This application seeks to establish a training program in trauma care and injury control research in the Republic of Mozambique. It is built on a preexisting partnership between a US University (Emory University) and a Mozambican University (University Eduardo Mondlane or UEM). Mozambique is a southern African nation with a significant healthcare burden related to injury, and with minimal current clinical or research infrastructure to strengthen the care of injured patients. Three stages of training are described in this application: formal academic training, bridge fellowships in the U.S., and subsequent in-country research. The formal academic training is based on the core MPH curriculum currently taught at UEM, supplemented with focused courses in Trauma Care, Violence and Injury Prevention, and a distance education course in Epidemiology. In addition, the University of South Africa (UNISA), Institute for Social and Health Sciences, has agreed to serve as a regional resource for trainees, offering additional focused injury coursework on an elective basis. The Bridge Fellowships at Emory will function as """"""""mini-sabbaticals"""""""" to nurture research protocols and provide training in the ethical, legal and social implications of research. Finally, trainees will return to Mozambique to undertake in-country research supported by small startup grants to help trainees launch their first project with ongoing mentorship. Close follow-up and collaboration will be provided during all three phases, and on an ongoing basis. While some trainees will undertake all 3 phases of the training, others may require only select phases (perhaps spending more time at UNISA in supplemental courses, or spending more time on in-country research). Evidence of strong in-country support is presented. This plan has several advantages: it is highly cost-effective, it relies on the strengths of two WHO collaborating centres for injury control (Emory and UNISA), it uses a regional or """"""""south to south"""""""" training approach, in-country supplemental training will reach others beyond our core trainees, it signals Emory's intent to Mozambique to be a long-term partner in building the nation's capacity to conduct high quality research in trauma care and injury control, and it lays the foundation for a regional collaborative that could ultimately lead to expansion of this trauma and injury control research beyond Mozambique to include other nations in Southern and East Africa.

National Institute of Health (NIH)
Fogarty International Center (FIC)
International Research Training Grants (D43)
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Special Emphasis Panel (ZRG1-ICP-2 (51))
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Razak, Myat Htoo
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Emory University
Emergency Medicine
Schools of Medicine
United States
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Pinto, Liliana; Lein, Adriana; Mahoque, Raquel et al. (2018) A cross-sectional exploratory study of knowledge, attitudes, and practices of emergency health care providers in the assessment of child maltreatment in Maputo, Mozambique. BMC Emerg Med 18:11
Jethá, Eunice Abdul Remane; Lynch, Catherine A; Houry, Debra E et al. (2011) Characteristic of victims of family violence seeking care at health centers in Maputo, Mozambique. J Emerg Trauma Shock 4:369-73
Menon, David K; Schwab, Karen; Wright, David W et al. (2010) Position statement: definition of traumatic brain injury. Arch Phys Med Rehabil 91:1637-40