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

Publish Year: 1397
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زبان: English
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JR_HPM-7-11_007

تاریخ نمایه سازی: 18 مرداد 1403

Abstract:

BackgroundThe Rwanda Human Resources for Health Program (HRH Program) is a ۷-year (۲۰۱۲-۲۰۱۹) 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. MethodsThe data for this organizational case study was collected through official reports from the Rwanda Ministry of Health (MoH) and ۲۲ 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. ResultsIn the first ۵ years of the HRH Program, a consortium of US academic institutions has deployed an average of ۹۹ visiting faculty per year to support ۲۲ training programs, which are on track to graduate almost ۴۶۰۰ students by ۲۰۱۹. 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. ConclusionThe 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 ۲۰۱۷. Over the next ۲ academic years, it is critical for the sustainability of the ۲۲ 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.

Authors

Corrado Cancedda

Center for Global Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA

Philip Cotton

Office of the Vice-Chancellor, University of Rwanda, Kigali, Rwanda

Joseph Shema

Rwanda Human Resources for Health Program Team, Ministry of Health, Kigali, Rwanda

Stephen Rulisa

Office of the Dean, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda

Robert Riviello

Center for Surgery and Public Health, Brigham and Women’s Hospital, Boston, MA, USA

Lisa V. Adams

Center for Health Equity, Geisel School of Medicine, Dartmouth College, Hanover, NH, USA

Paul E. Farmer

Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA

Jeanne N. Kagwiza

Office of the Principal, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda

Patrick Kyamanywa

Department of Surgery, Faculty of Clinical Medicine and Dentistry, Kampala International University - Western Campus, Ishaka, Uganda

Donatilla Mukamana

School of Nursing and Midwifery, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda

Chrispinus Mumena

Office of the Dean and Department of Oral and Maxillofacial Surgery, Oral Pathology and Oral Medicine, School of Dentistry, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda

David K. Tumusiime

School of Health Sciences, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda

Lydie Mukashyaka

Rwanda Human Resources for Health Program Team, Ministry of Health, Kigali, Rwanda

Esperance Ndenga

Rwanda Human Resources for Health Program Team, Ministry of Health, Kigali, Rwanda

Theogene Twagirumugabe

Department of Anesthesiology, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda

Kaitesi B. Mukara

Department of Ear, Nose, and Throat, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda

Vincent Dusabejambo

Department of Internal Medicine, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda

Timothy D. Walker

Department of Internal Medicine, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda

Emmy Nkusi

Department of Neurosurgery, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda

Lisa Bazzett-Matabele

Department of Obstetrics, Gynecology, and Reproductive Sciences, Yale School of Medicine, New Haven, CT, USA

Alex Butera

Department of Orthopedic Surgery, Rwanda Military Hospital, Kigali, Rwanda

Belson Rugwizangoga

Department of Pathology, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda

Jean Claude Kabayiza

Department of Pediatrics, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda

Simon Kanyandekwe

Department of Mental Health, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda

Louise Kalisa

Department of Radiology, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda

Faustin Ntirenganya

Department of Surgery, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda

Jeffrey Dixson

Yale School of Medicine, New Haven, CT, USA

Tanya Rogo

Department of Pediatrics, Icahn School of Medicine at Mount Sinai, New York City, NY, USA

Natalie McCall

Department of Pediatrics, Yale School of Medicine, New Haven, CT, USA

Mark Corden

Division of Hospital Medicine, Department of Pediatrics, Children’s Hospital Los Angeles, Los Angeles, CA, USA

Rex Wong

Global Health Leadership Institute, Yale School of Public Health, New Haven, CT, USA

Madeleine Mukeshimana

School of Nursing and Midwifery, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda

Agnes Gatarayiha

Office of the Dean and Department of Oral and Maxillofacial Surgery, Oral Pathology and Oral Medicine, School of Dentistry, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda

Egide Kayonga Ntagungira

School of Health Sciences, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda

Attila Yaman

Division of Global Health Equity, Department of Medicine, Brigham and Women’s Hospital, Boston, MA, USA

Juliet Musabeyezu

University of Global Health Equity, Kigali, Rwanda

Anne Sliney

Clinton Health Access Initiative, Boston, MA, USA

Tej Nuthulaganti

Clinton Health Access Initiative, Boston, MA, USA

Meredith Kiernan

Clinton Health Access Initiative, Boston, MA, USA

Peter Okwi

Clinton Health Access Initiative, Kigali, Rwanda

Joseph Rhatigan

Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA

Jane Barrow

Office of Global and Community Health, Harvard School of Dental Medicine, Boston, MA, USA

Kim Wilson

Department of General Pediatrics, Boston Children’s Hospital, Boston, MA, USA

Adam C. Levine

Department of Emergency Medicine, Warren Alpert Medical School of Brown University, Providence, RI, USA

Rebecca Reece

Department of Medicine, Warren Alpert Medical School of Brown University, Providence, RI, USA

Michael Koster

Department of Pediatrics, Warren Alpert Medical School of Brown University, Providence, RI, USA

Rachel T. Moresky

sidHARTe Program, Heilbrunn Department of Population and Family Health, Mailman School of Public Health, Columbia University, New York City, NY, USA

Jennifer E. O’Flaherty

Department of Anesthesiology, Geisel School of Medicine, Dartmouth College, Hanover, NH, USA

Paul E. Palumbo

Department of Medicine, Geisel School of Medicine, Dartmouth College, Hanover, NH, USA

Rashna Ginwalla

Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA

Cynthia A. Binanay

Duke Hubert-Yeargan Center for Global Health, Durham, NC, USA

Nathan Thielman

Department of Medicine, Duke University School of Medicine, Durham, NC, USA

Michael Relf

Duke Global Health Institute, Durham, NC, USA

Rodney Wright

Department of Obstetrics & Gynecology and Women’s Health, Albert Einstein College of Medicine, New York City, NY, USA

Mary Hill

Division of Nursing, Howard University College of Nursing and Allied Health Sciences, Washington, DC, USA

Deborah Chyun

University of Connecticut School of Nursing, Storrs, CT, USA

Robin T. Klar

New York University Rory Meyers College of Nursing, New York City, NY, USA

Linda L. McCreary

University of Illinois at Chicago College of Nursing, Chicago, IL, USA

Tonda L. Hughes

Columbia University School of Nursing, New York City, NY, USA

Marik Moen

Department of Family & Community Health, University of Maryland School of Nursing, Baltimore, MD, USA

Valli Meeks

Department of Oncology & Diagnostic Sciences, University of Maryland School of Dentistry, Baltimore, MD, USA

Beth Barrows

Office of Global Health, University of Maryland School of Nursing, Baltimore, MD, USA

Marcel E. Durieux

Department of Anesthesiology, University of Virginia School of Medicine, Charlottesville, VA, USA

Craig D. McClain

Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA

Amy Bunts

Department of Surgery, University of Virginia School of Medicine, Charlottesville, VA, USA

Forrest J. Calland

Department of Surgery, University of Virginia School of Medicine, Charlottesville, VA, USA

Bethany Hedt-Gauthier

Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA

Danny Milner

Center for Global Health, American Society for Clinical Pathology, Chicago, IL, USA

Giuseppe Raviola

Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA

Stacy E. Smith

Department of Radiology, Brigham and Women’s Hospital, Boston, MA, USA

Meenu Tuteja

Global Health and Research Programs, Biomedical Research Institute, Brigham and Women’s Hospital, Boston MA, USA

Urania Magriples

Department of Obstetrics, Gynecology, and Reproductive Sciences, Yale School of Medicine, New Haven, CT, USA

Asghar Rastegar

Department of Internal Medicine, Yale School of Medicine, New Haven, CT, USA

Linda Arnold

Department of Pediatrics, Yale School of Medicine, New Haven, CT, USA

Ira Magaziner

Clinton Health Access Initiative, Boston, MA, USA

Agnes Binagwaho

Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA

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