Sande Merle, Ronald Allan
University of Manitoba, Faculty of Medicine, Winnipeg, Manitoba, Canada.
Acad Med. 2008 Feb;83(2):180-4. doi: 10.1097/ACM.0b013e318160b5cf.
Fourteen university-based Ugandan and North American physicians in 2001 founded a unique organization at Makerere University Faculty of Medicine in Uganda, the Academic Alliance for AIDS Care and Prevention in Africa (AA), with programs in training, research, prevention, and care. Funding was obtained from Pfizer, Inc.; in 2004, the Infectious Disease Institute (IDI) was built to house the flagship training and care programs of the AA. Although HIV/AIDS was the initial priority, other infectious diseases have been added to the AA's mission, and training has been provided to date to individuals from 26 countries in Africa. These programs are now supported by the Academic Alliance Foundation (AAF), which is based in the United States. The authors describe the AA's programs to train health care workers and to offer ongoing support for health care professionals throughout Africa, as well as efforts to strengthen the health care system within Uganda. They also outline research and clinical services carried out by the IDI and research scholarship programs supported by the AAF. They state that it is too early to judge the success of the AA, and they acknowledge that the lack of trained health care providers and of an adequate care infrastructure are major challenges in Africa. They conclude that the critical challenge facing the AAF and the IDI is to diversify the funding base to sustain current program levels. They then enumerate issues that must be addressed to ensure long-term organizational strength and stability.
2001年，14位来自乌干达各大学及北美的医生在乌干达马凯雷雷大学医学院成立了一个独特的组织——非洲艾滋病防治学术联盟（AA），该组织开展培训、研究、预防和护理项目。资金由辉瑞公司提供；2004年，传染病研究所（IDI）建成，用于容纳该联盟的旗舰培训和护理项目。尽管艾滋病毒/艾滋病是最初的重点，但其他传染病也被纳入该联盟的使命，迄今为止已为来自非洲26个国家的人员提供了培训。这些项目目前由总部位于美国的学术联盟基金会（AAF）提供支持。作者描述了该联盟培训医护人员以及为非洲各地医护专业人员提供持续支持的项目，以及加强乌干达医疗保健系统的努力。他们还概述了传染病研究所开展的研究和临床服务以及学术联盟基金会支持的研究奖学金项目。他们表示，现在判断该联盟是否成功还为时过早，并承认缺乏训练有素的医护人员和足够的护理基础设施是非洲面临的主要挑战。他们得出结论，学术联盟基金会和传染病研究所面临的关键挑战是使资金来源多样化，以维持目前的项目水平。然后，他们列举了为确保组织的长期实力和稳定性必须解决的问题。
