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

尽管死亡率在过去十年中略有下降，但产妇和幼儿的负担 赞比亚的死亡人数仍然是世界上最高的之一。在此应用程序中，我们寻求提高母体 在卢萨卡省加强产科和新生儿护理的专门培训 赞比亚大学医学院。急切需要转介服务，以便及时治疗 必须在以社区为基础的倡议的同时加强，以改善孕产妇和 儿童健康。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，包括模拟病人遭遇， 以团队为基础的技能培训、紧急演习和教职员工参与。二是规范和规范 通过实施医疗指南并确保其遵守通过定期的 围产期审计。第三，我们将把医学教育模式扩展到社区护士和助产士 培训，将我们的病人遭遇模拟整合到紧急产科护理中，新生儿 复苏，以及基本的新生儿护理。最后，为了评估这些干预措施的影响，我们将 制定项目评估和成果研究的框架，重点是全面的 监测孕产妇和儿童早期死亡率。这种对患者结果的强调是独一无二的 我们计划的特点，并将提供有价值的信息，以告知成本效益和可持续性 我们的干预措施。为了实现这些目标，我们组建了一支强大的临床医生-教育人员团队，并 来自三个主要机构的内科科学家：赞比亚大学、传染病研究中心 赞比亚疾病研究中心和阿拉巴马大学伯明翰分校。通过在 作为UNZA的MEPI奖项的行政结构，我们大量利用这些资金来解决- 确立全球健康优先事项--使怀孕和分娩更安全--并为 未来赞比亚各地的健康状况将得到改善。 相关性(请参阅说明)： 在世界范围内，怀孕期间和分娩前后的死亡风险仍然高得令人无法接受。虽然很多人 寻求在社区一级扩大获得服务的机会，这种努力必须伴随着 加强以设施为基础的护理。此应用程序旨在提高临床护理的质量和 在赞比亚的一个三级保健机构进行培训，并展示其对人口一级成果的影响。

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. RELEVANCE (See instructions): 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.