Sociobehavioral Sciences Research to Improve Care for HIV Infection in Tanzania

改善坦桑尼亚艾滋病毒感染护理的社会行为科学研究

• 批准号: 9901639
• 负责人: John A Bartlett
• 金额: $ 29.32万
• 依托单位: DUKE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-08-01 至 2023-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9901639
• 关键词: Address; Adherence; Award; Caring; Country; Doctor of Philosophy; Environment; Face; Funding; HIV; HIV Infections; HIV Seroprevalence; Health Personnel; Healthcare; Infrastructure; Institutes; Knowledge; Leadership; Medical; Medical Education; Medical center; Medicine; Mental disorders; Monitor; North Carolina; Pathway interactions; Persons; Poverty; Psychiatry; Psychology; Public Health; Research; Research Support; Research Training; Science; Scientist; Social Behavior; Substance abuse problem; Talents; Tanzania; Testing; Training; Training Programs; Training Support; United States National Institutes of Health; Universities; Viral Load result; antiretroviral therapy; care systems; college; comorbidity; global health; implementation science; improved; prevention service; research and development; rural residence; testing services; uptake

Abstract: Tanzania has an estimated HIV seroprevalence of 4.7%, and 1,400,000 persons living with HIV infection. It faces significant obstacles to optimal care and prevention services including a lack of HIV-related knowledge, co-morbidities of mental illness and substance abuse, poverty, rural residence, limited health care infrastructure, and inadequate numbers of health care personnel. Tanzanian leadership and the PEPFAR Country Operating Plan have prioritized the uptake of testing services, optimizing adherence to antiretroviral therapy (ART), promoting diligent monitoring of ART with viral load testing, and addressing co-morbidities of mental illness and substance abuse. In this context, the importance of developing in-country research expertise in sociobehavioral and implementation sciences is extraordinary. The Duke University Global Health Institute (DGHI) and Kilimanjaro Christian Medical Center (KCMC)/Kilimanjaro Christian Medical University College (KCMU Co) have partnered to develop such expertise. They have a robust portfolio of research supported by six different NIH Institutes. Development of research expertise has been a priority, and has been supported by four D43 awards and the Medical Education Partnership Initiative. In our current D43 funding cycle, the HIV and Sociobehavioral Sciences Research Training Program has supported the trainings of three PhD's, one Master's of Medicine (MMed) in Psychiatry, three Master's in Public Health, and three short-term trainees to build research capacity. Many of these trainings have occurred in a South-South relationship between the University of Cape Town (UCT) and KCMC/KCMU Co. In this competitive renewal application, we propose trainings to further expand and solidify these initial efforts. Candidates will pursue PhD trainings in implementation science (University of North Carolina) and Psychology at (UCT), MMed in Psychiatry (UCT), MPH (UCT), and short-term trainings. Upon completion, these scientists will join those from the current D43 training cycle to form a talented team with a breadth of expertise to perform rigorous sociobehavioral and implementation science research. Together they will have access to a limited pool of pilot research funds through this proposal to further their pathway to independence. They will receive strong institutional support from the research environment and culture of KCMC/KCMU College, who have also agreed to create Departments of Sociobehavioral Sciences and Sociobehavioral Medicine to host the scientists upon return to Moshi.

抽象的： 坦桑尼亚的HIV血清阳性率为4.7％，艾滋病毒感染者有1,400,000人 感染。它面临着最佳护理和预防服务的重大障碍 与HIV相关的知识，精神疾病和药物滥用的合并症，贫困，农村 居住，有限的医疗保健基础设施以及医疗保健人员数量不足。 坦桑尼亚领导和佩帕尔国家运营计划优先考虑 测试服务，优化遵守抗逆转录病毒疗法（ART），促进勤奋 通过病毒负荷测试监测艺术，并解决精神疾病的合并症和 药物滥用。在这种情况下，发展国内研究专业知识的重要性 社会行为和实施科学是非凡的。 杜克大学全球卫生研究所（DGHI）和乞力马扎罗基督教医疗中心 （KCMC）/乞力马扎罗基督教医科大学学院（KCMU CO）已合作开发 这样的专业知识。他们拥有强大的研究组合，并由六个不同的NIH研究所支持。 研究专业知识的发展一直是当务之急，并得到了四个D43的支持 奖项和医学教育伙伴关系倡议。在我们当前的D43资金周期中， 艾滋病毒和社会行为科学研究培训计划已支持 三位博士学位，一名精神病学硕士（MMED），三位公共卫生硕士 三名短期学员来建立研究能力。这些培训中有许多发生在 开普敦大学（UCT）与KCMC/KCMU公司之间的南南关系。 在此竞争性更新申请中，我们建议培训以进一步扩展和巩固这些培训 最初的努力。候选人将在实施科学领域接受博士培训（北大学 Carolina）和（UCT）的心理学，MMED在精神病学（UCT），MPH（UCT）和短期 培训。完成后，这些科学家将加入当前D43训练周期的那些科学家 组成一支有才华的团队，具有广泛的专业知识，以执行严格的社会行为和 实施科学研究。他们将共同访问有限的飞行员 通过该提案进行研究，以进一步发展其独立途径。他们会收到的 KCMC/KCMU学院的研究环境和文化的强大机构支持， 他们也同意建立社会科学和社会行为的部门 返回Moshi后，医学可以接待科学家。