Strengthening Health Professional Workforce Education Programs for Improved Quality Health care in Zambia (SHEPIZ)

尽管目前许多健康指标都有大幅改善的全球趋势，但次 撒哈拉非洲的疾病负担和公共卫生需求继续上升，没有 相应的比例和适当的人力资源应对措施。这个 培训反应不佳在很大程度上是因为严重缺乏必要的适当 学术结构，尤其是那些以证据和翻译为基础的学术结构 撒哈拉以南非洲地区的想法仍然是受艾滋病毒疫情影响最严重的地区， 据估计，赞比亚成人患病率为14.3%。现在全世界都达成了共识 通过研究结合适当的培训和培训生成特定的知识库 通过卫生保健系统战略性地制定再培训方案，并侧重于 国家重大优先事项在减轻相关负担和改善主要优先事项方面具有巨大潜力 健康结果。在此背景下，并以一系列历史上的能力建设和 赞比亚大学(UNZA)医学院(SOM)和 护理(SON)，包括我们的伙伴机构(木伦古什大学SOM， 赞比亚传染病研究(CIDRZ)、范德比尔特大学、 阿拉巴马大学伯明翰分校和北卡罗来纳大学)，我们建议将重点放在 加强以卫生服务为重点的多层次研究能力建设方案， 分专业培训的临床医生的持续发展和多学科培训质量 增强程序。在拟议的计划中，我们假设通过加强 我国主要的国家卫生职业培训机构的临床和科研培训能力， 赞比亚大学医学院，国家卫生人力能力将是 随着健康结果的改善而得到加强。我们的目标是通过创建两个简短的 和中长期动态卫生专业临床研究培训计划。它是 设想到这一赠款方案期末，将实现若干产出 包括1)为增进健康而制定的临床和研究培训方案 该国在艾滋病毒和非传染性疾病方面的专业工作人员 (非传染性疾病)护理，2)大量健康专业专家(医疗和护理科学) 提供卫生专业人员领导力，以及3)开发基于电子的动态和 创新课程和电子学习网络，促进持续专业发展(CPD) 全国范围内。

Despite the current global trends of substantial improvement of many health indicators, sub- Saharan African disease burden and public health needs have continued to rise, without a corresponding proportional and appropriate human resource response to tackle them. The poor training response is largely compounded by the critical lack of requisite appropriate academic structures especially those whose ethos is grounded on evidence and translational ideas I n d e e d Sub-Saharan Africa still remains the worst hit by the HIV epidemic with an estimated adult prevalence of 14.3% in Zambia. There is now world-wide consensus that generation of specific knowledge bases through research coupled with appropriate training and retraining programs targeted strategically through the health care systems and that focus on major national priorities has great potential to reduce the associated burden and improve major health outcomes. With this background and building on an historical array of capacity building and training programs through the University of Zambia (UNZA) Schools of Medicine (SOM) and Nursing (SON) including our partner institutions (Mulungushi University SOM, the Centre for Infectious Diseases Research in Zambia (CIDRZ), Vanderbilt University, the University of Alabama at Birmingham and the University of North Carolina), we propose to focus on enhancement of a health services focused multilevel research capacity building program, continued development of subspecialty trained clinicians and a multidisciplinary training quality enhancement program. In the proposed program, we hypothesize that by strengthening the clinical and research training capacity of our major national health professions training institution, the University Of Zambia School Of Medicine, the national health workforce competences will be enhanced with resultant improved health outcomes. We aim to achieve this by creating both short and mediam long term dynamic health professions clinical research training programs. It is envisioned that by end of this grant program period a number of outputs will have been realized including 1) established clinical and research training programs for the enhancement of health Professions workforce in the country with regard to HIV and none communicable Diseases (NCDs) care, 2) a critical mass of health professional specialists (medical and nursing sciences) providing health professional workforce leadership, and 3) developed e-based dynamic and innovative courses and e-learning networks for continuous professional development (CPD) country-wide.