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

描述（由申请人提供）：世界卫生组织估计，每年有5000万人因创伤和伤害而发病，2000多万人因创伤和伤害而致残;创伤和伤害是致残的主要原因之一。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。我们提出了一个培训计划，以发展乌干达的能力，以识别，测量和应对创伤，伤害和残疾的长期后果整个生命周期。该计划建立在现有的合作基础上 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，以弥补两个关键的不足-缺乏训练有素的人力资源和缺乏数据。JHU-MU创伤，伤害和残疾慢性后果（JHU-MU Chronic-TRIAD）计划的总体目标是加强乌干达一生中创伤，伤害和残疾的长期健康和经济后果的研究能力，采用可持续能力发展的创新模式。我们的模式将利用美国的专业知识来加强乌干达的机构，促进可持续的研究企业，重点关注创伤，伤害和残疾的慢性后果，并使研究的国家传播，通过以下目标影响乌干达的政策。具体目标1：发展一个核心研究小组，专注于创伤，伤害和残疾的慢性后果在MU。我们将提供（一）从公共卫生学位课程的硕士MU学员的长期培训计划;（二）在MU短期培训研讨会，包括每年的基本和高级组件;和（三）在线课程和网络研讨会从JHU上的关键优先主题在衡量创伤，伤害和残疾的长期健康和经济后果。具体目标2：促进围绕乌干达慢性创伤、伤害和残疾的国家重点优先事项开展研究。我们将与受训人员合作，围绕三个国家确定的优先主题进行研究：开发和使用与创伤，伤害和残疾长期护理相关的国家数据库;开发和评估基于社区的干预措施，以改善获得适当服务的机会;探索创伤，伤害和残疾长期后果的社会和经济成本。具体目标3：建立一个国家论坛，促进理解和政策行动，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、伤害和残疾的长期后果进行研究到政策的对话。具体目标4：建立一个研究中心，研究创伤和伤害对终身的影响。 残疾人在MU我们将通过与MU合作，建立一个研究中心，为MU的学院和学校的教师提供一个家，以提高个人培训的质量和有效性。

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.