Research Training Program for Low- and Middle-Income Country Institutions

描述（由申请人提供）：为响应坦桑尼亚优化艾滋病毒感染者护理的国家优先事项，杜克大学和乞力马扎罗山基督教医学中心（KCMC）将在KCMC开发一个社会行为科学（SBS）研究核心，重点关注艾滋病毒/艾滋病护理。SBS的研究技能对于理解与艾滋病毒检测、耻辱、护理联系和保留、治疗依从性以及精神疾病和药物滥用等合并症有关的关键问题至关重要，这些问题与临床结果密切相关。这些研究技能的获得将通过与开普敦大学（UCT）的南南培训机会以及与杜克大学的南北机会来实现。考虑到研究独立的目标，并在2018年4月之前为团队创建一个区域培训设施，我们制定了一个精心的团队组成计划，强调强大和互补的SBS研究技能。四名候选人将在第一年开始博士培训，攻读流行病学/公共卫生、健康促进/行为和心理学方面的专业知识。两名学员还将在第一年开始精神病学医学硕士培训。在随后的几年中，更多的小组成员将开展中期和短期培训，以发展精神疾病公共卫生方面的专门知识、护理点诊断、护理、数据管理和研究管理。杜克大学和UCT的教师将通过他们在艾滋病感染方面的专业知识和资助的研究提供强有力的指导。受训者的研究将在新成立的KCMC SBS研究核心团队的领导下，扩大与杜克大学现有的合作研究工作，并与UCT开展新的合作。项目管理将建立在过去KCMC-Duke合作培训成功的基础上，未来的成功将通过仔细的沟通、严格的监督和评估以及对培训咨询委员会和外部咨询委员会的问责来确保。

DESCRIPTION (provided by applicant): Responding to Tanzanian national priorities for optimizing the care of persons living with HIV infection, Duke University and the Kilimanjaro Christian Medical Centre (KCMC) will develop a Sociobehavioral Sciences (SBS) Research Core at KCMC focused on HIV/AIDS care. SBS research skills are essential for understanding critical issues relating to HIV testing, stigma, linkage and retention in care, treatment adherence and co-morbidities such as mental illness and substance abuse, which relate strongly to clinical outcomes. The acquisition of these research skills will occur through South-South training opportunities with the University of Cape Town (UCT), and North-South opportunities with Duke. Given the goal of research independence and creation of a regional training facility for the Team by April 2018, we have developed a careful plan for Team composition which emphasizes robust and complementary SBS research skills. Four candidates will begin PhD training in year 1, pursuing expertise in epidemiology/public health, health promotion/behavior, and psychology. Two trainees will also begin Masters' in Medicine training in Psychiatry in year 1. In subsequent years additional Team members will initiate medium- and short-term training to develop expertise in public health aspects of mental illness, point of care diagnostics, nursing, data management and research administration. Strong mentorship will be offered by faculty at Duke and UCT through their expertise and funded research in SBS aspects of HIV infection. The trainees' research will expand existing collaborative research efforts with Duke and develop new collaborations with UCT under the leadership of the newly developed KCMC SBS Research Core Team. Program administration will build upon the past training successes of the KCMC-Duke collaboration, and future success will be ensured through careful communication, rigorous monitoring and evaluation, and accountability to the Training Advisory Committee and an External Advisory Committee.