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Linked: Improving maternal & child health through specialty training in Zambia

Award Number: R24TW008877
ORGANIZATION: FOGARTY INTERNATIONAL CENTER
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 09/27/2010
PERIOD OF PERFORMANCE END DATE: 08/31/2016

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Linked: Improving maternal & child health through specialty training in Zambia - Despite modest reductions in mortality over the past decade, the burden of maternal and early childhood death in Zambia remains among the highest in the world. In this application, we seek to improve maternal and child outcomes in Lusaka Province by enhancing specialty training for obstetric and neonatal care at the University of Zambia School of Medicine. Referral services are critically needed for the timely treatment of complications and must be strengthened alongside community-based initiatives to improve maternal and child health. We describe our medical education initiative in the context of four specific aims. First, we will enhance training through novel approaches in medical education, including patient-encounter simulations, team-based skills training, emergency drills, and faculty engagement. Second, we will standardize and improve clinical care by implementing medical guidelines and ensuring their adherence through regular perinatal audits. Third, we will expand our medical education model to community-based nurse and midwife training, integrating our patient-encounter simulations into emergency obstetrical care, neonatal resuscitation, and essential newborn care. Finally, to assess the impact of these interventions, we will develop a framework for program evaluation and outcomes research, focusing on comprehensive surveillance of maternal and early childhood mortality. This emphasis on patient outcomes is a unique feature of our program and will provide value information to inform the cost-effectiveness and sustainability of our interventions. To accomplish these aims, we have assembled a strong team of clinician-educators and physician-scientists from three principal institutions: the University of Zambia, the Centre for Infectious Disease Research in Zambia, and the University of Alabama at Birmingham. By working within the administrative structure of UNZA's MEPI award, we substantially leverage these funds to address a well- established global health priority - making pregnancy and delivery safer - and to provide the framework for future health improvements across Zambia. RELEVANCE (See instructions): The risk of death during pregnancy and around delivery remains unacceptably high worldwide. While many have sought to expand access of services at the community level, such efforts must be accompanied by enhancements in facility-based care. This application seeks to improve the quality of clinical care and training at one tertiary care facility in Zambia and demonstrate its impact on population-level outcomes.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2024 ( Subtotal = $0 )
2024	2014	UNIVERSITY OF ZAMBIA	5005 GREAT EAST ROAD	LUSAKA				ZMB	International Research and Research Training	000	5	3/15/2024	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2015 ( Subtotal = $0 )
2015	2014	UNIVERSITY OF ZAMBIA	POST OFFICE BOX 50110	LUSAKA					International Research and Research Training	001	5	8/18/2015	NON-COMPETING CONTINUATION	$0
2015	2014	UNIVERSITY OF ZAMBIA	POST OFFICE BOX 50110	LUSAKA					International Research and Research Training	000	5	2/6/2015	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2014 ( Subtotal = $485,000 )
2014	2014	UNIVERSITY OF ZAMBIA	John Mbita Road	LUSAKA				ZMB	International Research and Research Training	000	5	9/11/2014	NON-COMPETING CONTINUATION	$485,000
														Subtotal = $485,000

Issue Date FY: 2013 ( Subtotal = $470,450 )
2013	2013	UNIVERSITY OF ZAMBIA	John Mbita Road	LUSAKA				ZMB	International Research and Research Training	000	4	9/9/2013	EXTENSION WITH OR WITHOUT FUNDS	$470,450
														Subtotal = $470,450

Issue Date FY: 2012 ( Subtotal = $485,000 )
2012	2012	UNIVERSITY OF ZAMBIA	John Mbita Road	LUSAKA				ZMB	International Research and Research Training	000	3	9/2/2012	NON-COMPETING CONTINUATION	$485,000
														Subtotal = $485,000

Issue Date FY: 2011 ( Subtotal = $485,000 )
2011	2011	UNIVERSITY OF ZAMBIA	John Mbita Road	LUSAKA				ZMB	International Research and Research Training	002	2	9/21/2011	NON-COMPETING CONTINUATION	$485,000
2011	2011	UNIVERSITY OF ZAMBIA	John Mbita Road	LUSAKA				ZMB	International Research and Research Training	001	2	9/16/2011	NON-COMPETING CONTINUATION	$485,000
2011	2011	UNIVERSITY OF ZAMBIA	John Mbita Road	LUSAKA				ZMB	International Research and Research Training	000	2	9/16/2011	NON-COMPETING CONTINUATION	-$485,000
														Subtotal = $485,000

Issue Date FY: 2010 ( Subtotal = $485,000 )
2010	2010	UNIVERSITY OF ZAMBIA	John Mbita Road	LUSAKA				ZMB	International Research and Research Training	000	1	9/27/2010	NEW	$485,000
														Subtotal = $485,000

Grand Total All Awards = $2,410,450

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Linked: Improving maternal & child health through specialty training in Zambia

Award Number: R24TW008877

ORGANIZATION: FOGARTY INTERNATIONAL CENTER

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 09/27/2010

PERIOD OF PERFORMANCE END DATE: 08/31/2016

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