CFAR Symposium 2013: Implementation Sciences and the Global Response to HIV/AIDS
Symposium Chair: Elvin H. Geng, MD, MPH
Symposium Co-Chair: Ralph Gonzales, MD
Symposium Planning Committee Members
- Addithia Cattamanchi
- Moupali Das
- Diane Havlir
- James G. Kahn
- Janet Myers
- Michael Reyes
- George Rutherford
- Jaime Sepulveda
For the first time in the global response to HIV/AIDS, consensus is emerging that turning the tide against the global pandemic is possible. Treatment of HIV infection has evolved from toxic, complex and relatively brittle to well tolerated, simple and potent. HIV-infection persons, especially if treated early in the course of disease, can expect normal lifespans. Prevention of HIV-infection with pre-exposure prophylaxis, male circumcision and through antiretroviral therapy-mediated HIV RNA suppression of infected individuals has been shown to be efficacious and, in particular for pregnant women or serodiscordant partnerships, dramatic.
The emergence of efficacious interventions for treatment and prevention of HIV has brought a new generation of scientific challenges into clear focus: how do we optimally implement these tools in the complex, resource-limited, and sometimes chaotic real-world settings? Implementation science seeks to respond to this critical challenge by quantifying the gaps between evidence and practice and identifying strategies to close these gaps. To do so, the leading edge of the field must understand and influence individual, community, organizational, and systems behaviors. Incorporating insights from psychology, sociology, business administration, economics and other fields is critical for progress.
The Symposium goal is to promote conversation, cross pollination, collaboration, and create momentum for implementation science research at UCSF.
Session I: The Emerging Importance of Implementation Science Research in the Global Response to the HIV/AIDS Epidemic
- Eric Goosby: The President's Emergency Plan for AIDS Relief and the State of the Treatment Response
- Stefano Bertozzi: The Efficiency and Effectiveness Initiative at the Bill and Melinda Gates Foundation
- Moses Kamya: Cascade of HIV Care in Uganda
- Christopher Gordon: Implementation Science for HIV Prevention and Care: NIMH Perspective and Priorities
Implementation Science: Current Frameworks and Analytic Approaches
- Nhan Tran: Disseminating Implementation and Dissemination Research
- Susan Michie: A Theoretical Framework for Understanding Health Provider Behavior
- John Landsverk: Mixed Methods and Measures in Implementation Research
Break-out Room A: Community and Patient Behavior
- Oliver Bacon: Uptake of PrEP in the Real World Demonstration Project
- William Dow: Small Incentives for HIV Testing
- Vivek Jain: Is the Health Fair a Generalizable Strategy to HIV Testing in Africa?
Session IV: Training to Promote Implementation Science Research in HIV/AIDS
- Moses Kamya: Planning for an Implementation Science Training Program at Makerere University in Uganda
- Jeffrey Martin: Training African Scientists in Implementation and Dissemination Research
- Margaret Handley: Adapting UCSF Implementation Science Curriculum to Meet the Needs of HIV Focused Public Health Practitioners
- John Landsverk: NIH Training in Implementation Science