Capacity development for HIV and mental health research in Asia (CHIMERA) - PROJECT SUMMARY/ABSTRACT
The substantial burden of mental illness in the Asia-Pacific threatens efforts to control regional HIV epidemics.
There is an urgent need to increase research capacity in Asia-Pacific low- and middle-income countries
(LMICs) for integrating HIV and mental health (MH), in order to generate the data needed to guide public
health policies and improve clinical care and patient outcomes. CHIMERA (Capacity development for HIv and
MEntal health Research in Asia) will be the region’s first HIV-MH implementation science research training
program, and will be established through our existing LMIC research network, IeDEA Asia-Pacific.
Importantly, the program meets the trans-NIH priorities to a) address HIV-associated comorbidities and
complications, through the study of MH disorders and dementia; and b) support the cross-cutting areas of
behavioral science, training, and information dissemination, through training in HIV, MH, and implementation
science research that leverages innovative partnerships. The program also meets the Fogarty International
Center’s Strategic Plan Goals by a) addressing the dual burdens of HIV and MH disorders; b) building research
capacity while strengthening existing partnerships; c) stimulating the use of technology; and d) supporting
implementation science research and training that can inform local health policies in LMICs. Under the
leadership of amfAR’s TREAT Asia program in Thailand and with collaborators at Columbia University, the
program will include 4 of our network’s partner institutions: 1) the National Centre for HIV, AIDS, Dermatology,
and STDs with the National Program for Mental Health, Ministry of Health, Cambodia; 2) the University of
Malaya Medical Centre, Malaysia; 3) the Research Institute for Tropical Medicine, Philippines; and 4) the
Thai Red Cross AIDS Research Centre, Thailand. The research training program will recruit 16 Master’s and
Doctoral-level candidates from these countries to participate in overlapping 36-month programs. The
curriculum will combine in-person workshops, online seminars, local and remote mentorship, and specialized
didactics through a program designed to be locally relevant for our youth- and key population-driven HIV
epidemics. Program Fellows will learn to identify key implementation research questions, design and conduct
studies that address how to integrate HIV and MH services and improve their delivery, write grant funding
proposals to extend their research, and present and publish their work. They also will learn about informatics
for research and public health, MH intervention theories, intervention adaptation, and methods of community
engagement. By the end of the program, the research network will have a built a team of Asia-Pacific
researchers with the capacity to lead a regional HIV-MH implementation science research agenda that will
inform public health policy and improve the quality of clinical care. Program Leadership will be guided by
experts and policymakers within the region through an external Training Advisory Committee and a Policy
Advisory Committee to ensure achievement of training objectives and enhance the impact of our program.