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: 10254615
• 负责人: Celestino Obua
• 金额: $ 7.5万
• 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 2023-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10254615
• 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; Information Resources Management; Institution; Interdisciplinary Study; Knowledge; Leadership; Mainstreaming; Massachusetts; Medical; Mentors; Mentorship; Midwifery; Modeling; Nurse Midwives; Nurses; Operations Research; Participant; Patient Care; Patients; 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; 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，占估计2470万人的81％ 在撒哈拉以南非洲（SSA）与艾滋病毒（PLWH）生活。最近的监视数据（2016）显示了艾滋病毒 乌干达一般人口的患病率为6.5％（140万PLHIV），这种烧伤是 与成年男性（4.7％）的女性（7.6％的血清阳性）出生（7.6％）。虽然艾滋病毒患病率 粗糙的乌干达较低（5.8％），这是80％的人口所在的地方。然而，有71％的医生和 41％的护士和助产士为城市地区服务。尽管大多数PLWH都在粗糙的地区，但这些 社区服务不足 - 通常拥有广泛分散的医疗机构 - 需要战略 吸引和保留训练有素的劳动力以面对医疗保健和预防挑战的方法 流行病。 2016 - 2020年乌干达国家艾滋病毒/艾滋病战略计划将人力资源优先 在公共和非公共部门提供健康，预防和基于社区的艾滋病毒/艾滋病服务。 为了解决健康专业培训，这对于减少艾滋病毒/艾滋病伯恩（Burnen）至关重要 - 特别是在乌干达农村地区 - 西南农村地区的姆巴拉拉科学技术大学（必须） 乌干达及其合作伙伴机构在乌干达农村（斯图尔特主教，布斯蒂玛和里拉大学）和美国 （马萨诸塞州综合医院）提案hepi-tuitah（转型乌干达机构培训 反对艾滋病毒/艾滋病）计划。这个专业的艾滋病毒/艾滋病服务改善培训计划将建立 关于我们在MEPI-MESAU财团和目前的Mbarara大学研究培训中取得的成功 倡议（MURTI； D43TW010128，PI：OBUA）和MBARARA大学研究伦理教育计划 （Mureep; R25TW010507，PI：Kiwanuka）要解决以下特定目标：（1）增加 本科医学，护士，助产士和盟友卫生专业学生的能力 通过“低剂量，高频”培训模型来管理艾滋病毒/艾滋病， 乌干达的患者护理和艾滋病毒预防服务； （2）增强初级保健的能力 提供者提供全面的艾滋病毒服务并加强健康之间的双向联系 乌干达粗糙的设施和社区； （3）发展本科卫生专业人员的能力 乌干达粗糙的学生在当地进行本地相关的生物医学，行为，临床和操作研究 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/艾滋病伯恩。 Tuitah结束后，我们希望已经培训了2,368名卫生专业人员 学生和多达240家艾滋病毒/艾滋病预防，护理和研究的初级保健提供者，从而做出贡献 重要的是，为乌干达农村服务的卫生专业人员干部提供了重要的影响。 Tuitah计划有潜力 成为整个SSA的健康提供者培训的典范。