Malaysian Implementation Science Training (MIST) Program in HIV

马来西亚艾滋病毒实施科学培训（MIST）计划

• 批准号: 10358577
• 负责人: FREDERICK LEWIS ALTICE
• 金额: $ 29.81万
• 依托单位: YALE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-04-22 至 2024-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10358577
• 关键词: AIDS prevention; Address; Asia; Caring; Certification; Collaborations; Communities; Development; Disease; Educational Curriculum; Educational Status; Epidemic; Evidence based intervention; Faculty; Government; HIV; Human Rights; Human immunodeficiency virus test; Hybrids; Injecting drug user; Knowledge; Malaysia; Malaysian; Medical; Modeling; Needle-Exchange Programs; Needles; Outcome; Phase; Politics; Population; Populations at Risk; Prisoner; Public Health; Religion and Spirituality; Research Personnel; Research Training; Resources; Risk; Students; Teacher Professional Development; Training; Training Programs; Universities; antiretroviral therapy; faculty research; female sex worker; health disparity; implementation research; implementation science; international partnership; medical schools; men who have sex with men; next generation; pre-exposure prophylaxis; public health research; scale up; skills; social culture; transgender

Despite an array of evidence-based interventions (EBIs) to address HIV – and the 90/90/90 strategy – the HIV epidemic in Malaysia remains volatile. With over 100,000 cumulative HIV cases, Malaysia's rapidly expanding HIV epidemic is the fifth largest in the Asia-Pacific region and concentrated within the most-at-risk populations, including people who inject drugs (PWID), men who have sex with men (MSM), and female sex workers (FSW). This is attributed to an inadequate scale up of EBIs, including access to HIV testing, pre-exposure prophylaxis (PrEP), antiretroviral therapy, needle/syringe exchange programs (NSEPs) – to meet HIV prevention and treatment efforts. Therefore, given the need to expand EBIs into the continuum of HIV care in Malaysia, it is critical that we invest in implementation science and the next generation of researchers to curtail the burden of HIV disease. Thus, we propose to develop and institutionalize the Malaysian Implementation Science Training (MIST) at the University of Malaya (UM) – the first training on HIV and implementation science that incorporates human rights training in Malaysia – in collaboration with Yale University. MIST will leverage the combined resources of Yale University (Schools of Medicine and Public Health) with the UM, a leading research and training university in the Asia/Pacific region. The MIST training program will use experts in implementation science from Yale University and introduce a hybrid training program between Yale and UM to initially train UM faculty in implementation and train the next generation of researchers and implementers to have the skills to address the HIV prevention and treatment cascade of care. Specifically, MIST adheres to three core aims, including: 1) train 10 Implementation Research Scholars (IRS) and 4 Implementation Research Faculty (IRF) by integrating an advance training in HIV implementation science from Yale School of Medicine; 2) transfer knowledge and build capacity for the UM Certification in HIV Implementation Science; and 3) develop the Implementation Science Resource Hub to consolidate resources and build partnership for better population outcomes. We will create a regional hub for implementation science by providing advanced training for faculty (who are not yet expert in implementation science), doctoral level training and capacity development of students at a renowned public health university that is at the forefront of dynamic sociocultural, religious and political shifts. Building on over 13 years of successful collaborations and partnerships in medical and public health research for key populations, with or at risk for HIV, we are poised to focus implementation science to overcome health disparities for PWID, MSM, FSW, transgender populations and prisoners, and provide advanced training to produce a phased transfer of knowledge, skills and expertise from Yale to UM over the course of five years, resulting in a model curriculum for training in Malaysia at the top university in Malaysia is led and sustained by regional and local faculty with strong community, government and international partnerships.

尽管采取了一系列基于证据的干预措施 (EBI) 来解决艾滋病毒问题 - 以及 90/90/90 策略 - 马来西亚疫情持续波动。马来西亚累计艾滋病毒感染病例已超过 10 万例，感染人数正在迅速扩大 艾滋病毒流行是亚太地区第五大流行病，集中在高危人群中， 包括注射吸毒者 (PWID)、男男性行为者 (MSM) 和女性性工作者 (FSW)。 这是由于 EBI 规模扩大不足，包括获得艾滋病毒检测、暴露前预防 (PrEP)、抗逆转录病毒治疗、针头/注射器交换计划 (NSEP) – 满足艾滋病毒预防和 治疗努力。因此，鉴于需要将 EBI 扩展到马来西亚的艾滋病毒护理的连续过程中， 至关重要的是，我们投资于实施科学和下一代研究人员，以减轻 艾滋病毒疾病。因此，我们建议发展马来西亚实施科学培训并将其制度化 马来亚大学 (UM) 的 (MIST) – 首次关于艾滋病毒和实施科学的培训 与耶鲁大学合作，在马来西亚开展人权培训。 MIST 将利用 耶鲁大学（医学和公共卫生学院）与 UM 的资源相结合，领先的研究 和亚太地区的培训大学。 MIST培训计划将聘请专家实施 耶鲁大学科学，并引入耶鲁大学和密西根大学之间的混合培训计划，以初步培训密西根大学 教师参与实施并培训下一代研究人员和实施人员具备以下技能： 解决艾滋病毒预防和治疗级联护理问题。具体来说，MIST 坚持三个核心目标， 包括：1）培养10名实施研究学者（IRS）和4名实施研究教师（IRF） 整合耶鲁大学医学院的艾滋病毒实施科学高级培训； 2）转移 获得密西根大学艾滋病毒实施科学认证的知识和能力建设； 3）开发 实施科学资源中心以整合资源并建立伙伴关系以改善人口 结果。我们将通过为教师提供高级培训来创建一个实施科学的区域中心 （尚未成为实施科学专家）、博士水平培训和学生能力发展 在一所著名的公共卫生大学，该大学处于充满活力的社会文化、宗教和政治的最前沿 轮班。建立在医疗和公共卫生领域超过 13 年的成功合作和伙伴关系基础上 针对感染艾滋病毒或有感染艾滋病毒风险的重点人群进行研究，我们准备将重点放在实施科学上，以克服 吸毒者、男男性行为者、女同性恋者、跨性别者和囚犯的健康差异，并提供高级培训 在五年内分阶段将知识、技能和专业知识从耶鲁大学转移到密歇根大学， 马来西亚顶尖大学的培训模型课程由以下机构领导和维持： 区域和地方教师与社区、政府和国际合作伙伴关系密切。