Identifying HIV and related stigma in rural Haiti

识别海地农村地区的艾滋病毒和相关耻辱

基本信息

批准号：
7644464
负责人：
Louise C. Ivers
金额：
$ 13.35万
依托单位：
BRIGHAM AND WOMEN'S HOSPITAL
依托单位国家：
美国
项目类别：
财政年份：
2005
资助国家：
美国
起止时间：
2005-08-15 至 2011-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7644464
关键词：
Acquired Immunodeficiency Syndrome Address Attitude Award Boston CD4 Lymphocyte Count Caring Clinic Clinical Clinical Investigator Clinical Research Collaborations Communicable Diseases Communities Complex Country Data Development Diagnosis Disease Dose Early Diagnosis Economics Education Effectiveness Emergency Situation Environment Evaluation Faculty Funding General Hospitals Goals HIV Haiti Health High Prevalence Hospitals Human immunodeficiency virus test Individual Interdisciplinary Study International Intervention Knowledge Malaria Massachusetts Measures Medical Mentors Methods Nonprofit Organizations Patients Pharmaceutical Preparations Public Health Public Health Schools Research Resources Rural Site Social Medicine Stigmata Subgroup Testing Time Training Tropical Medicine United States Virus Diseases Visit Woman Work base career cohort effectiveness measure experience farmer fighting health inequalities low socioeconomic status medical schools member men programs scale up skills social stigma success treatment program uptake

项目摘要

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.

描述（由申请人提供）：HIV感染是全球卫生紧急情况。最近，资金已开始开始在资源贫困国家开始对艾滋病毒的治疗进行扩展。但是，对于发展中国家的艾滋病毒护理障碍，或者如何最好地识别和吸引感染HIV的患者在这些情况下，这对于成功实施治疗计划至关重要的问题。路易丝·艾弗斯（Louise Ivers），医学博士是杨百翰（Brigham）的第三年传染病研究员，以及波士顿的马萨诸塞州妇女和马萨诸塞州的通用医院。她在热带医学和传染病方面接受了广泛的临床培训，目前是社会医学和健康不平等现象的研究员，从事海地农村农村的HIV治疗规模项目的工作。这项修订的K23提案，题为“确定海地农村地区的艾滋病毒和相关污名”具有三个具体目的：（1）确定海地农村农村艾滋病毒测试和护理的晚期预测因素。（2）衡量与HIV相关的污名，以便对艾滋病毒测试的障碍，以确定对HIV和护理效果的障碍，以评估hiv heriv hait。海地。博士。肯尼斯·弗里德伯格（Kenneth Freedberg）和保罗·法默（Paul Farmer）将担任该提案的导师和联合委员。两者都是哈佛医学院（HMS）的高级教职员工，具有广泛的HIV相关临床研究经验。 HMS凭借其丰富的多学科研究环境和与海地拟议的研究站点的20年合作，为候选人的专业发展提供了一个绝佳的环境。 Ivers博士的长期职业目标是成为一名独立的临床研究者，重点是评估复杂的健康干预措施，例如HIV治疗，在资源较差的情况下。在奖励期间，她将通过教学课程开发流行病学和定量方法的高级技能，从而导致哈佛公共卫生学院获得公共卫生学位的硕士学位，并将大大受益于著名的导师的综合专业知识以及对她成功的深厚的机构承诺。