Programmatic: Expanding Innovative Multidisciplinary Medical Education in Zambia

描述(申请人提供)：赞比亚是世界上受艾滋病毒疫情影响最严重的国家之一，估计成人感染率为14.3%。虽然最近的指标表明在国家艾滋病毒预防和管理应对方面取得了进展，但如果不大幅增加卫生人力，这是不可持续的。卫生保健工作者(HCW)培训将需要多个层面的投资，首先是扩大职前培训计划的能力和质量。赞比亚大学(UNZA)是赞比亚唯一一所为医务人员和其他保健专业人员提供培训的机构，包括护理、药剂学、生物医学科学和物理疗法学士学位课程、公共卫生和护理硕士课程以及临床子专业医学硕士课程。UNZA还与Chainama健康科学学院的唯一临床官员培训方案以及赞比亚各地的护理和卫生保健培训机构的其他培训机构签订了积极的合作协议。因此，UNZA对于满足在赞比亚扩大保健妇女培训的需要至关重要。为了实现这些目标，必须解决教师和教师的严重短缺问题。这一方案应用的总体目标是在UNZA及其伙伴机构选定的高度优先的培训方案中加强卫生和妇女教育的质量和数量。扩大和留住教师队伍将是实现这些长期目标的关键。为实现这一目标，我们的具体目标是：具体目标1：大幅提高联萨的能力，以便在联萨医学院及其附属机构培训更多的卫生工作者。具体目标2：提高卫生保健服务培训的整体质量，强调在联合国艾滋病规划署开展的艾滋病毒专题综合培训。具体目标3：加强面向医生的医学硕士学位课程，以确保毕业生有能力进行循证研究和项目评估。具体目标4：改善UNZA的学术环境，以更好地留住教员。 与公众的关系：撒哈拉以南非洲的人民受艾滋病毒流行的影响最严重。赞比亚扩大艾滋病毒治疗和预防服务的方案令人印象深刻，但只有培训更多的保健工作者才能持续下去。赞比亚最先进的医护人员培训中心是赞比亚大学(UNZA)。我们建议加强UNZA的培训方案，以提高培训质量，以便在赞比亚全境培训更多的人道主义工作者。

DESCRIPTION (provided by applicant): Zambia is one of the countries in the world most heavily impacted by the HIV epidemic with an estimated adult prevalence of 14.3%. While recent indicators suggest progress in the national HIV prevention and management response, this is not sustainable without substantial increases in health manpower. Health care worker (HCW) training will require investments at many levels, starting with the expansion of the capacity and quality of pre-service training programs. The University of Zambia (UNZA) is the sole training institution in Zambia for Medical Officers and other health care professionals including bachelors degree programs in Nursing, Pharmacy, Biomedical Sciences, and Physiotherapy, Masters in Public Health and Nursing, and Masters in Medicine for clinical subspecialties. UNZA also has active affiliation agreements with the only Clinical Officer training program at Chainama College of Health Sciences and with other training institutions for nursing and HCW training institutions throughout Zambia. UNZA is thus critical for addressing the needs to expand HCW training in Zambia. Critical shortages of faculty and instructors must be addressed in order to meet these targets. The overall goal of this programmatic application is to strengthen both the quality and quantity of HCW education across selected high-priority training programs at UNZA and its partner institutions. Expanding and retaining faculty will be critical to these goals long-term. To accomplish this goal, our Specific Aims are: Specific Aim 1: Improve substantially the capacity of UNZA to train more HCWs at the UNZA School of Medicine (SOM) and affiliated institutions. Specific Aim 2: Improve the overall quality of HCW training, emphasizing integrated HIV specific training at UNZA. Specific Aim 3: Enhance the MMed degree program for physicians to ensure that graduates have the capacity to conduct evidence-based research and program evaluation. Specific Aim 4: Enhance the academic environment at UNZA to better retain faculty. PUBLIC HEATLH RELEVANCE: The people of sub-Saharan Africa are the most heavily affected by the HIV epidemic. The Zambian programmes for expansion of HIV therapy and prevention services has been very impressive but can only be sustained if more health care workers are trained. The single center for most advanced health care worker training in Zambia is the University of Zambia (UNZA). We propose to enhance the training programs at UNZA to improve the quality of training allowing for training many more HCW throughout Zambia.