Programmatic: Expanding Innovative Multidisciplinary Medical Education in Zambia

描述（由申请人提供）：赞比亚是世界上受艾滋病毒流行影响最严重的国家之一，估计成人感染率为14.3%。虽然最近的指标表明，国家艾滋病毒预防和管理工作取得了进展，但如果不大幅增加保健人力，这种进展是不可持续的。卫生保健工作者（HCW）培训需要在多个层面进行投资，首先是扩大职前培训项目的能力和质量。赞比亚大学（UNZA）是赞比亚唯一的医务人员和其他卫生保健专业人员培训机构，包括护理、药学、生物医学科学和物理治疗的学士学位课程，公共卫生和护理硕士课程，以及临床亚专业的医学硕士课程。UNZA还与Chainama卫生科学学院唯一的临床官员培训方案以及赞比亚各地的其他护理培训机构和卫生保健培训机构签订了积极的合作协议。因此，UNZA对于解决在赞比亚扩大人道主义援助培训的需要至关重要。为了达到这些目标，必须解决教员和教员严重短缺的问题。这一计划申请的总体目标是在UNZA及其合作机构选定的高优先级培训项目中加强HCW教育的质量和数量。从长远来看，扩大和留住员工对实现这些目标至关重要。为实现这一目标，我们的具体目标是：具体目标1：大幅提高UNZA医学院及其附属机构培训更多医护人员的能力。具体目标2：提高妇幼保健培训的整体质量，强调在UNZA进行艾滋病毒综合培训。具体目标3：加强医学博士学位课程，确保毕业生有能力进行循证研究和项目评估。具体目标4：改善澳门大学的学术环境，以更好地留住教师。

DESCRIPTION (provided by applicant): Zambia is one of the countries in the world most heavily impacted by the HIV epidemic with an estimated adult prevalence of 14.3%. While recent indicators suggest progress in the national HIV prevention and management response, this is not sustainable without substantial increases in health manpower. Health care worker (HCW) training will require investments at many levels, starting with the expansion of the capacity and quality of pre-service training programs. The University of Zambia (UNZA) is the sole training institution in Zambia for Medical Officers and other health care professionals including bachelors degree programs in Nursing, Pharmacy, Biomedical Sciences, and Physiotherapy, Masters in Public Health and Nursing, and Masters in Medicine for clinical subspecialties. UNZA also has active affiliation agreements with the only Clinical Officer training program at Chainama College of Health Sciences and with other training institutions for nursing and HCW training institutions throughout Zambia. UNZA is thus critical for addressing the needs to expand HCW training in Zambia. Critical shortages of faculty and instructors must be addressed in order to meet these targets. The overall goal of this programmatic application is to strengthen both the quality and quantity of HCW education across selected high-priority training programs at UNZA and its partner institutions. Expanding and retaining faculty will be critical to these goals long-term. To accomplish this goal, our Specific Aims are: Specific Aim 1: Improve substantially the capacity of UNZA to train more HCWs at the UNZA School of Medicine (SOM) and affiliated institutions. Specific Aim 2: Improve the overall quality of HCW training, emphasizing integrated HIV specific training at UNZA. Specific Aim 3: Enhance the MMed degree program for physicians to ensure that graduates have the capacity to conduct evidence-based research and program evaluation. Specific Aim 4: Enhance the academic environment at UNZA to better retain faculty. PUBLIC HEATLH RELEVANCE: The people of sub-Saharan Africa are the most heavily affected by the HIV epidemic. The Zambian programmes for expansion of HIV therapy and prevention services has been very impressive but can only be sustained if more health care workers are trained. The single center for most advanced health care worker training in Zambia is the University of Zambia (UNZA). We propose to enhance the training programs at UNZA to improve the quality of training allowing for training many more HCW throughout Zambia.