Expansion of NCD Research Capacity in Thailand with Outreach to Indonesia

D43 Renewal“扩大泰国非传染性疾病研究能力， 印尼 D43更新将解决非传染性疾病（NCD）的快速增长， 泰国和印度尼西亚。这种流行病学转变反映了社会经济的进步， 在与最致命的传染病作斗争方面的发展和进展。但 随之而来的前所未有的人口老龄化速度正在加剧日益严重的人口负担 这些国家的非传染性疾病虽然高收入国家有100多年的时间来调整， 人口和流行病的转变，许多中低收入国家--包括泰国和印度尼西亚-- 在不到四分之一的时间内经历了这种转变。数量，增长速度， 患有非传染性疾病的老年人的医疗保健需求的复杂性将对医疗保健提出挑战， 泰国和印度尼西亚的系统。这些卫生系统传统上侧重于 传染病的治疗和非传染性疾病的长期性将对基础设施和 增加医疗保健费用。解决这一日益严重的问题需要两个重要战略： 1)实施多部门政策，以减少人口风险， 对人口风险和年龄相关疾病表达的基于研究的理解; 2） 来自循证干预措施的有效和负担得起的卫生部门干预措施 问题研究这两项战略都需要由一个致力于当地科学研究的人进行适当的研究。 社区 拟议的D43培训计划建立在以前成功的D43的基础上， 泰国Praboromarajchanok卫生人力发展研究所和 密歇根大学护理学院（UMSN）合作培养博士后干部 在分析方法和研究设计方面接受高质量培训的研究员。的 该计划还包括其他能力建设活动。这五个国家的具体目标和活动 一年的更新计划是：1）实施15个早期中期职业博士后培训 泰国/印度尼西亚受训人员-为他们开展扩大的非传染性疾病研究项目做好准备; 2） 加强科学中心非传染性疾病研究的机构研究能力 在以前的D43活动中建立的活动包括年度能力建设会议， 发展研究网络，并与各部门和研究单位直接协商， 协助他们扩大研究活动; 3）将能力建设活动扩大到PIHWD D43培训附属机构，印度尼西亚Padjadjaran大学，包括印度尼西亚学者 在博士后培训计划和D43的所有其他活动;和4）提供 咨询基础设施建设，以推进电子学习活动-一项支持 泰国培训能力的可持续性。

D43 Renewal ‘Expansion of NCD Research Capacity in Thailand with Outreach to Indonesia’ The D43 Renewal will address the rapid rise in non-communicable diseases (NCD) occurring in both Thailand and Indonesia. This epidemiologic transition reflects advances in socioeconomic development and progress in battling the most virulent infectious diseases. However, the consequent unprecedented pace of population aging is helping to fuel the growing burden of NCDs in these countries. While high-income countries have had over 100 years to adjust to demographic and epidemiological transitions, many LMICs – including Thailand and Indonesia – have experienced that shift in less than one quarter the time. The volume, speed of growth, and complexity of health care needs of older adults with NCDs will challenge the health care systems of Thailand and Indonesia. These health systems have traditionally focused on treating infectious disease, and the prolonged nature of NCDs will challenge infrastructure and increase health care costs. Tackling this escalating problem requires two important strategies: 1) Implementing multi-sectoral policies aimed at reducing population risk that come from research-based understanding of population risk and age-related disease expression; and 2) effective and affordable health sector interventions that come from evidence-based intervention studies. Both strategies require appropriate research produced by a committed, local scientific community. The proposed D43 training plan builds on a previous successful D43 in which the Praboromarajchanok Institute for Health Workforce Development (PIHWD) in Thailand and the University of Michigan School of Nursing (UMSN) collaborated to train a cadre of post-doctoral fellows who received high quality training in analytical methods and research designs. The program also included other capacity building activities. Specific aims and activities for this five year renewal program are to: 1) Implement an early-mid career post-doctoral traineeship for 15 Thai/Indonesian trainees – preparing them to conduct scaled-up NCD research projects; 2) Strengthen the institutional research capacity for NCD research in the scientific hubs established in the prior D43 – activities include annual capacity building conferences, development of research networks and direct consultation to departments and research units to assist them in expanding research activities; 3) Expand capacity building activities to PIHWD D43 training affiliate, the Padjadjaran University of Indonesia, by including Indonesian scholars in the post-doctoral training program and all other activities of the D43; and 4) to provide consultation for infrastructure building to advance eLearning activities – a strategy that supports sustainability of training capacity in Thailand.