To Reach the People: Transforming Health Professions Education in Tanzania (THET)

惠及人民：转变坦桑尼亚的卫生职业教育 (THET)

• 批准号: 10474313
• 负责人: GIDEON PAUL KWESIGABO
• 金额: $ 62.44万
• 依托单位: MUHIMBILI UNIVERSITY/ ALLIED HLTH SCIS
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-09-19 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10474313
• 关键词: AIDS/HIV problem; Acute; Address; Advisory Committees; Allied Health Profession; Assessment tool; Award; California; Caring; Collaborations; Communication; Communities; Competence; Competency-Based Education; Consult; Counseling; Country; Critical Care; Development; Diagnosis; Discipline of Nursing; Drug toxicity; Education; Educational Curriculum; Educational Models; Educational workshop; Ensure; Environment; Evaluation; Face; Faculty; Fostering; Foundations; Future; Government; Growth; Health; Health Occupations; Health Personnel; Health Priorities; Health Professional; Health Resources; Health Sciences; Health education; Human Resources; Individual; Institution; Leadership; Learning; Medical; Medical Education; Mentors; Mentorship; Methods; Monitor; Nurses; Nursing Education; Nursing Education Research; Outcome; Patient Care; Persons; Physicians; Policies; Population; Poverty; Prevention; Private Sector; Process; Public Sector; Research; Research Personnel; Rural; San Francisco; Schools; Science; Standardization; Students; System; Tanzania; Teacher Professional Development; Technology; Training; Translating; United States; United States National Institutes of Health; Universities; Work; antiretroviral therapy; base; care providers; college; curriculum development; curriculum enhancement; education financing; education research; experience; faculty research; faculty support; improved; innovation; innovative technologies; interactive teaching; interest; learning materials; medical schools; mentoring community; operation; outreach; pedagogy; programs; rural area; scale up; skill acquisition; supportive environment

Abstract The United Republic of Tanzania faces an overwhelming burden of both communicable and non- communicable diseases and an acute shortage of well-trained critical care providers particularly in rural areas. Limited numbers of doctors and nurses undermine effective scale-up of antiretroviral therapy to the estimated 1.4 million people living with HIV/AIDS. Further health professionals are ill-prepared when they graduate to work unsupervised in rural districts. The Government has asked schools to increase class sizes and enhance curricula but there are too few faculty to meet these pedagogical demands and simultaneously pursue research interests. To address these issues, three major Tanzanian universities - Muhimbili University of Health and Allied Sciences (MUHAS), Kilimanjaro Christian Medical University University College (KCMUCo), and the Catholic University of Health and Allied Sciences (CUHAS) - have formed the Transforming Health Education in Tanzania Consortium (THET) with two long-standing United States partners, the University of California San Francisco (UCSF) and Duke University. THET partners have complementary strengths and propose to share expertise and mentor each other to implement innovative approaches that enhance the quality of medical and nursing education and research, focusing especially on HIV/AIDS. THET’s specific aims are to: 1) standardize and deliver competency-based curricula for medical and nursing education across the three institutions so that their graduates can serve Tanzanian people where they are needed most; 2) provide supportive environments for education and research to retain faculty and encourage trainees and students to reach their maximum potential; and 3) reach out to key stakeholders to ensure the relevance and sustainability of the proposed activities. A comprehensive monitoring and evaluation process will ensure that THET meets its objectives. THET has highly experienced Leadership, Technical and Operations Teams, and an outstanding Advisory Committee to deliver on activities. In addition to improving education and research at THET schools of medicine and nursing, other allied health professions schools among the partners and at non-THET schools will benefit and thus directly address the challenges facing Tanzania in improving the health of its people.

摘要 坦桑尼亚联合共和国面临着巨大的传染性和非传染性疾病负担。 传染病和严重缺乏训练有素的重症护理人员，特别是在农村地区。 有限的医生和护士破坏了抗逆转录病毒治疗的有效扩大到估计的 140万艾滋病毒/艾滋病患者。更多的卫生专业人员在毕业后准备不足 在农村地区无人监督的工作。政府已要求学校增加每班人数，并加强 课程，但教师太少，无法满足这些教学要求并同时追求 研究兴趣。为了解决这些问题，坦桑尼亚的三所主要大学--穆亨比利大学 健康与相关科学(MUHAS)，乞力马扎罗基督教医科大学学院(KCMUCo)， 和天主教健康与相关科学大学(CUHAS)-成立了转型健康 坦桑尼亚教育联盟(THET)与美国的两个长期合作伙伴，坦桑尼亚大学 加州大学旧金山分校和杜克大学。合作伙伴具有互补的优势和 建议分享专业知识并相互指导，以实施创新的方法，以增强 提高医疗和护理教育和研究的质量，特别注重艾滋病毒/艾滋病。Thet的具体目标 是：1)标准化和提供以能力为基础的医疗和护理教育课程 三个机构，以便它们的毕业生能够在最需要他们的地方为坦桑尼亚人民服务；2)提供 支持教育和研究的环境，以留住教师并鼓励学员和学生 发挥其最大潜力；以及3)与关键利益攸关方接触，以确保相关性和可持续性 拟开展的活动。全面的监测和评价进程将确保THET符合其 目标。TET拥有经验丰富的领导、技术和运营团队，以及一支杰出的 执行活动的咨询委员会。除了改善TET学校的教育和研究 医学和护理，合作伙伴中的其他联合卫生职业学校和非Thet学校 这将使坦桑尼亚受益，从而直接应对坦桑尼亚在改善其人民健康方面面临的挑战。

项目成果

High Fecal Carriage of Multidrug Resistant Bacteria in the Community among Children in Northwestern Tanzania.

• DOI: 10.3390/pathogens11030379
• 发表时间: 2022-03-21
• 期刊: Pathogens (Basel, Switzerland)
• 作者: Msanga DR;Silago V;Massoza T;Kidenya BR;Balandya E;Mirambo MM;Sunguya B;Mmbaga BT;Lyamuya E;Bartlet J;Mshana SE
• 通讯作者: Mshana SE

The role of community advisory boards in community-based HIV clinical trials: a qualitative study from Tanzania.

• DOI: 10.1186/s12910-021-00737-w
• 发表时间: 2022-01-08
• 期刊: BMC medical ethics
• 影响因子: 2.7
• 作者: Pancras G;Sunguya BF;Sirili N;Balandya E;Lyamuya E;Mmbaga BT
• 通讯作者: Mmbaga BT

Failure to Attain HIV Viral Suppression After Intensified Adherence Counselling-What Can We Learn About Its Factors?

• DOI: 10.2147/idr.s393456
• 发表时间: 2023
• 期刊: Infection and drug resistance
• 影响因子: 3.9

Advances in training of the specialized human resources for health in Tanzania: the case of Muhimbili University of Health and Allied Sciences.

• DOI: 10.1186/s12909-022-03102-6
• 发表时间: 2022-01-25
• 期刊: BMC medical education
• 影响因子: 3.6
• 作者: Balandya E;Hyuha G;Mtaya M;Otieno J;Sunguya B;Frumence G;Muganyizi P;Lyamuya E;Urassa D;Kamuhabwa A;Pembe A
• 通讯作者: Pembe A

Cervical cancer in Northern Tanzania-What do women living with HIV know.

• DOI: 10.3389/fonc.2022.957325
• 发表时间: 2022
• 期刊: FRONTIERS IN ONCOLOGY
• 影响因子: 4.7
• 作者: Mrema, Dorah;Ngocho, James Samwel;Mremi, Alex;Amour, Maryam;Machange, Rogathe;Shayo, Benjamin C.;Alloyce, Julius P.;Ndosi, Evaline;Shirima, Beatus T.;Fande, Device;Shehoza, Rahma;Balandya, Emmanuel;Sunguya, Bruno;Mshana, Stephen E.;Mteta, Alfred K.;Lyamuya, Eligius;Bartlett, John;Mmbaga, Blandina T.
• 通讯作者: Mmbaga, Blandina T.