Health Professional Training and Capacity Strengthening Through International Academic Partnerships: The First Five Years of the Human Resources for Health Program in Rwanda

Autor: Bethany Hedt-Gauthier, Juliet Musabeyezu, Agnes Gatarayiha, Jean Claude Kabayiza, Paul Palumbo, Marcel E. Durieux, Robert Riviello, Ira C. Magaziner, Valli Meeks, Donatilla Mukamana, Peter Okwi, Louise Kalisa, Joseph Shema, Linda Arnold, Danny A. Milner, Phil Cotton, Lydie Mukashyaka, Adam C. Levine, Jennifer E. O’flaherty, Esperance Ndenga, Belson Rugwizangoga, Urania Magriples, Vincent Dusabejambo, Mary Hill, Rodney L. Wright, Linda L. McCreary, Alex Butera, Joseph Rhatigan, Kaitesi Batamuliza Mukara, Lisa V. Adams, Tanya Rogo, Nathan M. Thielman, Craig D. McClain, Jeanne Kagwiza, David Tumusiime, Rachel T Moresky, Chrispinus H. Mumena, Deborah Chyun, Jeffrey Dixson, Madeleine Mukeshimana, Simon Kanyandekwe, Giuseppe Raviola, Michael V. Relf, Faustin Ntirenganya, Tej Nuthulaganti, Forrest J. Calland, Lisa Bazzett-Matabele, Corrado Cancedda, Jane Barrow, Michael Koster, Kim Wilson, Stacy E. Smith, Asghar Rastegar, Tonda L. Hughes, Natalie McCall, Egide Kayonga Ntagungira, Emmy Nkusi, Amy Bunts, Anne Sliney, Agnes Binagwaho, Mark H. Corden, Cynthia Binanay, Theogene Twagirumugabe, Beth Barrows, Tim Walker, Robin Toft Klar, Meenu Tuteja, Paul Farmer, Rex Wong, Rebecca Reece, Attila Yaman, Meredith Kernan, Stephen Rulisa, Patrick Kyamanywa, Rashna Ginwalla, Marik Moen
Rok vydání: 2018
Předmět:
medicine.medical_specialty
Health (social science)
Capacity Building
Financial Management
Leadership and Management
Health Personnel
International Cooperation
Management
Monitoring
Policy and Law

03 medical and health sciences
0302 clinical medicine
Health Information Management
Political science
Health care
Correspondence
medicine
Academic Partnerships
Humans
030212 general & internal medicine
Health Workforce
Human resources
Human Resource for Health
Students
Curriculum
Developing Countries
Government
Medical education
Organizations
Schools
business.industry
Health Policy
Public health
lcsh:Public aspects of medicine
Rwanda
lcsh:RA1-1270
Health Professional Training
Faculty
United States
Government Programs
Health promotion
030220 oncology & carcinogenesis
Workforce
Sustainability
Strengthening
Original Article
Institutional Capacity
business
Zdroj: International Journal of Health Policy and Management
International Journal of Health Policy and Management, Vol 7, Iss 11, Pp 1024-1039 (2018)
BASE-Bielefeld Academic Search Engine
ISSN: 2322-5939
Popis: Background The Rwanda Human Resources for Health Program (HRH Program) is a 7-year (2012-2019) health professional training initiative led by the Government of Rwanda with the goals of training a large, diverse, and competent health workforce and strengthening the capacity of academic institutions in Rwanda. Methods The data for this organizational case study was collected through official reports from the Rwanda Ministry of Health (MoH) and 22 participating US academic institutions, databases from the MoH and the College of Medicine and Health Sciences (CMHS) in Rwanda, and surveys completed by the co-authors. Results In the first 5 years of the HRH Program, a consortium of US academic institutions has deployed an average of 99 visiting faculty per year to support 22 training programs, which are on track to graduate almost 4600 students by 2019. The HRH Program has also built capacity within the CMHS by promoting the recruitment of Rwandan faculty and the establishment of additional partnerships and collaborations with the US academic institutions. Conclusion The milestones achieved by the HRH Program have been substantial although some challenges persist. These challenges include adequately supporting the visiting faculty; pairing them with Rwandan faculty (twinning); ensuring strong communication and coordination among stakeholders; addressing mismatches in priorities between donors and implementers; the execution of a sustainability strategy; and the decision by one of the donors not to renew funding beyond March 2017. Over the next 2 academic years, it is critical for the sustainability of the 22 training programs supported by the HRH Program that the health-related Schools at the CMHS significantly scale up recruitment of new Rwandan faculty. The HRH Program can serve as a model for other training initiatives implemented in countries affected by a severe shortage of health professionals.
Databáze: OpenAIRE