The main objective of this program is to provide doctoral training in implementation research in Argentina, thereby building a sustainable, in-country doctoral program allowing Argentine researchers to become successful independent investigators. Implementation research evaluates approaches to implement evidence-based interventions, and hence to improve the quality and effectiveness of health care. Implementation research includes the use of randomized controlled trials and rigorous operational research to evaluate the effectiveness of interventions designed to promote the uptake of research findings into routine healthcare. It also includes a multi-disciplinary approach to understand the determinants of non-communicable diseases and the cultural, socio-economic, and behavioral barriers to implementation of effective interventions. Our approach starts in the pre-conceptional period and includes the entire lifespan. This will be accomplished via a sandwich PhD program, which will offer doctoral training to qualified candidates who have graduated from the master's program at the Institute for Clinical Effectiveness and Health Policy (IECS) in Buenos Aires, Argentina or from equivalent programs. During Years 1-3 of the program, candidates will enroll in the PhD program at the University of Buenos Aires School of Medicine and will complete their first year of coursework at the Tulane School of Public Health and Tropical Medicine. During Years 4 and 5 of the program, trainees will only spend one semester at Tulane and will then take new courses to be developed at IECS during the following semester. This will be a step toward the progressive transfer of the entire program to Argentina. The training in implementation research will be focused on two areas of strength at IECS and at Tulane University: maternal and child health and cardiovascular health, linking them in a lifespan approach. After completing the program, trainees will be offered positions and opportunities to collaborate with IECS in ongoing research activities, especially those related to NIH-funded projects. They will also have opportunities to teach PhD students in Argentina.

Public Health Relevance

The main objective of this program is to provide doctoral training in implementation research in Argentina. There is strong evidence supporting effective interventions that health providers, health services, and the population can adopt to reduce the burden of non-communicable diseases; however, these interventions are not routinely translated into health care practice or adopted by the population, despite the huge efforts in service delivery programs and dissemination of health care information. Bridging this gap via training is an absolute necessity; thus, the proposed training program is highly relevant to public health in Argentina.

Agency
National Institute of Health (NIH)
Institute
Fogarty International Center (FIC)
Type
International Research Training Grants (D43)
Project #
5D43TW009083-04
Application #
8822340
Study Section
Special Emphasis Panel (ZRG1-HDM-S (50))
Program Officer
Michels, Kathleen M
Project Start
2012-08-15
Project End
2016-02-28
Budget Start
2015-03-01
Budget End
2016-02-28
Support Year
4
Fiscal Year
2015
Total Cost
$202,837
Indirect Cost
$6,551
Name
Tulane University
Department
Type
Schools of Public Health
DUNS #
053785812
City
New Orleans
State
LA
Country
United States
Zip Code
70118
Nkamba, Dalau; Mwenechanya, Musaku; Kilonga, Arlette Mavila et al. (2017) Barriers and facilitators to the implementation of antenatal syphilis screening and treatment for the prevention of congenital syphilis in the Democratic Republic of Congo and Zambia: results of qualitative formative research. BMC Health Serv Res 17:556
Spira, Cintia; Kwizera, Amata; Jacob, Sue et al. (2017) Improving the quality of maternity services in Uganda through accelerated implementation of essential interventions by healthcare professional associations. Int J Gynaecol Obstet 139:107-113
Berrueta, Mabel; Morello, Paola; Alemán, Alicia et al. (2016) Smoking Patterns and Receipt of Cessation Services Among Pregnant Women in Argentina and Uruguay. Nicotine Tob Res 18:1116-25
Alemán, Alicia; Morello, Paola; Colomar, Mercedes et al. (2016) Brief Counseling on Secondhand Smoke Exposure in Pregnant Women in Argentina and Uruguay. Int J Environ Res Public Health 14:
Berrueta, Mabel; Hemingway-Foday, Jennifer; Thorsten, Vanessa R et al. (2016) Use of antenatal corticosteroids at health facilities and communities in low-and-middle income countries. Reprod Health 13:66
Klein, Karen; McClure, Elizabeth M; Colaci, Daniela et al. (2016) The Antenatal Corticosteroids Trial (ACT): a secondary analysis to explore site differences in a multi-country trial. Reprod Health 13:64
Buekens, Pierre; Alger, Jackeline; Althabe, Fernando et al. (2016) Zika virus infection in pregnant women in Honduras: study protocol. Reprod Health 13:82
Tong, Van T; Althabe, Fernando; Alemán, Alicia et al. (2015) Accuracy of self-reported smoking cessation during pregnancy. Acta Obstet Gynecol Scand 94:106-11
Colomar, Mercedes; Tong, Van T; Morello, Paola et al. (2015) Barriers and promoters of an evidenced-based smoking cessation counseling during prenatal care in Argentina and Uruguay. Matern Child Health J 19:1481-9
Althabe, Fernando; Belizán, José M; McClure, Elizabeth M et al. (2015) A population-based, multifaceted strategy to implement antenatal corticosteroid treatment versus standard care for the reduction of neonatal mortality due to preterm birth in low-income and middle-income countries: the ACT cluster-randomised trial. Lancet 385:629-639

Showing the most recent 10 out of 12 publications