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Linked: Improving maternal & child health through specialty training in Zambia

相关链接：改善母性

基本信息

批准号：
8152109
负责人：
Yakub F Mulla
金额：
$ 48.5万
依托单位：
UNIVERSITY OF ZAMBIA
依托单位国家：
美国
项目类别：
财政年份：
2010
资助国家：
美国
起止时间：
2010-09-27 至 2015-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8152109
关键词：
Address Adherence Africa South of the Sahara Alabama Area Attention Award Awareness Caring Cessation of life Child Childbirth Clinical Collaborations Communities Data Decentralization Development Discipline of obstetrics Effectiveness Emergency Situation Ensure Europe Faculty Funding Future Goals Guidelines Gynecology Head Health Health Priorities Infant Mortality Infectious Diseases Research Institution International Intervention Leadership Life Link Maternal and Child Health Measures Medical Medical Education Mentorship Methods Modeling Morbidity - disease rate Neonatal Neonatology Newborn Infant North America Nurse Midwives Operations Research Outcome Outcomes Research Patient Monitoring System Patients Pediatrics Perinatal Physicians Population Postpartum Period Pregnancy Principal Investigator Program Evaluation Province Research Infrastructure Resources Risk Role SERPINI2 gene Scientist Secure Services Specialist Structure System Training United Nations Universities Woman Women&apos s Health Work Zambia base clinical care cost effectiveness early childhood fetal medicine global health improved innovation medical schools medical specialties meetings mortality neonatal resuscitation novel strategies patient safety population based programs public health relevance response simulation skills training tertiary care

项目摘要

DESCRIPTION (provided by applicant): Despite modest reductions in mortality over the past decade, the burden of maternal and early childhood death in Zambia remains among the highest in the world. In this application, we seek to improve maternal and child outcomes in Lusaka Province by enhancing specialty training for obstetric and neonatal care at the University of Zambia School of Medicine. Referral services are critically needed for the timely treatment of complications and must be strengthened alongside community-based initiatives to improve maternal and child health. We describe our medical education initiative in the context of four specific aims. First, we will enhance training through novel approaches in medical education, including patient-encounter simulations, team-based skills training, emergency drills, and faculty engagement. Second, we will standardize and improve clinical care by implementing medical guidelines and ensuring their adherence through regular perinatal audits. Third, we will expand our medical education model to community-based nurse and midwife training, integrating our patient-encounter simulations into emergency obstetrical care, neonatal resuscitation, and essential newborn care. Finally, to assess the impact of these interventions, we will develop a framework for program evaluation and outcomes research, focusing on comprehensive surveillance of maternal and early childhood mortality. This emphasis on patient outcomes is a unique feature of our program and will provide value information to inform the cost-effectiveness and sustainability of our interventions. To accomplish these aims, we have assembled a strong team of clinician-educators and physician-scientists from three principal institutions: the University of Zambia, the Centre for Infectious Disease Research in Zambia, and the University of Alabama at Birmingham. By working within the administrative structure of UNZA's MEPI award, we substantially leverage these funds to address a well- established global health priority - making pregnancy and delivery safer - and to provide the framework for future health improvements across Zambia. PUBLIC HEALTH RELEVANCE: The risk of death during pregnancy and around delivery remains unacceptably high worldwide. While many have sought to expand access of services at the community level, such efforts must be accompanied by enhancements in facility-based care. This application seeks to improve the quality of clinical care and training at one tertiary care facility in Zambia and demonstrate its impact on population-level outcomes.

描述（由申请人提供）：尽管在过去十年中死亡率略有下降，但赞比亚的孕产妇和幼儿死亡负担仍然是世界上最高的。在这项应用中，我们力求通过加强赞比亚大学医学院的产科和新生儿护理专业培训，改善卢萨卡省的孕产妇和儿童结局。转诊服务对于及时治疗并发症至关重要，必须与改善孕产妇和儿童健康的社区举措一起得到加强。我们在四个具体目标的背景下描述我们的医学教育倡议。首先，我们将通过医学教育中的新方法加强培训，包括病人接触模拟、团队技能培训、应急演习和教师参与。第二，我们将通过实施医疗指南并通过定期围产期审计确保其得到遵守，从而规范和改善临床护理。第三，我们将把我们的医学教育模式扩展到以社区为基础的护士和助产士培训，将我们的病人遭遇模拟整合到产科急诊、新生儿复苏和新生儿基本护理中。最后，为了评估这些干预措施的影响，我们将制定一个项目评估和结果研究框架，重点是对孕产妇和幼儿死亡率的全面监测。这种对患者结果的强调是我们项目的一个独特特点，并将为我们干预措施的成本效益和可持续性提供有价值的信息。为了实现这些目标，我们从三个主要机构：赞比亚大学、赞比亚传染病研究中心和阿拉巴马大学伯明翰分校组建了一支由临床医生教育工作者和医生科学家组成的强大团队。通过在UNZA的MEPI奖励的行政结构内开展工作，我们充分利用这些资金来解决既定的全球卫生优先事项-使怀孕和分娩更安全-并为赞比亚未来的卫生改善提供框架。