Chronic Consequences of Trauma, Injuries, Disability Across the Lifespan: Uganda

描述(申请人提供)：世界卫生组织估计，每年有5000万人因创伤和伤害而患病，超过2000万人致残；创伤和伤害是导致残疾的主要原因之一。非洲是创伤、伤害和残疾负担最重的国家之一；乌干达是非洲创伤和伤害造成的慢性后果负担最重的国家之一。我们提出了一项培训计划，以发展乌干达认识、衡量和应对创伤、伤害和残疾在一生中造成的慢性后果的能力。该计划建立在现有协作的基础上 约翰霍普金斯大学彭博公共卫生学院(JHU)和马凯雷雷大学公共卫生学院(MU)之间的合作，以弥补两个严重的不足--缺乏训练有素的人力资源和缺乏数据。JHU-MU创伤、伤害和残疾的慢性后果(JHU-MU慢性三合一)方案的总体目标是，应用可持续能力发展的创新模式，加强对乌干达创伤、伤害和残疾的长期健康和经济后果的研究能力。我们的模式将利用美国的专业知识来加强乌干达的机构，促进专注于创伤、伤害和残疾的慢性后果的可持续研究事业，并使研究能够在全国范围内传播，通过以下目标影响乌干达的政策。具体目标1：建立一个核心研究小组，重点研究墨尔本大学创伤、伤害和残疾的慢性后果。我们将为密歇根州立大学公共卫生硕士学位课程的学员提供(I)长期培训计划；(Ii)每年在密歇根州立大学举办短期培训研讨会，包括基本和高级部分；以及(Iii)JHU关于衡量创伤、伤害和残疾的长期健康和经济后果的关键优先主题的在线课程和网络研讨会。具体目标2：促进围绕乌干达慢性创伤、伤害和残疾的关键国家优先事项的研究。我们将与受训人员合作，围绕三个国家确定的优先主题开展研究：开发和使用与创伤、伤害和残疾的长期护理有关的国家数据库；开发和评价将改善获得适当服务的社区干预措施；以及探索创伤、伤害和残疾的长期后果的社会和经济代价。具体目标3：建立一个国家论坛，以促进了解和采取政策行动，以减轻乌干达慢性创伤、伤害和残疾的影响。我们将与乌干达卫生部合作建立一个年度论坛，就创伤、伤害和残疾的慢性后果进行从研究到政策的对话。具体目标4：建立创伤、伤害对终身影响的研究中心 以及密歇根大学的残障人士。我们将通过与墨尔本大学合作建立一个研究中心，为墨尔本大学的所有学院和学校的教职员工提供一个家，从而提高个人培训的质量和有效性。 公共卫生相关性：约翰·霍普金斯大学与乌干达的Makerere大学提出了一个培训计划，该计划将加强与治疗和预防创伤、伤害和残疾(Triad)的慢性后果相关的问题的研究、培训和政策指导的能力，这些都是乌干达疾病负担的主要原因。乌干达人在美国的技术援助下为乌干达人应用一种变革性的能力发展模式，我们将弥合在理解和应对创伤、伤害和残疾的慢性后果方面的重大差距，并加强东非主要机构之一的研究能力。该计划旨在培养学员的研究技能；为研究人员、实践者、政策制定者和捐赠者创建一个论坛，并建立一个持续支持此类研究和培训的中心。

DESCRIPTION (provided by applicant): World Health Organization estimates that 50 million people suffer morbidity and over 20 million are disabled as a result of trauma and injuries annually; and trauma and injuries are one of the leading causes of disability. Africa has one of the highest burdens of trauma, injuries and disability; and Uganda has one of Africa's highest burdens of chronic consequences from trauma and injuries. We propose a training program to develop Uganda's capacity to recognize, measure, and respond to the chronic consequences of trauma, injuries and disability across the lifespan. This program builds on existing collaborations between Johns Hopkins University Bloomberg School of Public Health (JHU) and Makerere University School of Public Health (MU) to remedy two critical shortfalls - lack of trained human resources and lack of data. The overall goal of the JHU-MU Chronic Consequences of Trauma, Injuries and Disability (JHU-MU Chronic-TRIAD) program is to strengthen research capacity on the long term health and economic consequences of trauma, injuries and disability across the lifespan in Uganda, applying an innovative model of sustainable capacity development. Our model will use US expertise to strengthen a Ugandan institution, promote a sustainable research enterprise focused on the chronic consequences of trauma, injuries, and disability and enable national dissemination of research to influence policy in Uganda through the following aims. Specific Aim 1: Develop a core group of researchers focused on the chronic consequences of trauma, injuries and disability at MU. We will offer (i) a long term training program for trainees from MU within their master's of public health degree program; (ii) short term training workshops at MU including both basic and advanced components each year; and (iii) online courses and webinars from JHU on key priority topics in measuring the long term health and economic consequences of trauma, injuries and disability. Specific Aim 2: Promote research around key national priorities for chronic trauma, injuries and disability in Uganda. We will work with trainees to conduct research around three nationally identified priority themes: development and use of national databases relevant to the chronic care of trauma, injuries and disability; development and evaluation of community-based interventions that will improve access to appropriate services; and exploration of the social and economic costs of long term consequences of trauma, injuries and disability. Specific Aim 3: Establish a national forum to promote understanding and policy actions to lessen the impact of chronic trauma, injuries and disability in Uganda. We will develop an annual forum in collaboration with the Ugandan Ministry of Health for research-to-policy dialogue on the chronic consequences of trauma, injuries and disability. Specific Aim 4: Create a center for research on the lifelong impact of trauma, injuries and disability at MU. We will extend the quality and effectiveness of individual training by working with MU to establish a research center that provides a home for faculty across MU's colleges and schools. PUBLIC HEALTH RELEVANCE: Johns Hopkins University proposes a training program with Makerere University in Uganda that will enhance capacity for research, training, and policy direction on issues relevant to the treatment and prevention of the chronic consequences of trauma, injuries and disability (TRIAD), which are major contributors to Uganda's burden of disease. Applying a transformative capacity development model for Ugandans by Ugandans with US technical assistance, we will close a major gap in understanding and responding to the chronic consequences of trauma, injuries and disability, and enhance research capacity in one of the premier institutions in East Africa. The program aims to develop trainees' research skills; create a forum for researchers, practitioners, policy makers and donors, and establish a center for ongoing support of such research and training.