Medical Education for Services to All Ugandans

Programmatic: Medical Education for Services to All Ugandans (MESAU)

Contact Principal Investigator: SEWANKAMBO, NELSON K,


Awardee Organization: MAKERERE UNIVERSITY

Partner Organizations: Johns Hopkins University, Gulu University, Kampala International University, Busitema University, Mbarara University of Science & Technology

 In Africa, HIV, infectious diseases and other severe health problems compounded by critical shortages of health workforce compromise effective health care delivery. In order to train the necessary number of medical doctors in Africa, medical schools need to produce more high quality doctors. This proposal assembles a 5 Ugandan medical school consortium with JHU to catalyze capacity building and performance enhancements in medical education, research, and environment geared towards improved service delivery. Funding this proposal will facilitate Ugandan universities to strengthen countrywide south-south institutional collaboration as a strategy to enhance quality in medical education with an increase in the number of health workers trained and retained in the country, especially in rural areas. This funding will strengthen the capacity of the Ugandan medical schools consortium to realize their joint mission "to ensure the transformative innovative medical education built on strong sustainable systems to produce more health workers of consistently high quality to address health priorities like HIV/AIDS through service and research to improve health outcomes for Uganda." The specific aims of the proposal are to improve the quality and relevance of medical education and service training by developing learner-centered curricula to be implemented at standardized community-based platforms for education, service, and research which geographically cover the entire country. Well-trained on-site supervisors will teach competencies necessary to deliver locally relevant services in resource-limited environments. An impact evaluation of COBERS to the community students and health facilities will be undertaken. Next, incentives and support will be provided to faculty and students to undertake transdisciplinary research at the community-based sites. A series of grants will be offered that will give students the opportunity to initiate operational research at community sites, will increase the pipeline of basic science and family medicine advanced degrees, and encourage faculty development and retention through research grants with "twinning" opportunities with JHU faculty. Finally, support systems capacity building will be emphasized to facilitate the efficient conduct of education and research. The evolution of the consortium will be monitored and evaluated.

PUBLIC HEATLH RELEVANCE: Improving medical education in resource-limited settings through Innovative curricula will result in a larger number of high quality health care workers with the competencies to address Ugandan health care priorities such as HIV/AIDS and non-communicable disease such as cardiovascular disease and cancer.

Linked: Building Capacity for Cardiovascular Research and Training in Uganda

Contact Principal Investigator: SEWANKAMBO, NELSON K,


Awardee Organization: MAKERERE UNIVERSITY

Partner Organizations: Mbarara University of Science & Technology, Uganda Virus Research Institute, Case Western Reserve University, University of Cape Town

Despite the great importance of cardiovascular disease (CVD) as one of the leading causes of morbidity and mortality, research and training in this disease has been relatively neglected in Uganda. There is lack of good quality data on the epidemiology of CVD and on clinical outcomes and few on-site experts in CVD. This situation translates into low levels of awareness in the communities, poorer outcomes and sub-optimal primary care responses to CVDs. We propose to expand our highly successful research collaborations In infectious diseases to include CVD, with the goal of designing a program that will substantially improve the capacity for research and training in Uganda and to address the critical shortage of leaders in CVD. Using the community-based education, research and service (COBERS) sites in the programmatic award, training of medical students in CVD risk assessment and primary care will be supported. In addition, master's degree programs for residents and short term fellowships and PhD training for young faculty will be provided to develop clinical and research careers in CVD. Besides, research training in this program will be linked to a research project that will collect baseline epidemiological data and investigate control of hypertension in a clinic setting. The MEPI program will be integrated within the existing framework of training at two major medical schools in Uganda namely Makerere University College of Health Sciences (MUCHS) and Mbarara University of Science and Technology to ensure its sustainability. These two medical schools are part of the MUCHS Programmatic application and will collaborate with other institutions including the Medical Research council in Uganda to support the community based CVD epidemiologic survey. Case Western University to provide visiting faculty and mentorship, and University of Cape town to provide short term fellowship programs for Ugandan residents and faculty. This proposal is in line with the government of Uganda Health Sector Strategic Plan that highlights building capacity for CVD prevention as one of its core priorities. By the end of this program, a critical mass of personnel will have been trained. The research environment for CVD will have been improved and this will likely lead to substantial increase in publications and improve retention of the trained faculty.

PUBLIC HEALTH RELEVANCE: Despite the great importance of cardiovascular disease (CVD) as one of the leading causes of morbidity and mortality, research and training in this disease has been relatively neglected in Uganda. Improved in-country CVD expertise and better knowledge of the epidemiology of CVD and control of hypertension will be critical to assist the Ministry of Health in establishing effective policies for the treatment and control of CVD and will improve outcomes. U.S. Government interagency website managed by the Office of U.S. Global AIDS Coordinator
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