Identifying HIV and related stigma in rural Haiti

描述(申请人提供)：艾滋病毒感染是一种全球卫生紧急情况。最近已获得资金，开始在资源贫乏的国家扩大艾滋病毒治疗。然而，关于发展中国家艾滋病毒护理的障碍或如何最好地识别和吸引艾滋病毒感染患者在这些环境中接受护理的数据很少--这些问题对成功实施治疗方案至关重要。路易丝·艾弗斯，医学博士，波士顿布里格姆妇女和马萨诸塞州综合医院传染病研究员，3年。她在热带医学和传染病方面接受过广泛的临床培训，目前是社会医学和健康不平等司的研究员，在海地农村开展艾滋病毒治疗扩大项目。这份经修订的K23提案名为“识别海地农村地区的艾滋病毒和相关污名”，有三个具体目标：(1)确定海地农村地区艾滋病毒检测和护理迟交的预测因素。(2)衡量海地农村地区艾滋病毒相关的污名，并确定海地农村地区艾滋病毒检测和护理方面的障碍。(3)评估海地农村地区艾滋病毒常规检测项目的有效性。肯尼斯·弗里德伯格博士和保罗·法默博士将担任这项提案的导师和共同导师。两人都是哈佛医学院(HMS)的高级教员，拥有丰富的艾滋病毒相关临床研究经验。HMS凭借其丰富的多学科研究环境以及与拟议的海地研究地点20年的合作，为候选人的专业发展提供了良好的环境。艾弗斯博士的长期职业目标是成为一名独立的临床调查员，重点是在资源匮乏的情况下评估复杂的健康干预措施，如艾滋病毒治疗。在获奖期间，她将通过授课课程发展流行病学和定量方法方面的高级技能，最终在哈佛大学公共卫生学院获得公共卫生硕士学位，并将从知名导师的专业知识和对她成功的深厚机构承诺中受益匪浅。

DESCRIPTION (provided by applicant): HIV infection is a global health emergency. Funding has recently become available to begin scale-up of HIV treatment in resource poor countries. Few data exist however, on barriers to HIV care in the developing world or how best to identify and engage HIV-infected patients in care in these settings - issues which are critical to successful implementation of treatment programs. Louise Ivers, MD is a 3rd year Infectious Disease fellow at Brigham and Women's and Massachusetts General Hospitals in Boston. She has had extensive clinical training in tropical medicine and infectious diseases, and is currently a research fellow in the Division of Social Medicine and Health Inequalities, working on an HIV treatment scale-up project in rural Haiti. This revised K23 proposal, entitled 'Identifying HIV and Related Stigma in Rural Haiti' has three specific aims: (1) To determine predictors of late presentation for HIV testing and care in rural Haiti.(2) To measure HIV-related stigma and to determine barriers to uptake of HIV testing and care in rural Haiti.(3) To evaluate the effectiveness of a routine HIV testing program in rural Haiti. Drs. Kenneth Freedberg and Paul Farmer will serve as mentor and co-mentor for this proposal. Both are senior faculty members at Harvard Medical School (HMS), with extensive HIV-related clinical research experience. HMS, by virtue of its rich multidisciplinary research environment and 20-year collaboration with the proposed research site in Haiti, provides an excellent environment for the candidate's professional development. Dr. Ivers' long-term career goal is to become an independent clinical investigator with emphasis on the evaluation of complex health interventions, such as HIV treatment, in resource poor settings. During the award period, she will develop advanced skills in epidemiologic and quantitative methods through didactic coursework leading to a Masters in Public Health degree at Harvard School of Public Health, and will greatly benefit from the combined expertise of renowned mentors and a deep institutional commitment to her success.