Malaysian Implementation Science Training (MIST) Program in HIV

尽管采取了一系列以证据为基础的干预措施（EBI）来应对艾滋病毒-以及90/90/90战略， 马来西亚的疫情仍然不稳定。马来西亚的艾滋病病例累计超过10万例， 艾滋病毒是亚太区域第五大流行病，主要集中在高危人群中， 包括注射毒品者（PWID）、男男性行为者（MSM）和女性性工作者（FSW）。 这是由于扩大扩大基础免疫措施，包括艾滋病毒检测、接触前预防措施， （PrEP）、抗逆转录病毒疗法、针头/注射器交换计划（NSEPs）-以满足艾滋病毒预防和 治疗的努力。因此，鉴于需要将EBI扩展到马来西亚的艾滋病毒护理连续体中， 至关重要的是，我们投资于实施科学和下一代研究人员， 艾滋病。因此，我们建议发展马来西亚实施科学培训并使之制度化。 （MIST）在马来亚大学（UM）-第一次关于艾滋病毒和实施科学的培训， 与耶鲁大学合作，纳入了马来西亚的人权培训。MIST将利用 结合耶鲁大学（医学和公共卫生学院）与UM的资源，一个领先的研究 亚洲/太平洋地区的培训大学。MIST培训计划将使用专家进行实施 耶鲁大学的科学，并引入耶鲁大学和UM之间的混合培训计划， 教师在实施和培训下一代的研究人员和实施者有技能， 解决艾滋病毒预防和治疗护理级联问题。具体而言，MIST坚持三个核心目标， 包括：1）培训10名实施研究学者（IRS）和4名实施研究学院（IRF）， 整合耶鲁医学院的艾滋病毒实施科学高级培训; 2）转移 知识和能力建设的艾滋病毒实施科学UM认证;和3）发展 实施科学资源中心整合资源并建立伙伴关系，以改善人口 成果。我们将通过为教师提供高级培训，为实施科学创建区域中心 (who尚不具备执行科学方面的专家）、博士水平的培训和学生的能力发展 在一个著名的公共卫生大学，是在动态的社会文化，宗教和政治的前沿， 运动一样的在医疗和公共卫生领域超过13年的成功合作和伙伴关系的基础上 针对感染艾滋病毒或有感染艾滋病毒风险的关键人群进行研究，我们准备将重点放在实施科学上，以克服 针对残疾人、男男性行为者、性工作者、变性人和囚犯的健康差距，并提供高级培训 在五年的时间里，从耶鲁到UM分阶段转移知识，技能和专业知识， 在马来西亚顶尖大学的马来西亚培训示范课程的领导和维持， 区域和地方教师与强大的社区，政府和国际伙伴关系。

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.