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: 10254615
• 负责人: Celestino Obua
• 金额: $ 7.5万
• 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/10254615
• 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; 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10个国家之一，这10个国家加在一起占估计2470万人口的81%。 撒哈拉以南非洲（SSA）的艾滋病毒感染者（PLWH）。最近的监测数据（2016年）显示， 乌干达一般人口（140万艾滋病毒感染者）的患病率为6.5%，这一负担是 与成年男性（4.7%）相比，女性（7.6%）的出生比例更高。虽然艾滋病毒流行率在 乌干达农村的比例略低（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，虽然大多数艾滋病毒携带者在农村地区， 社区服务不足--通常医疗设施分散--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 传染病。乌干达《2016-2020年国家艾滋病毒/艾滋病战略计划》将人力资源作为优先事项， 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人员培训问题， 特别是在乌干达的农村地区--位于乌干达西南部农村的姆巴拉拉科技大学（MUST） 乌干达及其在乌干达农村地区的伙伴机构（斯图亚特主教大学、布西特马大学和里拉大学）和美国 （马萨诸塞州总医院）提出HEPI-TUITAH（乌干达机构培训转型） 防治艾滋病毒/艾滋病）方案。这一跨专业的艾滋病毒/艾滋病服务改进培训方案将建立 我们在MEPI-MESAU联盟和我们目前的姆巴拉拉大学研究培训中取得的成功 倡议（MURTI; D43 TW 010128，PI：Obua）和姆巴拉拉大学研究伦理教育计划 （MUREEP; R25 TW 010507，PI：Kiwanuka），以解决以下具体目标：（1）增加 本科医学，护理，助产学和专职医疗专业学生的能力 通过高质量临床教育的“低剂量、高频率”培训模式管理艾滋病毒/艾滋病， 病人护理和艾滋病毒预防服务;（2）加强初级保健的能力 提供者提供全面的艾滋病毒服务，并加强卫生保健与 乌干达农村地区的设施和社区;（3）发展大学生卫生专业人员的能力 乌干达农村的学生进行当地相关的生物医学，行为，临床和运营研究， （4）加强卫生专业培训机构网络 通过建立实践社区和利用当地资源和专门知识， 艾滋病毒/艾滋病负担。在TUITAH项目完成时，我们预计将培训2 368名卫生专业人员。 学生和多达240名初级保健提供者在艾滋病毒/艾滋病预防，护理和研究，从而促进 这对乌干达农村地区的卫生专业人员来说意义重大。TUITAH项目有潜力 成为整个南威尔士州卫生服务提供者培训的典范。