Sociobehavioral Sciences Research to Improve Care for HIV Infection in Tanzania

改善坦桑尼亚艾滋病毒感染护理的社会行为科学研究

• 批准号: 10254046
• 负责人: John A Bartlett
• 金额: $ 7.4万
• 依托单位: DUKE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-08-01 至 2023-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10254046
• 关键词: Address; Adherence; Award; Caring; Country; Doctor of Philosophy; Environment; Face; Funding; HIV; HIV Infections; HIV Seroprevalence; Health Personnel; Healthcare; Infrastructure; Institutes; Knowledge; Leadership; Medical; Medical Education; Medical center; Medicine; Mental disorders; Monitor; North Carolina; Pathway interactions; Persons; Poverty; Psychiatry; Psychology; Public Health; Research; Research Support; Research Training; Science; Scientist; Social Behavior; Substance abuse problem; Talents; Tanzania; Testing; Training; Training Programs; Training Support; United States National Institutes of Health; Universities; Viral Load result; antiretroviral therapy; care systems; college; comorbidity; global health; implementation science; improved; prevention service; research and development; rural residence; testing services; uptake

Abstract: Tanzania has an estimated HIV seroprevalence of 4.7%, and 1,400,000 persons living with HIV infection. It faces significant obstacles to optimal care and prevention services including a lack of HIV-related knowledge, co-morbidities of mental illness and substance abuse, poverty, rural residence, limited health care infrastructure, and inadequate numbers of health care personnel. Tanzanian leadership and the PEPFAR Country Operating Plan have prioritized the uptake of testing services, optimizing adherence to antiretroviral therapy (ART), promoting diligent monitoring of ART with viral load testing, and addressing co-morbidities of mental illness and substance abuse. In this context, the importance of developing in-country research expertise in sociobehavioral and implementation sciences is extraordinary. The Duke University Global Health Institute (DGHI) and Kilimanjaro Christian Medical Center (KCMC)/Kilimanjaro Christian Medical University College (KCMU Co) have partnered to develop such expertise. They have a robust portfolio of research supported by six different NIH Institutes. Development of research expertise has been a priority, and has been supported by four D43 awards and the Medical Education Partnership Initiative. In our current D43 funding cycle, the HIV and Sociobehavioral Sciences Research Training Program has supported the trainings of three PhD's, one Master's of Medicine (MMed) in Psychiatry, three Master's in Public Health, and three short-term trainees to build research capacity. Many of these trainings have occurred in a South-South relationship between the University of Cape Town (UCT) and KCMC/KCMU Co. In this competitive renewal application, we propose trainings to further expand and solidify these initial efforts. Candidates will pursue PhD trainings in implementation science (University of North Carolina) and Psychology at (UCT), MMed in Psychiatry (UCT), MPH (UCT), and short-term trainings. Upon completion, these scientists will join those from the current D43 training cycle to form a talented team with a breadth of expertise to perform rigorous sociobehavioral and implementation science research. Together they will have access to a limited pool of pilot research funds through this proposal to further their pathway to independence. They will receive strong institutional support from the research environment and culture of KCMC/KCMU College, who have also agreed to create Departments of Sociobehavioral Sciences and Sociobehavioral Medicine to host the scientists upon return to Moshi.

抽象的： 坦桑尼亚的艾滋病毒血清阳性率估计为 4.7%，有 1,400,000 名艾滋病毒感染者 感染。它在获得最佳护理和预防服务方面面临重大障碍，包括缺乏 艾滋病毒相关知识、精神疾病和药物滥用的共病、贫困、农村 居住地、卫生保健基础设施有限以及卫生保健人员数量不足。 坦桑尼亚领导层和总统防治艾滋病紧急救援计划国家行动计划优先考虑 检测服务、优化抗逆转录病毒治疗 (ART) 的依从性、促进勤奋 通过病毒载量检测监测 ART，并解决精神疾病和 药物滥用。在此背景下，发展国内研究专业知识的重要性 社会行为和实施科学是非凡的。 杜克大学全球健康研究所 (DGHI) 和乞力马扎罗基督教医疗中心 (KCMC)/乞力马扎罗基督教医科大学学院 (KCMU Co) 合作开发 这样的专业知识。他们拥有由六个不同的 NIH 研究所支持的强大研究组合。 研究专业知识的发展一直是一个优先事项，并得到了四个 D43 的支持 奖项和医学教育合作伙伴计划。在我们当前的 D43 融资周期中， 艾滋病毒和社会行为科学研究培训计划支持了以下人员的培训： 三名博士学位、一名精神病学医学硕士学位 (MMed)、三名公共卫生硕士学位，以及 三名短期实习生以培养研究能力。其中许多培训是在 开普敦大学 (UCT) 与 KCMC/KCMU Co. 之间的南南关系 在这个竞争性的更新申请中，我们建议进行培训以进一步扩展和巩固这些 初步的努力。候选人将接受实施科学方面的博士培训（北方大学 卡罗莱纳州）和心理学（UCT）、精神病学硕士（UCT）、公共卫生硕士（UCT）和短期 培训。完成后，这些科学家将加入当前 D43 培训周期的科学家 组建一支具有广泛专业知识的才华横溢的团队，执行严格的社会行为和 实施科学研究。他们将共同获得有限的试点人才库 研究基金通过这一提案进一步推进其独立之路。他们将收到 来自 KCMC/KCMU 学院的研究环境和文化的强大机构支持， 他们还同意创建社会行为科学和社会行为学系 返回莫希后，医学将接待科学家们。