Programmatic: Expanding Innovative Multidisciplinary Medical Education in Zambia

赞比亚是世界上受艾滋病毒流行影响最严重的国家之一， 成人患病率为14.3%。虽然最近的指标表明，国家在预防艾滋病毒方面取得了进展， 管理层的答复是，如果不大幅增加卫生人力，这是不可持续的。健康 护理人员（HCW）培训将需要在许多层面上进行投资，首先是扩大 职前培训方案的能力和质量。 赞比亚大学（UNZA）是赞比亚唯一的医疗官员和其他专业人员培训机构。 医疗保健专业人员，包括护理，药学，生物医学科学， 公共卫生及护理硕士及临床医学硕士 亚专业UNZA还与唯一的临床官员培训计划签订了积极的附属协议， Chainama健康科学学院和其他护理和HCW培训机构 在赞比亚各地的机构。因此，UNZA对于满足扩大保健妇女培训的需要至关重要， 赞比亚.为了实现这些目标，必须解决教员和教员严重短缺的问题。 这一程序化应用的总体目标是加强HCW的质量和数量 在UNZA及其伙伴机构的选定的高度优先培训方案中提供教育。扩大 而留住教师对于这些目标的长期实现至关重要。为了实现这一目标，我们的具体目标是： 具体目标1：实质性地提高联合国非洲和平与安全机构的能力，以便在联合国非洲和平与安全机构的 医学（SOM）和附属机构。 具体目标2：提高保健妇女培训的总体质量，强调综合艾滋病毒专门培训， UNZA。 具体目标3：加强医生的MMed学位课程，以确保毕业生有 进行循证研究和方案评估的能力。 具体目标4：改善UNZA的学术环境，以更好地留住教师。 相关性（参见说明）： 撒哈拉以南非洲的人民受艾滋病毒流行病的影响最严重。赞比亚 扩大艾滋病毒治疗和预防服务的方案给人留下了深刻的印象， 如果能培训更多的保健工作者，就能持续下去。最先进的卫生保健工作者的单一中心 在赞比亚的培训是赞比亚大学（UNZA）。我们建议加强培训计划， UNZA将提高培训质量，以便在赞比亚各地培训更多的HCW。

Zambia is one ofthe countries in the worid 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 and Masters in Medicine for clinical subspecialites. UNZA also has active affiliafion agreements with the only Clinical Officer training program at Chainama College of Health Sciences and with other training institufions for nursing and HCW training institufions throughout Zambia. UNZA is thus crifical 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 substanfially 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. RELEVANCE (See instructions): The people of sub-Saharan Africa are the most heavily affectd by the HIV epidemic. The Zambian programmes for expansion of HIV therapy and prevention sservices has been very impresive but can only be sustained if more health care wokers 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 trainng allowing for training many more HCW throughout Zambia.