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社区-机构伙伴关系以加强孕产妇保健:利比里亚首个妇产科专科培训项目的案例研究。

Community-Institutional Partnerships to Strengthen Maternal Health Care: Case Study of the First Obstetrics and Gynecology Specialty Training Program in Liberia.

机构信息

Icahn School of Medicine, New York, NY, United States.

Global Health Service Partnership, Washington, DC, United States.

出版信息

Front Public Health. 2022 Feb 7;9:779035. doi: 10.3389/fpubh.2021.779035. eCollection 2021.

DOI:10.3389/fpubh.2021.779035
PMID:35198530
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8858838/
Abstract

Despite major setbacks to its health infrastructure and health workforce capacity, Liberia began its first post-graduate training program for physicians in 2013. Specialty training in Internal Medicine, Pediatrics, General Surgery and Obstetrics and Gynecology were the four inaugural Residency programs that recruited graduates from the country's only medical school, A.M. Dogliotti College of Medicine. The Obstetrics and Gynecology residency program was designed to combat the rising maternal mortality and strengthen health systems to improve maternal care. The program adapted in the face of challenges posed by limited financial support, lack of specialist-faculty and general physician shortages and the Ebola virus outbreak. The manuscript discusses the challenges and successes of the program and demonstrates how the shortage of teaching faculty was addressed by developing a collaboration between local government and educational communities, a United States (US) academic institution and volunteers from the Global Health Service Partnership.

摘要

尽管利比里亚的卫生基础设施和卫生人力能力遭受了重大挫折,但它还是在 2013 年开始了首个医师研究生培训计划。内科、儿科、普通外科和妇产科这四个专业培训是最初的四个住院医师培训计划,招收了来自该国唯一医学院——A.M.多利奥蒂学院的毕业生。妇产科住院医师培训计划旨在应对不断上升的孕产妇死亡率,并加强卫生系统以改善孕产妇护理。该计划适应了有限的财政支持、缺乏专家教师以及普通医生短缺和埃博拉病毒爆发带来的挑战。本文档讨论了该计划的挑战和成功,并展示了如何通过地方政府和教育界、美国学术机构以及全球卫生服务伙伴关系的志愿者之间的合作来解决教学师资短缺的问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f82/8858838/8f98db90ef07/fpubh-09-779035-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f82/8858838/8f98db90ef07/fpubh-09-779035-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f82/8858838/8f98db90ef07/fpubh-09-779035-g0001.jpg

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本文引用的文献

1
Strengthening medical specialisation policy in low-income and middle-income countries.加强中低收入国家的医学专业化政策。
BMJ Glob Health. 2020 Feb 11;5(2):e002053. doi: 10.1136/bmjgh-2019-002053. eCollection 2020.
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Never again? Challenges in transforming the health workforce landscape in post-Ebola West Africa.永不再犯?埃博拉疫情后西非改变卫生人力格局面临的挑战。
Hum Resour Health. 2019 Mar 7;17(1):19. doi: 10.1186/s12960-019-0351-y.
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The Global Health Service Partnership: An Academic-Clinical Partnership to Build Nursing and Medical Capacity in Africa.
全球卫生服务伙伴关系:建立非洲护理与医疗能力的学术-临床伙伴关系
Front Public Health. 2017 Jul 24;5:174. doi: 10.3389/fpubh.2017.00174. eCollection 2017.
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Impact of interventions and the incidence of ebola virus disease in Liberia-implications for future epidemics.利比里亚干预措施对埃博拉病毒病发病率的影响及对未来疫情的启示
Health Policy Plan. 2017 Mar 1;32(2):205-214. doi: 10.1093/heapol/czw113.
5
A Successful US Academic Collaborative Supporting Medical Education in a Postconflict Setting.美国一个成功的学术合作项目在冲突后环境中支持医学教育。
Glob Pediatr Health. 2014 Dec 16;1:2333794X14563383. doi: 10.1177/2333794X14563383. eCollection 2014.
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WEST AFRICAN COLLEGE OF SURGEONS FELLOWSHIP EXAMINATIONS.西非外科医生学院院士资格考试
J West Afr Coll Surg. 2014 Oct-Dec;4(4):xii-xiv.
7
Training of midwives in advanced obstetrics in Liberia.利比里亚助产士高级产科学培训。
Bull World Health Organ. 2016 May 1;94(5):383-7. doi: 10.2471/BLT.15.160473. Epub 2016 May 2.
8
The membership certification of the west african college of surgeons and its relevance to the needs of the west african sub-region.西非外科医生学院的会员资格认证及其与西非次区域需求的相关性。
J West Afr Coll Surg. 2012 Jul;2(3):83-7.
9
Rebuilding human resources for health: a case study from Liberia.重建卫生人力:来自利比里亚的案例研究。
Hum Resour Health. 2011 May 12;9:11. doi: 10.1186/1478-4491-9-11.
10
Effect of civil war on medical education in Liberia.内战对利比里亚医学教育的影响。
Int J Emerg Med. 2011 Feb 16;4:6. doi: 10.1186/1865-1380-4-6.