To Reach the People: Transforming Health Professions Education in Tanzania (THET)

摘要 坦桑尼亚联合共和国面临着巨大的传染性和非传染性疾病负担， 传染性疾病和严重缺乏训练有素的关键护理提供者，特别是在农村地区。 医生和护士人数有限，妨碍了将抗逆转录病毒疗法有效扩大到估计的 1.4艾滋病毒/艾滋病感染者的人数。更多的卫生专业人员在毕业时准备不足， 在农村地区无人监督地工作。政府已要求学校增加班级人数， 课程，但教师太少，以满足这些教学要求，同时追求 研究兴趣。为了解决这些问题，坦桑尼亚的三所主要大学-穆欣比利大学- 健康和相关科学（MUHAS），基利曼哈罗基督教医科大学大学学院（KCMUCo）， 和健康与联合科学天主教大学（CUHAS）-已经形成了转变健康 坦桑尼亚教育联合会（THET）与两个长期的美国伙伴， 加州圣弗朗西斯科（加州大学旧金山分校）和杜克大学。THET合作伙伴具有互补优势， 建议分享专门知识并相互指导，以实施创新方法， 提高医疗和护理教育和研究的质量，特别侧重于艾滋病毒/艾滋病。具体目标 是：1）标准化和提供能力为基础的课程，为医疗和护理教育在整个 三个机构，使他们的毕业生可以为坦桑尼亚人民服务，他们最需要的; 2）提供 支持教育和研究的环境，以留住教师，并鼓励学员和学生， 最大限度地发挥其潜力;以及3）与关键利益攸关方接触，以确保相关性和可持续性 拟议的活动。全面的监测和评估进程将确保THET符合其 目标. THET拥有经验丰富的领导、技术和运营团队， 咨询委员会开展活动。除了改善THET学校的教育和研究外， 医学和护理，合作伙伴和非THET学校中的其他联合卫生专业学校 这将使坦桑尼亚受益，从而直接解决坦桑尼亚在改善人民健康方面面临的挑战。

Abstract The United Republic of Tanzania faces an overwhelming burden of both communicable and non- communicable diseases and an acute shortage of well-trained critical care providers particularly in rural areas. Limited numbers of doctors and nurses undermine effective scale-up of antiretroviral therapy to the estimated 1.4 million people living with HIV/AIDS. Further health professionals are ill-prepared when they graduate to work unsupervised in rural districts. The Government has asked schools to increase class sizes and enhance curricula but there are too few faculty to meet these pedagogical demands and simultaneously pursue research interests. To address these issues, three major Tanzanian universities - Muhimbili University of Health and Allied Sciences (MUHAS), Kilimanjaro Christian Medical University University College (KCMUCo), and the Catholic University of Health and Allied Sciences (CUHAS) - have formed the Transforming Health Education in Tanzania Consortium (THET) with two long-standing United States partners, the University of California San Francisco (UCSF) and Duke University. THET partners have complementary strengths and propose to share expertise and mentor each other to implement innovative approaches that enhance the quality of medical and nursing education and research, focusing especially on HIV/AIDS. THET’s specific aims are to: 1) standardize and deliver competency-based curricula for medical and nursing education across the three institutions so that their graduates can serve Tanzanian people where they are needed most; 2) provide supportive environments for education and research to retain faculty and encourage trainees and students to reach their maximum potential; and 3) reach out to key stakeholders to ensure the relevance and sustainability of the proposed activities. A comprehensive monitoring and evaluation process will ensure that THET meets its objectives. THET has highly experienced Leadership, Technical and Operations Teams, and an outstanding Advisory Committee to deliver on activities. In addition to improving education and research at THET schools of medicine and nursing, other allied health professions schools among the partners and at non-THET schools will benefit and thus directly address the challenges facing Tanzania in improving the health of its people.