Health-professional Education Partnership Initiative - Transforming Ugandan Institutions Training Against HIV/AIDS (HEPI-TUITAH)

卫生专业教育伙伴关系倡议 - 乌干达艾滋病毒/艾滋病培训机构转型 (HEPI-TUITAH)

• 批准号: 10460427
• 负责人: Celestino Obua
• 金额: $ 59.8万
• 依托单位: MBARARA UNIVERSITY/SCIENCE/ TECHNOLOGY
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-09-19 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10460427
• 关键词: AIDS prevention; AIDS/HIV problem; Address; Adopted; Adult; Africa South of the Sahara; Behavioral Research; Biomedical Research; Caring; Clinical; Clinical Research; Clinical Skills; Communities; Community Health; Community of Practice; Competence; Complement; Counseling; Country; Decentralization; Discipline of Nursing; Dose; Education; Educational Curriculum; Epidemic; Frequencies; Funding; General Hospitals; General Population; HIV; Health; Health Personnel; Health Professional; Health Services Research; Health care facility; Health system; Healthcare; Human Resources; Human immunodeficiency virus test; Institution; Interdisciplinary Study; Knowledge; Knowledge Management; Leadership; Mainstreaming; Massachusetts; Medical; Mentors; Mentorship; Midwifery; Modeling; Nurse Midwives; Nurses; Operations Research; Participant; Patient Care; Patients; Persons; Policies; Population; Prevalence; Prevention; Primary Health Care; Professional Education; Provider; Research; Research Ethics; Research Training; Resources; Role; Rural; SERPINI2 gene; Science; Seroprevalences; Service delivery model; Services; Strategic Planning; Structure; Students; Support System; System; Technology; Testing; Time; Training; Training Programs; Uganda; Universities; Woman; Work; base; burden of illness; care delivery; care providers; care systems; clinical care; comorbidity; health care delivery; low income country; men; mortality; prevention service; profession allied to medicine; programs; research study; response; rural area; service delivery; success; surveillance data; undergraduate student; underserved community; urban area

Abstract Uganda is one of the 10 countries that, together, account for 81% of the estimated 24.7 million people living with HIV (PLWH) in Sub-Saharan Africa (SSA). The most recent surveillance data (2016) show an HIV prevalence of 6.5% in the general population in Uganda (1.4 million PLHIV), and this burden is disproportionately born by women (7.6% seroprevalence) vs. adult men (4.7%). Although HIV prevalence in rural Uganda is somewhat lower (5.8%), this is where 80% of the population resides; yet, 71% of doctors and 41% nurses and midwives serve urban areas. Thus, although the majority of PLWH are in rural areas, these communities are underserved – often with widely scattered healthcare facilities – and need strategic approaches to attract and retain a well-trained workforce to confront the healthcare and prevention challenges of the epidemic. The Ugandan National HIV/AIDS Strategic Plan 2016-2020 prioritizes human resources for delivery of health, prevention, and community-based HIV/AIDS services in both public and non-public sectors. To address the health-professional training that will be critical to lessening the HIV/AIDS burden – particularly in rural Uganda – the Mbarara University of Science and Technology (MUST) in rural southwest Uganda and its partner institutions in rural Uganda (Bishop Stuart, Busitema and Lira Universities) and the US (Massachusetts General Hospital) propose the HEPI-TUITAH (Transforming Ugandan Institutions Training Against HIV/AIDS) program. This inter-professional HIV/AIDS service-improvement training program will build on our successes in the MEPI-MESAU consortium and our current Mbarara University Research Training Initiative (MURTI; D43TW010128, PI: Obua) and Mbarara University Research Ethics Education Program (MUREEP; R25TW010507, PI: Kiwanuka) to address the following specific aims: (1) To increase the competency of undergraduate medical, nursing, midwifery, and allied health professional students in the management of HIV/AIDS through the "low dose, high frequency" training model for quality clinical education, patient care, and HIV prevention services in Uganda; (2) To enhance the capacity of primary health care providers to provide comprehensive HIV services and strengthen bidirectional linkages between health facilities and communities in rural Uganda; (3) To develop the capacity of undergraduate health professional students in rural Uganda to conduct locally relevant biomedical, behavioral, clinical, and operations research in HIV and its co-morbidities; and (4) To strengthen a network of health professional training institutions (HPTIs) by building a community of practice and leveraging local resources and expertise to mitigate the national HIV/AIDS burden. At the completion of the TUITAH, we expect to have trained 2,368 health professionals students and up to 240 Primary Care Providers in HIV/AIDS prevention, care, and research, thus contributing significantly to the cadre of health professionals serving rural Uganda. The TUITAH program has the potential to be a model for health provider training throughout SSA.

抽象的 乌干达是 10 个国家之一，人口总数占估计 2,470 万人口的 81% 撒哈拉以南非洲 (SSA) 的艾滋病毒感染者 (PLWH) 最新监测数据（2016 年）显示存在艾滋病毒。 乌干达总人口中的感染率为 6.5%（140 万艾滋病毒感染者），这一负担 尽管艾滋病毒感染率在女性中（7.6% 血清流行率）高于成年男性（4.7%）。 乌干达农村地区的比例较低（5.8%），但 80% 的人口居住在该地区，71% 的医生和 41% 的护士和助产士为城市地区提供服务，因此，尽管大多数感染者和助产士都在农村地区，但这些人是在农村地区工作的。 社区服务不足——通常医疗保健设施分散——并且需要战略性的 吸引和留住训练有素的劳动力来应对医疗保健和预防挑战的方法 2016-2020 年乌干达国家艾滋病毒/艾滋病战略计划优先考虑人力资源 在公共和非公共部门提供卫生、预防和基于社区的艾滋病毒/艾滋病服务。 开展对减轻艾滋病毒/艾滋病负担至关重要的卫生专业培训—— 特别是在乌干达农村地区——西南部农村地区的姆巴拉拉科技大学 (MUST) 乌干达及其在乌干达农村地区的合作机构（斯图尔特主教大学、Busitema 大学和里拉大学）和美国 （马萨诸塞州总医院）提出 HEPI-TUITAH（乌干达机构培训转型） 防治艾滋病毒/艾滋病）计划将建立这一跨专业的艾滋病毒/艾滋病服务改进培训计划。 关于我们在 MEPI-MESAU 联盟中取得的成功以及我们当前的姆巴拉拉大学研究培训 倡议（MURTI；D43TW010128，PI：Ouba）和姆巴拉拉大学研究伦理教育计划 （MUREEP；R25TW010507，PI：Kiwanuka）以实现以下具体目标：（1）增加 本科医学、护理、助产和联合健康专业学生的能力 通过“低剂量、高频率”的优质临床教育培训模式来管理艾滋病毒/艾滋病， （二）提升初级卫生保健能力 提供者提供全面的艾滋病毒服务并加强卫生部门之间的双向联系 （三）本科生健康专业能力培养 乌干达农村地区的学生进行当地相关的生物医学、行为、临床和运筹学研究 艾滋病毒及其合并症；(4) 加强卫生专业培训机构 (HPTI) 网络 通过建立实践社区并利用当地资源和专业知识来减轻国家 艾滋病毒/艾滋病负担。 TUITAH 完成后，我们预计将培训 2,368 名卫生专业人员。 学生和多达 240 名初级保健提供者参与艾滋病毒/艾滋病预防、护理和研究，从而做出贡献 TUITAH 计划对为乌干达农村地区服务的卫生专业人员队伍具有重要意义。 成为整个 SSA 卫生服务提供者培训的典范。

项目成果

Influence of intensified adherence counselling on viral load suppression of people receiving antiretroviral therapy at a health centre IV in southwestern Uganda: a qualitative study.

• DOI: 10.1186/s12981-021-00372-w
• 发表时间: 2021-07-28
• 期刊: AIDS research and therapy
• 影响因子: 2.2
• 作者: Pius A;Josephine NN;Erick S;Winifred A;Rita M;Silverjoseph O;Lucy E;Novatus N
• 通讯作者: Novatus N

Behavioral and psycho-social impairments among people living with dementia and their management by caregivers in South-Western Uganda: a qualitative study.

• DOI: 10.1080/13607863.2022.2146053
• 发表时间: 2023-09
• 期刊: AGING & MENTAL HEALTH
• 影响因子: 3.4
• 作者: Arinaitwe, Innocent;Karungi, Christine K.;Gopez, Abigail;Wakida, Edith K.;Talib, Zohray M.;Mubangizi, Vincent;Obua, Celestino
• 通讯作者: Obua, Celestino

Care Burden and Coping Strategies among Caregivers of Paediatric HIV/AIDS in Northern Uganda: A Cross-Sectional Mixed-Method Study.

• DOI: 10.1155/2021/6660337
• 发表时间: 2021
• 期刊: AIDS research and treatment
• 影响因子: 1.7
• 作者: Mujjuzi I;Mutegeki P;Nabuwufu S;Wosukira A;Namata F;Alayo P;Amanya SB;Nyeko R
• 通讯作者: Nyeko R

Exploring drivers and barriers to the utilization of community client-led ART delivery model in South-Western Uganda: patients' and health workers' experiences.

• DOI: 10.1186/s12913-021-07105-9
• 发表时间: 2021-10-20
• 期刊: BMC health services research
• 影响因子: 2.8
• 作者: Kintu TM;Ssewanyana AM;Kyagambiddwa T;Nampijja PM;Apio PK;Kitaka J;Kabakyenga JK
• 通讯作者: Kabakyenga JK

Perceptions of females about trauma-informed services for survivors of sexual violence in south western Uganda- a qualitative study.

• DOI: 10.1186/s12889-021-12227-0
• 发表时间: 2021-11-23
• 期刊: BMC public health
• 影响因子: 4.5
• 作者: Amwiine E;Ainembabazi B;Obwona I;Opoka R;Akatuhumuriza M;Niyonzima V;Mubangizi V
• 通讯作者: Mubangizi V