Johns Hopkins, Tanzania Red Cross, and Muhimbili University Education and Mentoring Program On Surgical Work, Research, and Rehabilitation in Tanzania (EMPOWER-TZ)

摘要/摘要 据估计，高达28%的全球疾病负担可能要接受手术。 治疗。大多数受影响的个人生活在低收入和中等收入国家。 在全球范围内，每年需要额外的1.43亿次外科手术才能满足未得到满足的人 需要手术，如果不能将手术机会扩大到有需要的人群，将导致 全球国内生产总值损失总额为12.3万亿美元。非洲拥有世界上最高的 未经治疗的外科问题的负担。此外，有很大一部分人无法获得 适当的外科治疗是被迫流离失所的人和难民，他们有8200万人 分别为2500万人。难民面临的手术问题负担是非难民的两倍 LMIC中的种群。在实施过程中缺乏全面的培训计划 外科手术、康复和人道主义健康科学严重阻碍了 研究、以证据为基础的政策变化和有影响力的变化。拟议的2023-2028年 约翰霍普金斯大学、坦桑尼亚红十字会和穆亨比利大学学院 公共卫生与社会科学外科学教育与辅导计划 坦桑尼亚的工作和康复(EMPOWER-TZ)将建立在外科专业知识的基础上 和康复、人道主义卫生和穆亨比利约翰霍普金斯卫生系统 卫生与联合科学大学和坦桑尼亚红十字会。授权-TZ 将加强研究能力，以应对外科疾病的短期和长期负担 手术的结果和坦桑尼亚境内人道主义环境中的康复需求。 具体地说，我们寻求更好地发展能力，研究LIVE手术后的结果 经验和发展能力和跨学科团队，以更好地研究外科和 人道主义背景下的康复科学。我们的模式将专注于使用JHU的专业知识 加强MUHAS内部的能力，同时利用丰富的经验 在人道主义卫生方面开展合作伙伴关系，提供背景知识和实践培训 此计划中的机会。重要的是，这笔赠款的重点领域和执行情况将是 完全合伙完成。我们的目标是促进一个道德的、可持续的和有影响力的 三个机构之间的合作侧重于建设研究能力，以研究 外科手术、康复和人道主义健康的实施学。

Summary/Abstract It is estimated that up to 28% of the global burden of disease may be amenable to surgical treatment. The majority of affected individuals live in low- and middle-income countries (LMIC). Globally, an additional 143 million surgical procedures are needed annually to meet the unmet need of surgery, and a failure to expand surgical access to populations in need would result in a total loss in gross-domestic product of 12.3 trillion dollars globally. Africa has one of the highest burdens of untreated surgical problems. Moreover, a large proportion of those without access to adequate surgical care are forcibly displaced persons and refugees who number 82 million and 25 million, respectively. Refugees face double the burden of surgical problems than non-refugee populations in LMICs. The absence of comprehensive training programs in the implementation science of surgery, rehabilitation, and humanitarian health creates a serious impediment to research, evidence-based policy changes, and impactful changes. The proposed 2023-2028 Johns Hopkins University, Tanzania Red Cross Society and Muhimbili University School of Public Health and Social Sciences Education and Mentoring Program On Surgical Work and Rehabilitation in Tanzania (EMPOWER-TZ) will build on the expertise in surgery and rehabilitation, humanitarian health, and health systems of Johns Hopkins, Muhimbili University of Health and Allied Sciences, and the Tanzania Red Cross Society. EMPOWER-TZ will strengthen research capacity to address the burden of surgical disease, short and long term outcomes of surgery, and rehabilitation needs in humanitarian settings within Tanzania. Specifically, we seek to better develop capacity to study post-surgery outcomes across lived experiences and develop capacity and interdisciplinary teams to better study surgery and rehabilitation sciences in humanitarian contexts. Our model will focus on using expertise at JHU to strengthen the capacity within MUHAS, while simultaneously leveraging the vast experience of TRCS in humanitarian health to provide both contextual expertise and hands-on training opportunities in this program. Importantly, the focus areas and execution of this grant will be done in full partnership. The goal is to promote an ethical, sustainable, and impactful collaboration between the three institutions focused on building research capacity to study the implementation science of surgery, rehabilitation, and humanitarian health.