补了不仅对解决艾滋病毒预防问题而且对解决其他公共卫生挑战至关重要的方法差距。它建立在AAU和JHU之间长期合作的基础上，包括艾滋病毒研究、pepfar支持的艾滋病毒项目实施、福格蒂支持的培训和医学教育伙伴关系倡议。现拟为3名从事实施研究的AAU中级教师提供高级专业培训，为8名博士后初级教师提供为期2年的教学和研究培训课程。培训课程将提供4个可能的重点领域：生物伦理学、卫生服务研究、定量和定性研究方法。教学培训将包括在线和巴尔的摩布隆伯格公共卫生学院课程的结合，并辅以在埃塞俄比亚讲授的课程和正在进行的基于视频会议的研讨会。训练有素的中级AAU教师将协助JHU教师在未来几年提供课程。初级受训者将针对预防艾滋病毒的重要问题开展并开展实施研究，项目毕业生将作为更多初级受训者的导师。评价标准将包括受训者的科学产出（出版物、拨款申请、在科学会议上的发言），特别是任何包括跨学科方法的产出

DESCRIPTION (provided by applicant): 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 chil 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 t 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 trainee 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.