Blood-borne infection screening in Afghan antenatal pop.

阿富汗产前流行中的血源性感染筛查。

• 批准号: 7126008
• 负责人: Catherine Suzanne Todd
• 金额: $ 11.06万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN DIEGO
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-29 至 2009-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7126008
• 关键词: HIV infections; Middle East; academic achievement; behavioral /social science research tag; belief; clinical research; communicable disease diagnosis; communicable disease transmission; counseling; culture; disease /disorder prevention /control; female; health behavior; health care professional practice; health care service utilization; hepatitis B; human pregnant subject; obstetrics; patient care personnel attitude; perception; prenatal care; prenatal diagnosis; syphilis; women' s health

DESCRIPTION (provided by applicant): This award will provide Dr. Catherine Todd with protected time and expertise to develop international research in risk reduction of blood-borne viral infections (BBV) and sexually-transmitted infections (STI) during reproductive care in limited-resource settings. Dr. Todd is an obstetrician/gynecologist who completed a family planning fellowship and worked as an international consultant, with the majority of time spent in Afghanistan. She is currently Assistant Professor in the Division of International Health & Cross-Cultural Medicine at the University of California, San Diego. Her career and training goals are to: 1. Gain knowledge in advanced epidemiologic study design, particularly observational and intervention research; 2. Acquire survey development and psychometric methodology skills; 3. Improve understanding of the intersection of reproductive health and infectious disease research in international settings; 4. Learn BBV/STI diagnostic methods suited to resource-poor environments; 5. Acquire advanced quantitative data analysis proficiency; 6. Conduct a study investigating prevalence and correlates of and barriers to screening for human immunodeficiency virus (HIV), syphilis, and hepatitis B (HBV) in an Afghan antenatal population; and 7. Learn international health programming theory to design and pilot an intervention implementing antenatal screening. The training plan includes coursework and mentoring by experts in infectious disease epidemiology, international maternal health, and psychometric scale methods. A key component is a needs assessment study and a pilot intervention to implement antenatal testing. The aims of the proposed research are to: 1) Determine prevalence and correlates of HIV, syphilis, and HBV in an antenatal population in Kabul, Afghanistan, 2) Assess patient knowledge and perceptions on screening value for HIV, syphilis, and HBV in obstetric care, 3) Assess knowledge and practice of medical personnel and their influence on HIV, syphilis, and HBV prevention counseling, screening, and iatrogenic infection prevention practice, and 4) Determine feasibility and acceptance of antenatal screening at hospital admission for obstetric patients and providers in Kabul, Afghanistan. Though little is known about BBV prevalence in Afghanistan, multiple factors increase the risk of an epidemic, particularly the antenatal population; implementing testing may circumvent this. Pilot data generated from this study will be used to test the intervention in a larger Afghan population.

描述（由申请人提供）：该奖项将为凯瑟琳·托德（Catherine Todd）博士提供受保护的时间和专业知识，以开发在限量环境中在生殖护理期间开发降低血源性病毒感染（BBV）和性传播感染（STI）的国际研究。托德博士是一位产科医生/妇科医生，他完成了计划生育奖学金，并担任国际顾问，大部分时间在阿富汗。她目前是加州大学圣地亚哥分校国际健康与跨文化医学系的助理教授。她的职业和培训目标是：1。获得高级流行病学研究设计的知识，尤其是观察性和干预研究； 2。获取调查开发和心理测量方法学技能； 3。提高对国际环境中生殖健康和传染病研究的交集的了解； 4。学习适合资源贫乏环境的BBV/STI诊断方法； 5。获取先进的定量数据分析能力； 6.进行一项研究，研究了阿富汗产前人群中人类免疫缺陷病毒（HIV），梅毒和乙型肝炎（HBV）的筛查的患病率和障碍；和7。学习国际卫生计划理论，以设计和试行实施产前筛查的干预措施。培训计划包括传染病流行病学，国际孕产妇健康和心理测量量表方法的课程和指导。一个关键组成部分是需要评估研究和试点干预以实施产前测试。 The aims of the proposed research are to: 1) Determine prevalence and correlates of HIV, syphilis, and HBV in an antenatal population in Kabul, Afghanistan, 2) Assess patient knowledge and perceptions on screening value for HIV, syphilis, and HBV in obstetric care, 3) Assess knowledge and practice of medical personnel and their influence on HIV, syphilis, and HBV prevention counseling, screening,和医源性感染预防实践，以及4）确定阿富汗喀布尔的产科患者和提供者在住院时的可行性和接受性筛查。尽管对阿富汗的BBV患病率知之甚少，但多个因素增加了流行病的风险，尤其是产前人口。实施测试可能会规定这一点。这项研究产生的试验数据将用于测试较大的阿富汗人口的干预措施。