Advancing Implementation Research Capacity in Vietnam (ARC)

抽象的。随着更多地获得抗逆转录病毒治疗，风险因素(例如烟草)的流行率更高 使用)对于非传染性疾病(NCD)和艾滋病毒感染的直接影响，与NCD相关的负担 在低收入和中等收入国家，PWH的发病率和死亡率正在上升，包括 越南。这一增长对在降低全球死亡率方面取得的进展构成重大威胁。 可归因于LMIC中的艾滋病毒。尽管有强有力的证据表明世卫组织认可的干预措施可以预防和 有效治疗非传染性疾病，在艾滋病毒护理中实施非传染性疾病相关循证干预(EBI) 落后了。现在有机会利用越南对艾滋病毒卫生系统的大量投资来 提供与非传染性疾病相关的EBI。要实现这一目标，将需要建设能力，以开展能够 生成可操作的数据，以便在艾滋病毒护理的背景下为实施和扩大EBIS提供信息。 实现科学(IS)提供了一套方法，可以加速将研究转化为 改善人口健康成果的政策和做法。此应用程序建立在完善的基础上 纽约大学全球公共卫生学院PI与越南河内的关系 公共卫生大学(HUPH)，通过十多年的合作建立在NIH资助的 实施研究。“越南高级执行研究能力”(ARC)培训 计划将建立一个可持续的HUPH实施科学计划，提供教学培训和 具有艾滋病毒/艾滋病、非传染性疾病和IS研究人员的实际研究经验，为个人做好准备 来自不同的专业背景，为实施研究团队做出贡献。我们的目标是：(1) 为48名研究生、早期职业研究教师、政策制定者和医疗保健系统提供培训 通过课程向学员提供实施研究方法、技能和知识的领导者， 全球卫生实施科学中的指导和体验式学习。我们还将从以下地点招收学员 老挝健康科学大学为区域IS合作奠定了基础。(二)打造 来自全球北方和南方的多学科导师网络，以促进公平的双向 学习和协作，并实施了解文化知识的导师培训计划，以优化导师 和辅导者关系，促进有前途的研究人员和公共卫生的职业发展 专业人员致力于扭转威斯康星医院中与非传染性疾病相关的健康差距日益增长的负担。(3) 评估多层次的短期和长期成果，并探索可促进有效指导和 训练。该项目旨在将IS培训的示范课程制度化，重点放在与 在越南一家领先的机构提高威尔斯亲王医院的健康结果。让学术界、公众 IS培训中的卫生专业人员和政策制定者增强了近期和未来的潜力 将EBI转化为全系统的政策和做法，以减轻威尔斯亲王医院非传染性疾病的负担。

ABSTRACT. With enhanced access to antiretroviral therapy, a higher prevalence of risk factors (e.g., tobacco use) for noncommunicable diseases (NCD) and direct effects of HIV infection, the burden of NCD-related morbidity and mortality among PWH is growing in low-and middle-income countries (LMICs), including Vietnam. This increase presents a significant threat to the progress achieved in reducing global mortality attributable to HIV in LMICs. Despite strong evidence for WHO-endorsed interventions that can prevent and effectively treat NCDs, implementation of NCD-related evidence-based interventions (EBI) in HIV care has lagged. There is an opportunity to leverage the substantial investments in HIV health systems in Vietnam to deliver NCD-related EBIs. Achieving this goal will require building capacity to conduct research that can generate actionable data to inform implementation and scale-up of EBIs in the context of HIV care. Implementation Science (IS) provides a set of methods that can accelerate the translation of research into policy and practice to improve population health outcomes. This application builds on well-established relationships between the PIs in at New York University’s School of Global Public Health and Vietnam’s Hanoi University of Public Health (HUPH), forged through over a decade of collaboration on NIH-funded implementation research. The “Advancing Implementation Research Capacity in Vietnam” (ARC) training program will establish a sustainable HUPH Implementation Science Program that will offer didactic training and practical research experiences with established HIV/AIDS, NCD and IS investigators to prepare individuals from diverse professional backgrounds to contribute to implementation research teams. Our aims are to: (1) Provide training to 48 graduate students, early career research faculty, policymakers and health care system leaders that equips trainees with implementation research methods skills and knowledge through coursework, mentoring, and experiential learning in global health implementation science. We will also enroll trainees from the University of Health Sciences in Laos to build the foundation for regional IS collaboration. (2) Build a network of multidisciplinary mentors from the global north and south to promote equitable bi-directional learning and collaboration, and implement a culturally-informed mentor training program to optimize mentor and mentee relationships and enhance career advancement for promising investigators and public health professionals committed to reversing the growing burden of NCD-related health disparities among PWH. (3) Evaluate multilevel short-and long-term outcomes and explore factors that can inform effective mentorship and training. The project aims to institutionalize model curriculum for IS training focused on priorities relevant to advancing health outcomes among PWH at a leading institution in Vietnam. Engaging both academia, public health professionals and policymakers in IS training enhances the potential for immediate and future translation of EBIs into policies and practices system wide to reduce the burden of NCDs among PWH.