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Acad Med. 2018 Oct 16. doi: 10.1097/ACM.0000000000002489. [Epub ahead of print]

The Medical Education Partnership Initiative: Strengthening Human Resources to End AIDS and Improve Health in Africa.

Author information

1
P.H. Kilmarx is deputy director, Fogarty International Center, National Institutes of Health, Bethesda, Maryland, and an infectious diseases medical epidemiologist; ORCID: http://orcid.org/0000-0001-6464-3345. F. Katz is director, Division of International Training and Research, Fogarty International Center, National Institutes of Health, Bethesda, Maryland. M.H. Razak was a program officer, Medical Education Partnership Initiative, Fogarty International Center, National Institutes of Health, Bethesda, and is currently director, Division of Global HIV/AIDS Programs, HIV/AIDS Bureau, Health Resources and Service Administration, Rockville, Maryland. J. Palen is deputy coordinator, Program Quality, Office of the U.S. Global AIDS Coordinator, Department of State, Washington, DC. L.W. Cheever is associate administrator, HIV/AIDS Bureau, Health Resources and Service Administration, Rockville, Maryland. R.I. Glass is director, Fogarty International Center, National Institutes of Health, Bethesda, Maryland; ORCID: https://orcid.org/0000-0001-7968-9530.

Abstract

Faced with a critical shortage of physicians in Africa, which hampered the efforts of the U.S. President's Emergency Plan for AIDS Relief (PEPFAR), the Medical Education Partnership Initiative (MEPI) was established in 2010 to increase the number of medical graduates, the quality of their education, and their retention in Africa. To summarize the accomplishments of the initiative, lessons learned, and remaining challenges, the authors conducted a narrative review of MEPI-from the perspectives of the U.S. government funding agencies and implementing agencies-by reviewing reports from grantee institutions and conducting a search of scientific publications about MEPI. African institutions received 11 programmatic grants, totaling $100 million in PEPFAR funds, to implement MEPI from 2010 to 2015. The National Institutes of Health (NIH) provided an additional eight linked and pilot grants, totaling $30 million, to strengthen medical research capacity. The 13 grant recipients (in 12 countries) partnered with dozens of additional government and academic institutions, including many in the United States, forming a robust community of practice in medical education and research. Interventions included increasing the number of medical school enrollees, revising curricula, recruiting new faculty, enhancing faculty development, expanding the use of clinical skills laboratories and community and rural training sites, strengthening computer and telecommunications capacity, and increasing e-learning. Research capacity and productivity increased through training and support. Additional support from NIH for faculty development, and from PEPFAR for health professions education and research, are sustaining and extending MEPI's transformative effect on medical education in select African sites.Written work prepared by employees of the Federal Government as part of their official duties is, under the U.S. Copyright Act, a "work of the United States Government" for which copyright protection under Title 17 of the United States Code is not available. As such, copyright does not extend to the contributions of employees of the Federal Government.

PMID:
30334836
PMCID:
PMC6467693
[Available on 2020-04-16]
DOI:
10.1097/ACM.0000000000002489

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