Health Professions Education and training for strengthening the health system and services in Uganda

项目摘要 撒哈拉以南非洲长期缺乏卫生专业人员，那里有15%的 全球人口、全球疾病负担的25%和全球劳动力的3%。鉴于 乌干达的健康指标，如婴儿和5岁以下儿童死亡率有所改善，但仍然令人无法接受 卫生人力是提供适当卫生服务的关键瓶颈。这个 MakCHS，MEPI奖(2010)，取得了几项成功，包括通过培训建立研究能力 博士、硕士和教职员工。此外，它还提高了医学毕业生的数量、质量和留存率 在乌干达，通过支持建立一所医学院，确定医疗能力 教育和完善教育和研究的体制体系。然而，尽管如此， 在取得成就的同时，有几个新老挑战需要持续培训更多的人 卫生工作者。此外，乌干达的人口增长率为3.3%，总生育率高达6.0 创造了对卫生工作者的巨大需求。此外，由于艾滋病毒护理方面的许多进展，艾滋病毒已经 成为一种慢性病，并伴随着非传染性疾病的增加。这 迅速演变的流行病过渡使本已脆弱的乌干达医疗保健进一步紧张 系统。该项目将以MEPI的成果为基础，应对挑战，并利用退出 机遇。我们的目标是改善乌干达卫生系统的服务提供，通过加强 卫生专业跨学科教育与研究培训。我们的总体假设是 加强联合体的卫生专业教育能力将导致增加 卫生专业人员，有能力满足乌干达的关键卫生需求。我们将测试 总体假设通过以下目标来实现。1)加强卫生专业人员的教育和培训，以 培养有能力满足乌干达优先卫生需求的卫生专业人员。2) 加强卫生专业毕业生留在乌干达实习、服务的能力 作为教师和/或从事与艾滋病毒/艾滋病和其他健康优先事项有关的研究。3)加强制度建设 维持乌干达变革性卫生职业教育的系统 利益攸关方、建立网络和加强机构系统。该项目将增强健康 乌干达的专业教育、研究和培训能力，特别强调护理使用 创新模式，包括电子学习和模拟方法。。我们将监测和评估我们的 干预措施，为最佳做法提供证据。这个联合体代表着一个强大的创新 乌干达和美国的医疗和护理教育机构之间的合作。

Project Summary There has been a chronic shortage of health professional workers in sub-Saharan Africa, which has 15% of the world's population, 25% of the global disease burden and 3% of the global workforce. Whereas Uganda's health indices like infant and under-5 mortality rate have improved, they remain unacceptably high with the health workforce as a key bottleneck to provision of appropriate health services. The MakCHS, MEPI award (2010), scored several successes including building research capacity by training PhDs, master's and faculty. In addition it improved the quantity, quality, and retention of medical graduates in Uganda through supporting the establishment of a medical school, identifying competencies for medical education and improving institutional systems for education and research. However, despite these achievements, there are several old and new emerging challenges that need a sustained training of more health workers. Also Ugandan's rapid population growth rate of 3.3 % with a high total fertility rate of 6.0 is creating a huge demand for health workers. Further because of the many gains in HIV care, HIV has become a chronic condition compounded with the associated increase in non-communicable diseases. This rapidly evolving epidemiological transitions have further strained the already weak Ugandan health care system. This project will build on the gains of the MEPI, address the challenges, and leverage on exiting opportunities. Our goal is to improve service delivery of the Ugandan health systems through strengthened health professional interdisciplinary education and research training. Our overall hypothesis is that strengthening the consortiums health professional education capacity will lead to increased numbers of health professionals, with the competencies to address the critical health needs of Uganda. We will test the overall hypothesis through the following aims. 1) Enhance Health Professions' Education and training to produce health professionals who are competent to address the priority health needs of Uganda. 2) Strengthen the capacity of graduating health professional students to remain and practice in Uganda, serve as faculty and or conduct research related to HIV/AIDs and other health priorities. 3) Enhance institutional systems to sustain transformative health professions education in Uganda through the engagement of stakeholders, networking, and enhancing institutional systems. The project will strengthen health professional education, research and training capacity in Uganda with special emphasis on nursing using innovative models including e-Learning and simulation methods. . We shall monitor and evaluate our interventions, to provide evidence for best practices. This consortium represents a strong innovative partnership between medical and nursing education institutions in Uganda and the US.