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 subspecialites. 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 Health Relevance

The people of sub-Saharan Africa are the most heavily affected by the HIV epidemic. The Zambian programs 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.

National Institute of Health (NIH)
Fogarty International Center (FIC)
Resource-Related Research Projects (R24)
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Special Emphasis Panel (ZRG1)
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Mcdermott, Jeanne
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University of Zambia
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Kafita, Doris; Kaile, Trevor; Malyangu, Evans et al. (2018) Evidence of EBV infection in lymphomas diagnosed in Lusaka, Zambia. Pan Afr Med J 29:181
Hangoma, Peter; Robberstad, Bjarne; Aakvik, Arild (2018) Does Free Public Health Care Increase Utilization and Reduce Spending? Heterogeneity and Long Term Effects. World Dev 101:334-350
Zulu, Mildred; Kaile, Trevor; Kantenga, Timothy et al. (2016) Kidney injury molecule-1 and microalbuminuria levels in Zambian population: biomarkers of kidney injury. Pan Afr Med J 24:54
Mulubwa, Chama; Mweemba, Oliver; Katayamoyo, Patrick et al. (2016) Social and clinical attributes of patients who restart antiretroviral therapy in central and Copperbelt provinces, Zambia: a retrospective longitudinal study. BMC Public Health 16:289
Z'gambo, Jessy; Siulapwa, Yorum; Michelo, Charles (2016) Pattern of acute poisoning at two urban referral hospitals in Lusaka, Zambia. BMC Emerg Med 16:2
Andrews, Ben; Musonda, Patrick; Simuyemba, Moses et al. (2015) How we implemented an analytical support clinic to strengthen student research capacity in Zambia. Med Teach 37:635-640
Munthali, Tendai; Jacobs, Choolwe; Sitali, Lungowe et al. (2015) Mortality and morbidity patterns in under-five children with severe acute malnutrition (SAM) in Zambia: a five-year retrospective review of hospital-based records (2009-2013). Arch Public Health 73:23
Sipilanyambe Munyinda, Nosiku; Michelo, Charles; Sichilongo, Kwenga (2015) Linking environmental exposure with public health: dichlorodiphenyltrichloroethane extracted from soils and water of recently exposed communities of selected locations in Zambia. J Environ Public Health 2015:564189
Lukonga, Etambuyu; Michelo, Charles (2015) Factors associated with neonatal mortality in the general population: evidence from the 2007 Zambia Demographic and Health Survey (ZDHS); a cross sectional study. Pan Afr Med J 20:64
Katowa-Mukwato, P; Andrews, B; Maimbolwa, M et al. (2014) Medical students' clerkship experiences and self-perceived competence in clinical skills. Afr J Health Prof Educ 6:155-160

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