United States-Zambia Addressing Risk Factors for Non-Communicable Diseases (US-Zambia Risk NCD)

项目概要/摘要 全球疾病负担（GBD）研究估计，全球有超过4200万人死于非传染性疾病。 传染病（NCDs）在2019年，他们也是残疾的主要原因之一。非洲有一个 赞比亚是非传染性疾病和相关残疾负担最重的国家之一， 它造成五分之一的过早死亡，占每年所有死亡人数的32%。我们建议进行一次培训 该方案旨在发展赞比亚认识、衡量和应对慢性健康和经济危机的能力， 非传染性疾病主要风险因素的后果。该计划将基于两个机构之间的密切合作 机构-美国乔治华盛顿大学米尔肯研究所公共卫生学院， 赞比亚大学公共卫生学院，赞比亚，以应对两个关键差距-缺乏 训练有素的人力资源和缺乏数据。美国-赞比亚应对风险方案的总体目标 赞比亚非传染性疾病因素（美国-赞比亚风险-NCD）方案将加强 关于非传染性疾病主要风险因素的长期健康和经济后果的研究能力 通过可持续能力发展的创新模式，延长赞比亚的生命周期。我们的模型将使用我们 提供专门知识，以加强赞比亚的一个机构，促进以重大风险为重点的可持续研究事业 非传染性疾病的因素，并使研究的传播能够通过以下方式影响赞比亚的政策 具体目标。具体目标1：建立一个核心研究小组，重点研究主要风险因素， 非传染性疾病在UNZA。我们将提供（1）一个长期的培训计划，为学员从UNZA在硕士公共 （2）在南非非洲联盟举办短期培训班- SPH每年包括基本和高级组件;以及（3）来自 GWSPH关于衡量风险因素对健康和经济的长期影响的关键优先主题， 非传染性疾病具体目标2：促进围绕非传染性疾病国家关键优先事项和风险因素的研究， 赞比亚.我们将与学员一起围绕三个领域进行研究：（1）开发和使用 与主要非传染性疾病风险因素的使用、消费和影响有关的国家数据库;（2）评估 性别对赞比亚非传染性疾病的影响，了解不同国家和地区之间非传染性疾病的风险因素有何不同。 （3）推进实施研究，以支持确定与当地相关的有效政策 以及非传染性疾病及其风险因素的干预措施。具体目标3：开展非传染性疾病危险因素“研究， 政策（RTP论坛）在赞比亚。我们将与赞比亚外交部共同主办RTP研讨会 在2010年，卫生部与联合国儿童基金会合作，就风险因素和非传染性疾病问题开展年度研究到政策对话。具体目标4：建立一个 在赞比亚设立了非传染性疾病和风险因素的正式研究单位。我们将努力补充个人培训 通过与UNZA合作，建立一个专门的研究单位，为UNZA的教师提供一个家， 加强我们工作的可持续性。

Project Summary/Abstract The Global Burden of Disease (GBD) study estimated that over 42 million people died globally from non- communicable diseases (NCDs) in 2019 and they are also of one the leading causes of disability. Africa has one of the highest burdens of NCDs and related disabilities and Zambia has one of the highest NCD burdens where it contributes to one in five premature deaths and up to 32% of all deaths annually. We propose a training program to develop Zambia’s capacity to recognize, measure, and to respond to the chronic health and economic consequences of major risk factors for NCDs. This program will be based on close collaboration between two institutions – the George Washington University Milken Institute School of Public Health (GWSPH), USA and University of Zambia School of Public Health (UNZA-SPH), Zambia to respond to two critical gaps – lack of trained human resources and lack of data. The overall goal of the United States-Zambia Addressing Risk Factors for Non-Communicable Diseases in Zambia (US-Zambia Risk-NCD) program is to strengthen research capacity on the long-term health and economic consequences of major risk factors for NCDs across the lifespan in Zambia through an innovative model of sustainable capacity development. Our model will use US expertise to strengthen a Zambian institution, promote a sustainable research enterprise focused on major risk factors for NCDs and enable dissemination of research to influence policy in Zambia through the following specific aims. Specific Aim 1: To develop a core group of researchers focused on major risk factors for NCDs at UNZA. We will offer (1) a long-term training program for trainees from UNZA within the Master of Public Health (MPH) and Master of Medicine (MMed) degrees at UNZA; (2) short-term training workshops at UNZA- SPH including both basic and advanced components each year; and (3) online courses and webinars from GWSPH on key priority topics in measuring the long-term health and economic consequences of risk factors on NCDs. Specific Aim 2: To promote research around key national priorities for NCDs and risk factors in Zambia. We will work with trainees to conduct research around three domains: (1) development and use of national databases relevant to the use, consumption and impact of major NCD risk factors; (2) evaluation of gender impact on NCDs in Zambia to understand how risk factors for NCDs differ between and among different genders; and (3) advance implementation research to support identification of locally relevant, effective policies and interventions for NCDs and their risk factors. Specific Aim 3: To develop NCD risk factor “Research to Policy (RTP Forum” in Zambia. We will co-host an RTP Symposium in collaboration with the Zambian Ministry of Health for an annual research-to-policy dialogue on risk factors and NCDs. Specific Aim 4: To create a formal research unit on NCDs and risk factors in Zambia. We will work on complementing individual training by working with UNZA to establish a dedicated research unit that provides a home for faculty across UNZA and enhances sustainability of our efforts.