Programmatic: Expanding Innovative Multidisciplinary Medical Education in Zambia

描述（由申请人提供）：赞比亚是世界上受艾滋病毒流行影响最严重的国家之一，估计成人患病率为14.3%。虽然最近的指标表明，国家艾滋病毒预防和管理对策取得了进展，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）培训将需要在多个层面进行投资，首先是扩大服务前培训计划的能力和质量。 赞比亚大学（UNZA）是赞比亚唯一的医疗官员和其他医疗保健专业人员的培训机构，包括护理，药学，生物医学科学和理疗学士学位课程，公共卫生和护理硕士学位，以及临床亚专业医学硕士学位。UNZA还与Chainama健康科学学院唯一的临床官员培训方案以及赞比亚各地的其他护理培训机构和HCW培训机构签订了积极的附属协议。因此，UNZA对于满足扩大赞比亚保健妇女培训的需求至关重要。为了实现这些目标，必须解决教员和教员严重短缺的问题。 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培训方案中加强HCW教育的质量和数量。从长远来看，扩大和留住教师对这些目标至关重要。为了实现这一目标，我们的具体目标是：具体目标1：大大提高UNZA的能力，在UNZA医学院（SOM）和附属机构培训更多的保健工作者。具体目标2：提高保健妇女培训的总体质量，强调在UNZA开展艾滋病毒专门培训。具体目标3：加强医生的MMed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，以更好地留住教师。 公共卫生相关性：撒哈拉以南非洲地区的人民是受艾滋病毒流行影响最严重的地区。赞比亚扩大艾滋病毒治疗和预防服务的方案给人留下了深刻印象，但只有培训更多的保健工作者，才能维持这些方案。赞比亚最先进的卫生保健工作者培训中心是赞比亚大学。我们建议加强UNZA的培训方案，以提高培训质量，从而能够在赞比亚各地培训更多的保健妇女。

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.