From Training & Research to Best Practice: The Malaria Partnership for Excellence

描述(由申请人提供)：疟疾仍然是马拉维的一个主要祸害，马拉维是世界上最贫穷的国家之一，但卫生部对数据做出了反应，并被选为接受美国总统疟疾倡议(PMI)支持的15个国家之一。PMI资金将用于扩大完善的疟疾干预措施，这笔培训赠款将有助于在马拉维建立和维持管理方案、监测和评估其有效性、使用产生的数据为决策提供信息的能力。培训赠款资金的一部分将用于改善合作机构马拉维大学医学院的赠款管理能力，以便今后可以直接向马拉维的研究人员发放奖金。我们将采用“三明治”方式进行培训：中间层由受过相关科学学科教育的马拉维人组成，但缺乏上述更具计划性的领域的培训。这些“发展中的专家”将由项目管理、监测和评估、流行病学和赠款管理方面的老牌专家指导。现有的专家对马拉维非常了解，并有与马拉维的“发展中的专家”和其他人成功合作的记录。经过三年的准备，包括短期课程、在线培训、辅导读物、课程开发和新培训计划的试点版本，马拉维的“不断发展的专家”将自己培训地区卫生管理团队的马拉维卫生工作者。对医学院行政人员的培训将贯穿该方案的整个五年。将尽量减少授课培训，以利于在职指导；这在马拉维被发现非常有效，并将最大限度地减少受训人员离开工作的时间。方案评估将由外部专家在马拉维年度访问期间进行，并将确定成功的要素，以便随后在国家一级扩大规模。公共卫生相关性：马拉维是疟疾流行国家，学术研究人员与卫生政策制定者有效合作。这笔培训赠款的目的是在马拉维建立能力，在全国范围内扩大已证实的抗疟疾干预措施，并确定实现目标的障碍。这项建议是建立在密歇根州立大学和马拉维大学医学院几十年来支持国家疟疾预防和控制计划的研究人员合作的基础上的。

DESCRIPTION (provided by applicant): Malaria remains a major scourge in Malawi, one of the poorest countries of the world, but a country favored by a Ministry of Health responsive to data, and by being selected as one of fifteen countries to receive support from the United States' President's Malaria Initiative (PMI). PMI funds will be used to scale up well-established malaria interventions, and this training grant will help to create and sustain the capacity in Malawi to manage the programs, monitor and evaluate their effectiveness, use the data generated to inform decision making. A portion of the training grant funds will be devoted to improving the grants management capacity at the collaborating institution, the University of Malawi College of Medicine, so that future awards can be made directly to investigators in Malawi. We will use a 'sandwich' approach to the training: the middle layer consists of Malawians who have been educated in relevant scientific disciplines, but lack training in the more programmatic areas described above. These 'evolving experts' will be mentored by established experts in program management, monitoring and evaluation, epidemiology and grants management. The established experts know Malawi well, and have a track record of working successfully with the 'evolving experts' and others in Malawi. After three years of preparation, which will include short courses, on-line training, mentored readings, curriculum development and piloted versions of new training programs, the Malawian 'evolving experts' will themselves train Malawian health workers from District Health Management Teams. Training of the administrative staff in the College of Medicine will occur throughout the five years of the program. Didactic training will be minimized in favor of on-the-job mentoring; this has been found to be highly effective in Malawi and will minimize time away from work for the trainees. Program evaluation will be carried out by the outside experts during their annual visits to Malawi, and successful elements will be identified for subsequent scale-up on a national level. PUBLIC HEALTH RELEVANCE: Malawi is a malaria-endemic country in which academic investigators work effectively with health policy makers. The aim of this training grant is to create the capacity in Malawi to scale up proven antimalarial interventions nationwide, and to identify barriers to achieving targets. This proposal builds on decades of collaboration between investigators at Michigan State University and the University of Malawi College of Medicine in support of the national malaria prevention and control program.