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INFORMATION FOR

Kyiv, Ukraine

Site Institution: European Institute of Public Health Policy
U.S. Institution: Yale University
Research Areas: HIV, HCV & TB Prevention and Treatment, Substance Abuse and Prisoners

Site Description:
The ultimate goal of European Institute of Public Health Policy (EIPHP) is to develop and implement strategies and interventions to combat the spread of HIV/AIDS, TB, STIs and drug abuse in Ukraine. EIPHP has extensive experience and dense local collaborative networks in the public health sector. Among the main collaborators of the EIPHP are the Ministry of Health of Ukraine, Ukrainian Center for Disease Control, All-Ukrainian Narcological Association, USAID, CDC, WHO, as well as two large local NGOs working in HIV prevention and treatment (Alliance for Public Health and All-Ukrainian Network of PLWH). EIPHP has the largest organizational portfolio of high-quality research studies in public health in Ukraine.

Drs. Altice and Dvoryak have collaborated since 2005 in these sites, which have served as training sites for numerous pre- and post-doctoral fellows. In 2005 alone, Drs. Altice and Dvoryak were among the first to train 32 Ukrainian physicians and administrators on the treatment of HIV and opioid dependence when they first introduced buprenorphine into the country as primary and secondary HIV prevention. Since 2011, they have trained numerous Global Health Equity Scholars funded by Fogarty International to conduct research on issues related to urban health, HIV, HCV, tuberculosis, health services, implementation science research and addiction medicine. Many of these trainees have moved to important positions in the Ministry of Health, Clinton Foundation and professional societies within Ukraine.

Drs Altice and Dvoryak, have received funding by numerous international agencies, including USAID, CDC, UNAIDS, Open Society Institute and the Global Fund to conduct research on healthcare delivery systems for people who use drugs, including the development of the first integrated healthcare systems.

Dr. Dvoriak, PhD, Doctor of Medical Sciences, is the narcologist of the highest category, the author of three monographs on drug and alcohol abuse and of more than 60 scientific articles. He is the author of the National standards and protocol for treatment of HIV-positive people who inject drugs, which was approved by the Ministry of Health of Ukraine, as well as of the Guidelines for the treatment of opioid dependence with opioid agonists. He has over 40 years of experience with addiction medicine and psychiatry and has worked in the field of HIV/AIDS research since 2000. Dr. Dvoriak received multiple awards of international organizations, such as UN, EUROPAD, ААTOD, for establishment and implementation of innovation methods of addiction treatment and prevention.

Current research projects include:
  • NIH NIDA grant to conduct implementation research to expand methadone and buprenorphine treatment entry and retention for HIV prevention in Ukraine and to use health services research methods to introduce the integration of extended-release naltrexone into HIV clinical care settings. This study involves decision science, conjoint-based analysis, and other survey methods, to create a shared decision-making aid.
  • NIDA grant to conduct research with people in the criminal justice system in prison or on probation to expand MAT in the community. This grant collaborates with multiple NGOs in former Soviet Union countries (Moldova, Kyrgyzstan, Ukraine and others) to conduct intervention research. In Kyrgyzstan, there is considerable qualitative research underway assessing the within prison risk environment.
  • NIDA R01 uses evidence-based practices to examine the effects of integrating addiction treatment into primary care clinics on health care quality of life and stigma. All of this work has mathematical modeling approaches to support the findings.
  • NIDA R01 includes a cluster RCT of integrating screening, evaluation and treatment of depression in addiction treatment settings.

Mentors

  • Frederick Lewis Altice, MD, MA

    U.S. Mentor

    Professor of Medicine (Infectious Diseases) and of Epidemiology (Microbial Diseases); Affiliated Faculty, Yale Institute for Global Health; Director, Yale Center for Clinical and Community Research, Department of Medicine; Director, HIV in Prisons Program, Infectious Diseases; Director, Community Health Care Van, Intersection of Infectious Diseases and Substance Use Disorders/Addiction Medicine; Academic Icon Professor of Medicine, University of Malaya-Centre of Excellence for Research in AIDS (CERiA), Faculty of Medicine

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  • Sergii Dvoriak

    Site Mentor

    Professor, Doctor of Medical Sciences; Senior Researcher, European Institute of Public Health Policy; Head of the Board, Founder and Senior Scientist, Ukrainian Institute on Public Health Policy

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