United States-Zambia Addressing Risk Factors for Non-Communicable Diseases (US-Zambia Risk NCD)

项目摘要/摘要 全球疾病负担(GBD)研究估计，全球超过4200万人死于非 传染病(NCD)是2019年的主要致残率之一，也是导致残疾的主要原因之一。非洲有一个 非传染性疾病和相关残疾的负担最高，赞比亚是非传染性疾病负担最高的国家之一， 每年有五分之一的人过早死亡，占所有死亡人数的32%。我们建议进行一次培训 发展赞比亚认识、衡量和应对慢性卫生和经济问题能力的方案 主要风险因素对非传染性疾病的后果。该计划将建立在两国之间密切合作的基础上 机构-乔治华盛顿大学米尔肯公共卫生学院(GWSPH)，美国和 赞比亚大学公共卫生学院(UNZA-SPH)应对两个关键差距--缺乏 训练有素的人力资源和缺乏数据。美国-赞比亚应对风险的总体目标 赞比亚非传染性疾病因素(US-赞比亚RISK-NCD)计划将加强 对非传染性疾病主要风险因素的长期健康和经济后果的研究能力 通过可持续能力发展的创新模式，改善赞比亚的寿命。我们的模型将使用美国 加强赞比亚机构的专业知识，促进专注于重大风险的可持续研究企业 非传染性疾病的因素，并使研究的传播能够通过以下方式影响赞比亚的政策 明确的目标。具体目标1：建立一个核心研究小组，重点研究主要风险因素 UNZA的非传染性疾病。我们将为来自UNZA的学员提供(1)公共硕士的长期培训计划 UNZA的健康(公共卫生)和医学硕士(MMED)学位；(2)UNZA的短期培训讲习班-- SPH每年包括基本组件和高级组件；以及(3)在线课程和网络研讨会 GWSPH关于衡量风险因素的长期健康和经济后果的关键优先议题 非传染性疾病。具体目标2：促进围绕非传染性疾病关键国家优先事项和#年风险因素的研究 赞比亚。我们将与学员一起围绕三个领域进行研究：(1)开发和使用 与主要非传染性疾病风险因素的使用、消费和影响有关的国家数据库；(2)评价 赞比亚性别对非传染性疾病的影响，以了解非传染性疾病的风险因素在不同国家和地区之间的差异 两性平等；和(3)推进执行研究，以支持确定与当地相关的有效政策 以及对非传染性疾病及其风险因素的干预。具体目标3：发展非传染性疾病风险因素“研究 赞比亚的政策(RTP论坛)。我们将与赞比亚外交部合作共同主办一次RTP研讨会 与卫生部就风险因素和非传染性疾病进行年度研究与政策对话。具体目标4：创建一个 赞比亚非传染性疾病和风险因素正式研究单位。我们将致力于补充个人培训 通过与UNZA合作建立一个专门的研究单位，为UNZA和UNZA的教师提供一个家 增强我们努力的可持续性。

Project Summary/Abstract The Global Burden of Disease (GBD) study estimated that over 42 million people died globally from non- communicable diseases (NCDs) in 2019 and they are also of one the leading causes of disability. Africa has one of the highest burdens of NCDs and related disabilities and Zambia has one of the highest NCD burdens where it contributes to one in five premature deaths and up to 32% of all deaths annually. We propose a training program to develop Zambia’s capacity to recognize, measure, and to respond to the chronic health and economic consequences of major risk factors for NCDs. This program will be based on close collaboration between two institutions – the George Washington University Milken Institute School of Public Health (GWSPH), USA and University of Zambia School of Public Health (UNZA-SPH), Zambia to respond to two critical gaps – lack of trained human resources and lack of data. The overall goal of the United States-Zambia Addressing Risk Factors for Non-Communicable Diseases in Zambia (US-Zambia Risk-NCD) program is to strengthen research capacity on the long-term health and economic consequences of major risk factors for NCDs across the lifespan in Zambia through an innovative model of sustainable capacity development. Our model will use US expertise to strengthen a Zambian institution, promote a sustainable research enterprise focused on major risk factors for NCDs and enable dissemination of research to influence policy in Zambia through the following specific aims. Specific Aim 1: To develop a core group of researchers focused on major risk factors for NCDs at UNZA. We will offer (1) a long-term training program for trainees from UNZA within the Master of Public Health (MPH) and Master of Medicine (MMed) degrees at UNZA; (2) short-term training workshops at UNZA- SPH including both basic and advanced components each year; and (3) online courses and webinars from GWSPH on key priority topics in measuring the long-term health and economic consequences of risk factors on NCDs. Specific Aim 2: To promote research around key national priorities for NCDs and risk factors in Zambia. We will work with trainees to conduct research around three domains: (1) development and use of national databases relevant to the use, consumption and impact of major NCD risk factors; (2) evaluation of gender impact on NCDs in Zambia to understand how risk factors for NCDs differ between and among different genders; and (3) advance implementation research to support identification of locally relevant, effective policies and interventions for NCDs and their risk factors. Specific Aim 3: To develop NCD risk factor “Research to Policy (RTP Forum” in Zambia. We will co-host an RTP Symposium in collaboration with the Zambian Ministry of Health for an annual research-to-policy dialogue on risk factors and NCDs. Specific Aim 4: To create a formal research unit on NCDs and risk factors in Zambia. We will work on complementing individual training by working with UNZA to establish a dedicated research unit that provides a home for faculty across UNZA and enhances sustainability of our efforts.