Health-professional Education Partnership Initiative - Transforming Ugandan Institutions Training Against HIV/AIDS (HEPI-TUITAH)

卫生专业教育伙伴关系倡议 - 乌干达艾滋病毒/艾滋病培训机构转型 (HEPI-TUITAH)

• 批准号: 10229514
• 负责人: Celestino Obua
• 金额: $ 59.8万
• 依托单位: MBARARA UNIVERSITY/SCIENCE/ TECHNOLOGY
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-09-19 至 2023-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10229514
• 关键词: AIDS prevention; AIDS/HIV problem; Address; Adopted; Adult; Africa South of the Sahara; Behavioral Research; Biomedical Research; Caring; Clinical; Clinical Research; Clinical Skills; Communities; Community Health; Community of Practice; Competence; Complement; Counseling; Country; Decentralization; Discipline of Nursing; Dose; Education; Educational Curriculum; Epidemic; Frequencies; Funding; General Hospitals; General Population; HIV; Health; Health Personnel; Health Professional; Health Services Research; Health care facility; Health system; Healthcare; Human Resources; Human immunodeficiency virus test; Information Resources Management; Institution; Interdisciplinary Study; Knowledge; Leadership; Mainstreaming; Massachusetts; Medical; Mentors; Mentorship; Midwifery; Modeling; Nurse Midwives; Nurses; Operations Research; Participant; Patient Care; Patients; Policies; Population; Prevalence; Prevention; Primary Health Care; Professional Education; Provider; Research; Research Ethics; Research Training; Resources; Role; Rural; SERPINI2 gene; Science; Seroprevalences; Service delivery model; Services; Strategic Planning; Structure; Students; Support System; System; Technology; Testing; Time; Training; Training Programs; Uganda; Universities; Woman; Work; base; burden of illness; care delivery; care providers; care systems; clinical care; comorbidity; health care delivery; low income country; men; mortality; prevention service; profession allied to medicine; programs; research study; response; rural area; service delivery; success; surveillance data; undergraduate student; underserved community; urban area

Abstract Uganda is one of the 10 countries that, together, account for 81% of the estimated 24.7 million people living with HIV (PLWH) in Sub-Saharan Africa (SSA). The most recent surveillance data (2016) show an HIV prevalence of 6.5% in the general population in Uganda (1.4 million PLHIV), and this burden is disproportionately born by women (7.6% seroprevalence) vs. adult men (4.7%). Although HIV prevalence in rural Uganda is somewhat lower (5.8%), this is where 80% of the population resides; yet, 71% of doctors and 41% nurses and midwives serve urban areas. Thus, although the majority of PLWH are in rural areas, these communities are underserved – often with widely scattered healthcare facilities – and need strategic approaches to attract and retain a well-trained workforce to confront the healthcare and prevention challenges of the epidemic. The Ugandan National HIV/AIDS Strategic Plan 2016-2020 prioritizes human resources for delivery of health, prevention, and community-based HIV/AIDS services in both public and non-public sectors. To address the health-professional training that will be critical to lessening the HIV/AIDS burden – particularly in rural Uganda – the Mbarara University of Science and Technology (MUST) in rural southwest Uganda and its partner institutions in rural Uganda (Bishop Stuart, Busitema and Lira Universities) and the US (Massachusetts General Hospital) propose the HEPI-TUITAH (Transforming Ugandan Institutions Training Against HIV/AIDS) program. This inter-professional HIV/AIDS service-improvement training program will build on our successes in the MEPI-MESAU consortium and our current Mbarara University Research Training Initiative (MURTI; D43TW010128, PI: Obua) and Mbarara University Research Ethics Education Program (MUREEP; R25TW010507, PI: Kiwanuka) to address the following specific aims: (1) To increase the competency of undergraduate medical, nursing, midwifery, and allied health professional students in the management of HIV/AIDS through the "low dose, high frequency" training model for quality clinical education, patient care, and HIV prevention services in Uganda; (2) To enhance the capacity of primary health care providers to provide comprehensive HIV services and strengthen bidirectional linkages between health facilities and communities in rural Uganda; (3) To develop the capacity of undergraduate health professional students in rural Uganda to conduct locally relevant biomedical, behavioral, clinical, and operations research in HIV and its co-morbidities; and (4) To strengthen a network of health professional training institutions (HPTIs) by building a community of practice and leveraging local resources and expertise to mitigate the national HIV/AIDS burden. At the completion of the TUITAH, we expect to have trained 2,368 health professionals students and up to 240 Primary Care Providers in HIV/AIDS prevention, care, and research, thus contributing significantly to the cadre of health professionals serving rural Uganda. The TUITAH program has the potential to be a model for health provider training throughout SSA.

摘要 乌干达是占总人口约2470万的81%的10个国家之一 撒哈拉以南非洲的艾滋病毒携带者(PLWH)。最新的监测数据(2016)显示， 乌干达总人口的流行率为6.5%(140万艾滋病毒感染者)，这一负担是 女性(7.6%)与成年男性(4.7%)出生的比例不成比例。虽然艾滋病毒在中国的流行率 乌干达农村地区较低(5.8%)，这是80%的人口居住的地方；然而，71%的医生和 41%的护士和助产士服务于城市地区。因此，尽管大多数妇女保健中心都在农村地区，但这些 社区服务不足--通常是分散的医疗设施--需要战略性的 吸引和留住训练有素的劳动力以应对医疗保健和预防挑战的方法 疫情的影响。乌干达2016-2020年国家艾滋病毒/艾滋病战略计划将人力资源列为优先事项 在公共和非公共部门提供保健、预防和社区艾滋病毒/艾滋病服务。 为了解决对减轻艾滋病毒/艾滋病负担至关重要的保健专业培训问题， 特别是在乌干达农村--位于西南部农村的姆巴拉拉科技大学 乌干达及其在乌干达农村地区的伙伴机构(Stuart主教大学、Busitema大学和Lira大学)以及美国 (马萨诸塞州综合医院)提出HEPI-TUITAH(改造乌干达机构培训) 抗击艾滋病毒/艾滋病)方案。这项跨专业的艾滋病毒/艾滋病服务改善培训计划将建立 关于我们在MEPI-MESAU联盟中取得的成功和我们目前在姆巴拉拉大学的研究培训 倡议(Murti；D43TW010128，PI：Obua)和姆巴拉拉大学研究伦理教育计划 (MUREEP；R25TW010507，PI：Kiwanuka)以解决以下具体目标：(1)增加 本科医学、护理、助产和专科卫生专业学生的能力 通过“低剂量、高频率”的优质临床教育培训模式管理艾滋病毒/艾滋病， 乌干达的病人护理和艾滋病毒预防服务；(2)加强初级保健能力 提供者提供全面的艾滋病毒服务，并加强卫生与卫生之间的双向联系 乌干达农村的设施和社区；(3)培养本科生卫生专业人员的能力 乌干达农村学生开展与当地相关的生物医学、行为、临床和运筹学研究 艾滋病毒及其共病；以及(4)加强卫生专业培训机构网络 通过建立实践社区并利用当地资源和专业知识来缓解国家 艾滋病毒/艾滋病负担。在TUITAH完成后，我们预计将培训2368名卫生专业人员 学生和多达240名初级保健提供者参与艾滋病毒/艾滋病预防、护理和研究，从而做出贡献 这对为乌干达农村服务的卫生专业人员队伍意义重大。TUITAH计划具有潜在的 成为整个SSA医疗服务提供者培训的典范。