Optimizing HIV Prevention in Ethiopia through Implementation Science

描述(申请人提供)：这项名为“通过实施科学优化埃塞俄比亚艾滋病毒预防”的申请，建议通过与约翰·霍普金斯大学培训小组的合作，建立和加强能够在埃塞俄比亚亚的斯亚贝巴大学(AAU)健康科学学院开展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(母婴传播)和治疗即预防(TasP)。我们建议的研究培训计划涉及NIH在2012财年战略计划中优先考虑的多个领域。防止母婴传播是埃塞俄比亚目前的一个优先事项，预计在不久的将来将成为该国关注的焦点。该提案回应了机构需求，在现有能力的基础上，利用其他正在进行的培训基础设施，填补了方法上的差距，这不仅是解决艾滋病毒预防问题的关键，也是解决其他公共卫生挑战的关键。它建立在AAU和JHU之间长期合作的基础上，其中包括艾滋病毒研究、PEPFAR支持的艾滋病毒计划实施、之前的Fogarty支持的培训和医学教育伙伴计划倡议。我们现在提出了一个计划，包括对3名对实施研究感兴趣的AAU中级教师进行高级专业培训，并为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。培训轨道将提供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。授课培训将包括在线课程和设在巴尔的摩的JH Bloomberg公共卫生学院课程的结合，并辅之以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。经过培训的中级AAU教员将协助JHU教员在未来几年提供课程。初级实习生将开发和开展实施研究，解决对预防艾滋病毒至关重要的问题，该方案的毕业生将担任更多初级实习生的导师。评价指标将包括受训人员的科学产出(出版物、拨款申请、在科学会议上的陈述)，特别是包括跨学科方法的任何成果 以及学员满意度和对该计划的感知效益的指标。该计划将培养一支训练有素的跨学科研究人员队伍，重点关注艾滋病毒预防，这是一个优先事项 对于该机构和国家艾滋病毒方案来说，其特定的研究技能将是确定以最佳方式实施当前和未来艾滋病毒预防战略的关键。

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.