TJU-JNMC Global Network for Women's and Children's Health Research Unit

项目摘要/摘要 建立在托马斯·杰斐逊大学二十多年成功合作的历史基础上 (TJU)、尼赫鲁医学院(JNMC)和NICHD全球妇女和儿童网络 健康研究，我们寻求确保我们合作伙伴关系的持续增长、发展和可持续性 通过全球网络(GN)的下一个周期。具体项目目标包括： ·在GN内部提供经验丰富的领导，促进创新、研究卓越和开展 处理低收入国家母婴发病率/死亡率的主要原因的共同议定书，并纳入 旨在扩大成功干预措施并影响公共卫生政策的实施研究； ·确定和解决妇幼保健研究方面的差距，利用以团队为基础的方法 设计、开发、实施和评估有前景的卫生干预措施，重点是那些面向公众的干预措施 影响孕妇/哺乳期妇女及其后代健康并促进进步的健康危机 实现《2020年日内瓦排雷中心战略计划》和2030年可持续发展目标 孕产妇、新生儿和5岁以下儿童死亡率，以及酌情的卫生筹资和劳动力发展； ·让地方、州和国家卫生部继续参与当地利益攸关方的工作 一级；将Asha工作人员和辅助护士纳入研究小组(经卫生部批准)； 以及成立一个由业外社区成员组成的本地社区参与委员会，以提供本地社区服务 对最有益于参与者的研究成果的观点，支持传播研究成果， 并促进将研究证据转化为实践； ·扩大卡纳塔克邦以及印度其他邦的研究能力和集水区-- 特别是马哈拉施特拉邦、拉贾斯坦邦和奥迪萨--使调查结果更具普遍性，适用于所有地区 以及该国的人口和全球其他低资源环境； ·执行GN批准的具有高招聘和保留率的共同协议，包括 研究设计的范围(例如，随机对照试验、形成性研究、转化性研究、混合方法、观察性研究和 实施研究)，由GN调查人员发起，以及由外部调查人员提出； ·应用NICHD支持的多点临床研究的指导原则：1)加强严谨性 和重复性，2)促进多站点临床试验基础设施的更高可用性，以支持来自 更广泛的调查人员，3)促进数据共享和获取生物谱，4)促进更大的 不同人群参与多点临床试验； ·传播研究成果，目的是影响卫生政策和制度的变化，并扩大 加强循证干预，促进有意义和可持续的健康改善。

Project Summary/Abstract Building on a history of more than two decades of successful collaboration among Thomas Jefferson University (TJU), Jawaharlal Nehru Medical College (JNMC), and the NICHD Global Network for Women's and Children's Health Research, we seek to ensure the continued growth, development, and sustainability of our partnership via the next cycle of the Global Network (GN). Specific project aims include: • Provide experienced leadership within the GN fostering innovation, research excellence, and conduct of common protocols addressing major causes of maternal/child morbidity/mortality in LMICs, and incorporating implementation research aiming to scale up successful interventions and influence public health policy; • Identify and address gaps in maternal and child health research, utilizing a team-based approach to design, develop, implement, and evaluate promising health interventions, focusing on those addressing public health crises that impact the health of pregnant/lactating women and their offspring, and promoting progress toward achievement of the NICHD Strategic Plan 2020 and the 2030 Sustainable Development Goals for maternal, newborn, and under-5 mortality, and, as appropriate, health financing, and workforce development; • Engage local stakeholders by continuing to involve the Ministries of Health at the local, state, and national level; incorporating ASHA workers and auxiliary nurses into the research team (with approval of the MOH); and establishing a local Community Engagement Board comprising lay community members to provide local perspective on research outcomes of most benefit to participants, support dissemination of research findings, and promote translation of research evidence into practice; • Expand research capacity and catchment areas within Karnataka, as well as to other states in India – specifically Maharashtra, Rajasthan, and Odisha – resulting in greater generalizability of findings to all regions and populations of the country and other low resource settings globally; • Conduct GN approved common protocols with high recruitment and retention rates encompassing a range of study designs (e.g., RCTs, formative, translational, mixed methods, observational, and implementation research) initiated by GN investigators, as well as those proposed by outside investigators; • Apply the guiding principles of NICHD-supported multi-site clinical research which are: 1) Enhance rigor and reproducibility, 2) Promote greater availability of multisite clinical trial infrastructure to support trials from a wider range of investigators, 3) Facilitate data sharing and access to biospecimens, 4) Facilitate greater involvement of diverse populations in multisite clinical trials; • Disseminate research findings with the goal of influencing health policy and system changes and to scale up evidence-based interventions to promote meaningful and sustainable health improvements.