The Johns Hopkins-Afghanistan-Pakistan International Collaborative Trauma and Injury Research Training (JHU-AfPak-ICTIRT) Program for 2016-2021 will extend the regional and scholarly reach of previous Johns Hopkins-Pakistan ICTIRT programs in which trauma and injury research capacity at Aga Khan University (AKU) and Khyber Medical University (KMU) in Pakistan was developed through a mix of long-term (master's-level) and short-term (workshops) injury research training at AKU. Having trained 24 professionals at the master's level, supported the development of data systems and tools, and created a center for injury and trauma research at AKU, we now propose to expand and extend our maturing research training enterprise to meet specific needs for research leadership, advanced training, and international linkages to meet regional needs in western Asia. The overall goal of JHU-AfPak ICTIRT is to strengthen research capacity on trauma and injuries in Afghanistan and Pakistan through an innovative model of sustainable North-South-South capacity development. Our approach will involve four institutions as partners: JHU, AKU, Aga Khan University Programs in Afghanistan (AKU-PA) based at the French Medical Institute for Children in Kabul, Afghanistan (FMIC), and the Afghan Public Health Institute (APHI). We will using US expertise to further strengthen Pakistani institutions' capacity for doctoral-level research training, enhance injury research capacity in Afghanistan (which bears an exceptionally high burden of trauma), promote a sustainable research enterprise in western Asia, and enable regional dissemination of research evidence to influence policy and investments in Afghanistan and Pakistan.
Specific aims are (1) to develop a core group of trauma and injury-focused researchers at APHI, strengthening research expertise at a key institution in one of the most impoverished and injury-prone regions of the world; (2) to create the first doctoral training program in injury research at AKU, promoting continuity and quality in-depth injury research and the academic growth needed to create sustainable academic leadership at AKU; (3) to generate relevant research within the training program around key regional injury priorities that will inform national policy decisions in Afghanistan and Pakistan around (i) evaluation of hospital-based and system-wide interventions, (ii) child injuries and trauma, and (iii) implementation science methods and approaches to injury prevention and control; and (4) to establish a Regional Policy Forum connecting injury researchers with the Ministries of Health and WHO for an annual policy dialogue on injury and trauma in western Asia, developing researchers' capacity to influence policy. We intend to adapt the injury research focus of our previous ICTRT programs to more demanding doctoral-level training and extend it to Afghanistan using a regional model. We will work to create a sustainable platform for researchers, practitioners, policy makers and donors to plan for interventions designed to prevent and control trauma and injury in Afghanistan and Pakistan.

Public Health Relevance

The proposed Johns Hopkins-Afghanistan-Pakistan International Collaborative Trauma and Injury Research Training (JHU-AfPak-ICTIRT) Program will extend capacity-building in injury research training, leadership, regional policy dialogue, and international linkages to the maturing injury research enterprise now based at Aga Khan University in Pakistan to two leading health institutions in Afghanistan, where the burden of trauma and injury is very high. To promote a sustainable research enterprise in western Asia and enable regional dissemination of research evidence to influence health policy and investments related to trauma and injury, we will build on the existing injury research expertise at AKU to develop the first doctoral-level program in injury and trauma research to serve Pakistan and the region, and develop the capacity of our research trainees to influence policy through an annual research policy forum involving the Ministries of Health and WHO for dialogue on trauma and injury policy.

Agency
National Institute of Health (NIH)
Institute
Fogarty International Center (FIC)
Type
International Research Training Grants (D43)
Project #
2D43TW007292-11
Application #
9231697
Study Section
Special Emphasis Panel (ZRG1-SBIB-P (50)R)
Program Officer
Levintova, Marya
Project Start
2005-05-01
Project End
2021-08-31
Budget Start
2016-09-16
Budget End
2017-08-31
Support Year
11
Fiscal Year
2016
Total Cost
$270,491
Indirect Cost
$12,068
Name
Johns Hopkins University
Department
Public Health & Prev Medicine
Type
Schools of Public Health
DUNS #
001910777
City
Baltimore
State
MD
Country
United States
Zip Code
21205
Ahmad, Haris; Naeem, Rubaba; Feroze, Asher et al. (2018) Teaching children road safety through storybooks: an approach to child health literacy in Pakistan. BMC Pediatr 18:31
Sriram, Veena M; Gururaj, Gopalkrishna; Hyder, Adnan A (2017) Public-private implementation of integrated emergency response services: Case study of GVK Emergency Management and Research Institute in Karnataka, India. Surgery 162:S63-S76
Kerai, Salima Mansoor; Khan, Uzma Rahim; Islam, Muhammad et al. (2017) Post-traumatic stress disorder and its predictors in emergency medical service personnel: a cross-sectional study from Karachi, Pakistan. BMC Emerg Med 17:26
Sriram, Veena M; Naseer, Rizwan; Hyder, Adnan A (2017) Provision of prehospital emergency medical services in Punjab, Pakistan: Case study of a public sector provider. Surgery 162:S12-S23
Sriram, V; Gururaj, G; Razzak, J A et al. (2016) Comparative analysis of three prehospital emergency medical services organizations in India and Pakistan. Public Health 137:169-75
Zafar, Waleed; Khan, Uzma R; Siddiqui, Shakeel A et al. (2016) Workplace Violence and Self-reported Psychological Health: Coping with Post-traumatic Stress, Mental Distress, and Burnout among Physicians Working in the Emergency Departments Compared to Other Specialties in Pakistan. J Emerg Med 50:167-77.e1
Khursheed, Munawar; Bhatti, Junaid; Parukh, Fatima et al. (2015) Dead on arrival in a low-income country: results from a multicenter study in Pakistan. BMC Emerg Med 15 Suppl 2:S8
Fayyaz, Jabeen; Wadhwaniya, Shirin; Shahzad, Hira et al. (2015) Pattern of fall injuries in Pakistan: the Pakistan National Emergency Department Surveillance (Pak-NEDS) study. BMC Emerg Med 15 Suppl 2:S3
Atiq, Huba; Siddiqui, Emaduddin; Bano, Surriya et al. (2015) The pediatric disease spectrum in emergency departments across Pakistan: data from a pilot surveillance system. BMC Emerg Med 15 Suppl 2:S11
Zia, Nukhba; Shahzad, Hira; Baqir, Syed et al. (2015) Ambulance use in Pakistan: an analysis of surveillance data from emergency departments in Pakistan. BMC Emerg Med 15 Suppl 2:S9

Showing the most recent 10 out of 49 publications