HAITI AIDS RESEARCH TRAINING: MODELS TO IMPLEMENTATION

描述（由申请人提供）：GHESKIO-康奈尔ICOHRTA培训计划的目标是提高综合临床，业务和卫生服务研究的能力，以支持海地全国扩大艾滋病毒预防和护理服务。海地是西半球最贫穷的国家，艾滋病毒感染率最高，估计有5%的成年人口感染。作为回应，海地卫生部正在启动海地国家艾滋病毒护理和预防网络，这是全国公共和私人医疗保健组织的合作，将为30万人/年提供标准化的艾滋病毒护理和预防服务，包括自愿咨询和检测、结核病和性传播感染的管理、预防艾滋病毒母婴传播和艾滋病毒综合护理。卫生部已要求GHESKIO中心通过培训、监督、监测和评估以及通过开展业务和卫生服务研究来领导这一网络。GHESKIO中心是一个国际研究和培训机构，受益于康奈尔大学和范德比尔特大学二十年的研究能力建设，并得到福格蒂国际中心的支持。GHESKIO现在是公认的国际研究卓越中心，是NIH HIV疫苗试验网络（HVTN），艾滋病临床试验组（ACTG）的成员，也是世界卫生组织热带疾病研究计划（TDR）的现场。在目前的建议中，GHESKIO将成为主要的培训机构，并将研究能力扩展到参与海地国家艾滋病毒护理和预防网络的海地其他组织。GHESKIO将与海地和国际合作伙伴合作，开发临床，操作和卫生服务研究方法以及伦理，项目管理和科学写作方面的短期和长期培训课程。在海地提供的公共卫生硕士课程将是这一课程开发的高潮。目标是培训一批研究领导干部，提高国家艾滋病毒护理和预防网络的研究能力。综合临床、业务和卫生服务研究的具体领域将构成拟议的ICOHRTA培训计划的基础，包括：1）成人抗逆转录病毒治疗; 2）预防母婴艾滋病毒传播和艾滋病毒感染母亲和婴儿的抗逆转录病毒治疗; 3）结核病; 4）性传播感染; 5）伦理; 6）艾滋病毒护理和预防的健康结果。研究培训将侧重于将艾滋病毒护理和预防模式转化为大规模的国家执行。

DESCRIPTION (provided by applicant): The goal of GHESKIO-Cornell ICOHRTA training program is to increase capacity in integrated clinical, operational, and health services research in support of Haiti's national scale-up of HIV prevention and care services. Haiti is the poorest country and has the highest rates of HIV infection in the Western Hemisphere, with an estimated 5% of the adult population infected. In response, the Haitian Ministry of Health is initiating the Haitian National HIV Care and Prevention Network, a collaboration of public and private health care organizations across the country that will provide a standardized package of HIV care and prevention services to 300,000 people/year, including voluntary counseling and testing, management of tuberculosis and sexually transmitted infections, prevention of mother to child HIV transmission and comprehensive HIV care. The Ministry has asked the GHESKIO Centers to lead this network through training, supervision, monitoring and evaluation, and through the conduct of operational and health services research. The GHESKIO Centers is an international research and training institution that has benefited from twenty years of research capacity building from Cornell and Vanderbilt Universities, supported by the Fogarty International Center. GHESKIO is now recognized as an international center of research excellence, and is a member of the NIH HIV Vaccine Trials Network (HVTN), the AIDS Clinical Trials Group (ACTG), and a field site of the WHO's Tropical Disease Research Programme (TDR). In the current proposal, GHESKIO will become the primary training institution and extend research capacity to other organizations in Haiti that are participating in the Haitian National HIV Care and Prevention Network. GHESKIO, in collaboration with Haitian and International partners, will develop short- and long-term training curricula in clinical, operational, and health services research methodology and in ethics, program management, and scientific writing. A Masters in Public Health Program offered in Haiti will be the culmination of this curricula development. The objective is to train a cadre of research leaders and to increase research capacity in the National HIV Care and Prevention Network. The specific areas of integrated clinical, operational, and health services research that will form the basis of the proposed ICOHRTA training program include: 1) adult antiretroviral treatment; 2) prevention of mother to child HIV transmission and antiretroviral treatment of HIV-infected mothers and infants; 3) tuberculosis; 4) sexually transmitted infections; 5) ethics; and 6) health outcomes of HIV care and prevention. Research training will focus on translating models of HIV care and prevention to large scale national implementation.