Abstract: Worldwide deaths of children younger than 5 years reduced from 12.7 million in 1990 to 6.3 million in 2013.Much of this decline is attributed to an increase in the knowledge,skills,and abilities of child health professionals.In turn this increase in knowledge,skills,and abilities has been brought about by increased child-health-focused education available to child health professionals.Therefore child-health-focused education must be part of the strategy to eliminate the remaining 6.3 million deaths and to achieve the United Nations Millennium Development Goals.This article describes a child-health-focused program that was established in 1992 and operates in 20 countries:Australia,Bangladesh,Botswana,Cambodia,China,Ethiopia,Hong Kong,India,Kenya,Malawi,Mongolia,Myanmar,Sierra Leone,the Seychelles,the Solomon Islands,Tanzania,Tonga,Vanuatu,Vietnam,and Zimbabwe.The Diploma in Child Health/International Postgraduate Paediatric Certificate （DCH/IPPC） course provides a comprehensive overview of evidence-based current best practice in pediatrics.This includes all subspecialty areas from infectious diseases and emergency medicine through to endocrinology,respiratory medicine,neurology,nutrition,and dietetics.Content is developed and presented by international medical experts in response to global child health needs.Content is provided to students via a combination of learning outcomes,webcasts,lecture notes,personalized study,tutorials,case studies,and clinical practice.One hundred eleven webcasts are provided,and these are updated annually.This article includes a brief discussion of the value and focus of medical education programs;a description of the DCH/IPPC course content,approaches to teaching and learning,course structure and the funding model;the most recent evaluation of the DCH/IPPC course;and recommendations for overcoming the challenges for implementing a multinational child-health-focused program.

Key words: Child health, Global health, Health education, Pediatrics

摘要： 全球5岁以下儿童年死亡人数从1990年的1 270万降至2013年的630万。死亡人数下降很大程度上归功儿童健康专家知识、技能及能力的提升。而儿童健康专家知识、技能和能力的提升是由于其接受了更多的儿童健康教育。因此，儿童健康教育应作为相关策略的一部分，以消除余下的630万死亡人数，并达到联合国千年发展目标。本文介绍了1992年创立的一个聚焦儿童健康的项目，即儿童健康证书/儿科研究生国际证书（DCH/IPPC）项目，此项目在20个国家及地区开展，包括澳大利亚、孟加拉国、博茨瓦纳、柬埔寨、中国内地、埃塞俄比亚、中国香港、印度、肯尼亚、马拉维、蒙古、缅甸、塞拉利昂、塞舌尔、所罗门群岛、坦桑尼亚、汤加、瓦努阿图、越南、津巴布韦。该项目提供了目前最好的儿科循证实践综合概述，涉及所有分科领域，从传染病学、急诊医学到内分泌学、呼吸疾病学、神经学、营养学及膳食学。国际医学专家根据全球儿童健康需求去发展并提供项目内容，并以学习成果、网络广播、讲义、个性化学习、教程、病例研究及临床实践相结合的方式提供给学员。每年共有117个更新的网络广播可供学习。本文简要分析了医学教育项目的价值和焦点，描述了DCH/IPPC项目的内容、教学与学习方法、项目结构、基本模式、DCH/IPPC项目最新的评估方式，并就怎样应对跨国儿童健康项目实施中的挑战提出了建议。

关键词: 儿童健康, 全球健康, 健康教育, 儿科