Health systems & implementation sciences institute for NCDs in SoAsia & LatinAm

描述（由申请人提供）：低收入和中等收入国家（LMIC）正在经历日益严重的非传染性疾病（NCD）负担。非传染性疾病预防和控制的组织和协调在多个层面上受到阻碍（地方能力有限，加上卫生系统、资金和基础设施不足），导致知识-落实差距，即使在高收入环境中也是如此。除了财政资源和政治意愿之外，卫生系统的“调整”和“加强”还需要有针对具体情况的可采取行动的证据，以及训练有素的创新卫生领导人，他们能够运用科学知识和组织技能，在人口一级开展非传染性疾病预防和控制工作。然而，很少有低收入国家的卫生系统有足够的应用/实施研究能力来实现系统的增强。这一主题在2011年9月联合国非传染性疾病高级别会议的背景下尤为及时，届时世界各国领导人将面临在全球范围内公平、有效和高效地提供非传染性疾病护理和预防服务的挑战。为了解决肯定会被承认的能力短缺问题，Institution Nacional de Salud Publica（墨西哥），印度公共卫生基金会（印度）和Emory大学（美国）我们共同致力于：a.为墨西哥和印度致力于通过实施科学推进卫生系统的公共卫生专业人员建立一个强大的跨学科卫生系统、实施科学和非传染性疾病领导力培训计划。该计划包括：1/在美国亚特兰大举办的年度，3周，密集，多学科课程，涉及世界一流的核心和客座教师，并结合理论概念，应用案例学习，积极讨论和研讨会的动态组合; 2/为期11个月的指导阶段，每个学员由核心教师导师监督，并在相关项目或方案中应用他们的技能，设计，实施或评估非传染性疾病的政策，干预措施和系统。学员还完成了网络研讨会远程学习模块。B.利用项目人员和技术开发校友网络和基于网络的工具汇编，以促进基于证据的知识共享和在国内机构培训其他人。这一年度标志性计划强调实施和系统科学、领导力、职业发展、思想的交叉授粉、多样性、保留、21世纪连通性和知识共享，并与福格蒂国际中心2008 - 2012年投资于非传染性疾病、领导力和弥合实施科学方面的差距的战略目标高度一致。该计划的愿景是为60名高素质专业人士和3个LMIC机构的职业生涯注入活力，从而为自我维持的有效系统做出贡献（更多的数据驱动决策，创新的利用和更大的问责制）。我们的计划将增强墨西哥和印度的系统和实施研究技能，并为综合NCD预防和控制战略的组织，运作和评估做出贡献。 公共卫生相关性：低收入和中等收入国家（LMIC）面临着巨大的非传染性疾病（NCD）负担，但也面临着融资、基础设施、应用研究能力以及相互竞争的优先事项等困难，这些困难使现有知识与实施经证实的非传染性疾病预防和控制干预措施之间的巨大差距长期存在。该计划将培训来自墨西哥和印度的60名年轻卫生专业人员，并作为这些年轻专业人员的垫脚石，以建立职业生涯，重点是设计政策和/或干预措施，以减少非传染性疾病风险和护理人口，同时在他们的家乡机构建立可持续能力。这一标志性计划也将是及时的，因为它恰逢2011年9月联合国非传染性疾病高级别会议，并直接涉及对LMIC卫生系统成熟至关重要的实施，整合和可持续性领域。

DESCRIPTION (provided by applicant): Low- and middle-income countries (LMIC) are experiencing growing non-communicable disease (NCD) burdens. Organization and coordination of NCD prevention and control are hindered at multiple levels (limited local capacity plus health systems, financing, and infrastructure deficiencies), resulting in knowledge- implementation chasms, even in high-income settings. Together with financial resources and political will, health system "reorientation" and "strengthening" require context-specific, actionable evidence, as well as highly-trained innovative health leaders who can apply scientific knowledge and organizational skills in the pursuit of NCD prevention and control at a population-level. However, few LMIC health systems have sufficient applied/implementation research capacity to achieve systems enhancement. This theme is particularly timely in the context of the UN High-Level Meeting on NCD's in September 2011 where world leaders will be challenged to equitably, effectively, and efficiently deliver NCD care and preventative services globally. To address the capacity shortages that are sure to be acknowledged, the Institution Nacional de Salud Publica (Mexico), Public Health Foundation of India (India), and Emory University (U.S.A.) have partnered together to: a. Establish a robust, interdisciplinary Health Systems, Implementation Sciences, and Leadership for NCDs training program for public health professionals in Mexico and India who are committed to advancing health systems through implementation sciences. The program involves: 1/ An annual, 3-week, intensive, multi- disciplinary course hosted in Atlanta, U.S.A., involving world-class core and guest faculty, and incorporating a dynamic mix of theoretical concepts, applied case-learning, active discussion, and workshops; and 2/ An 11-month mentored phase where trainees are each supervised by core faculty mentors and apply their skills in relevant projects or programs, designing, implementing, or evaluating policies, interventions, and systems for NCDs. Trainees also complete webinar distance learning modules. b. Leverage the program personnel and technology to develop an alumni network and compendium of web- based tools to promote sharing of evidence-based knowledge and training others at home institutions. This annual signature program emphasizes implementation and systems sciences, leadership, career development, cross-pollination of ideas, diversity, retention, 21st century connectivity and knowledge-sharing, and is strongly aligned with the Fogarty International Center's Strategic Goals 2008 - 2012 to invest in NCDs, leadership, and bridge the gap in implementation sciences. The program's vision is to energize the careers of 60 high-caliber professionals and 3 LMIC institutions and therefore contribute to self-sustaining, effective systems (with more data-driven decision-making, utilization of innovations, and greater accountability). Our program will augment systems and implementation research skills in Mexico and India and contribute to the organization, operationalization, and evaluation of integrated NCD prevention and control strategies. PUBLIC HEALTH RELEVANCE: Low- and middle-income countries (LMIC) face huge non-communicable disease (NCD) burdens, but also difficulties of financing, infrastructure, applied research capacity, and competing priorities that perpetuate large gaps between currently available knowledge and implementation of proven interventions for NCD prevention and control. This program in Health Systems, Implementation Sciences, and Leadership for NCDs will train 60 young health professionals from Mexico and India, and serve as a stepping stone for these young professionals to build careers focused on designing policies and/or interventions for NCD risk reduction and care in the population, while at the same time building sustainable capacity at their home institutions. This signature program will also be timely as it coincides with a United Nations High-Level Meeting on NCDs in September 2011, and directly addresses areas of implementation, integration, and sustainability that are critical for the maturation of LMIC health systems.