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

نویسندگان

  • Adam C. Levine Department of Emergency Medicine, Warren Alpert Medical School of Brown University, Providence, RI, USA
  • Agnes Binagwaho Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA | Department of Pediatrics, Geisel School of Medicine, Dartmouth College, Hanover, NH, USA | Institute for Health Policy and Clinical Practice, Dartmouth College, Hanover, NH, USA | Office of the Vice-Chancellor, University of Global Health Equity, 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 | Department of Preventive and Community Dentistry, School of Dentistry, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda
  • Alex Butera Department of Orthopedic Surgery, Rwanda Military Hospital, Kigali, Rwanda
  • Amy Bunts Department of Surgery, University of Virginia School of Medicine, Charlottesville, VA, USA
  • Asghar Rastegar Department of Internal Medicine, Yale School of Medicine, New Haven, CT, USA
  • Attila Yaman Division of Global Health Equity, Department of Medicine, Brigham and Women’s Hospital, Boston, MA, USA
  • Belson Rugwizangoga Department of Pathology, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda
  • Beth Barrows Office of Global Health, University of Maryland School of Nursing, Baltimore, MD, USA | Partnerships, Professional Education, and Practice, University of Maryland School of Nursing, Baltimore, MD, USA
  • 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
  • Corrado Cancedda Center for Global Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
  • Craig D. McClain Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA | Department of Anesthesiology Perioperative and Pain Medicine, Boston Children’s Hospital, Boston, MA, USA
  • Danny Milner Center for Global Health, American Society for Clinical Pathology, Chicago, IL, USA | Department of Immunology and Infectious Diseases, Harvard T. H. Chan School of Public Health, Boston, MA, USA
  • David K. Tumusiime School of Health Sciences, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda
  • Deborah Chyun University of Connecticut School of Nursing, Storrs, CT, USA
  • Donatilla Mukamana School of Nursing and Midwifery, 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
  • Emmy Nkusi Department of Neurosurgery, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda
  • Esperance Ndenga Rwanda Human Resources for Health Program Team, Ministry of Health, Kigali, Rwanda
  • Faustin Ntirenganya Department of Surgery, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda
  • Forrest J. Calland Department of Surgery, University of Virginia School of Medicine, Charlottesville, VA, USA
  • Giuseppe Raviola Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA | Department of Psychiatry, Boston Children’s Hospital, Boston, MA, USA
  • Jane Barrow Office of Global and Community Health, Harvard School of Dental Medicine, Boston, MA, USA | Department of Oral Health Policy and Epidemiology, Harvard School of Dental Medicine, Boston, MA, USA
  • Jean Claude Kabayiza Department of Pediatrics, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda
  • Jeanne N. Kagwiza Office of the Principal, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda
  • Jennifer E. O’Flaherty Department of Anesthesiology, Geisel School of Medicine, Dartmouth College, Hanover, NH, USA | Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA
  • Joseph Rhatigan Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA | Division of Global Health Equity, Department of Medicine, Brigham and Women’s Hospital, Boston, MA, USA
  • Joseph Shema Rwanda Human Resources for Health Program Team, Ministry of Health, 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
  • Kim Wilson Department of General Pediatrics, Boston Children’s Hospital, Boston, MA, USA | Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA
  • Linda Arnold Department of Pediatrics, Yale School of Medicine, New Haven, CT, USA
  • Lisa Bazzett-Matabele Department of Obstetrics, Gynecology, and Reproductive Sciences, Yale School of Medicine, New Haven, CT, USA
  • Lisa V. Adams Center for Health Equity, Geisel School of Medicine, Dartmouth College, Hanover, NH, USA | Department of Medicine, Geisel School of Medicine, Dartmouth College, Hanover, NH, USA
  • Louise Kalisa Department of Radiology, School of Medicine and Pharmacy, 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
  • Madeleine Mukeshimana School of Nursing and Midwifery, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda
  • Marcel E. Durieux Department of Anesthesiology, University of Virginia School of Medicine, Charlottesville, VA, USA
  • Marik Moen Department of Family & Community Health, University of Maryland School of Nursing, Baltimore, MD, USA | Global Education and Mentorship, Office of Global Health, University of Maryland School of Nursing, Baltimore, MD, USA
  • Mark Corden Division of Hospital Medicine, Department of Pediatrics, Children’s Hospital Los Angeles, Los Angeles, CA, USA | Department of Pediatrics, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
  • Mary Hill Division of Nursing, Howard University College of Nursing and Allied Health Sciences, Washington, DC, USA
  • Meenu Tuteja Global Health and Research Programs, Biomedical Research Institute, Brigham and Women’s Hospital, Boston MA, USA
  • Michael Koster Department of Pediatrics, Warren Alpert Medical School of Brown University, Providence, RI, USA
  • Michael Relf Duke Global Health Institute, Durham, NC, USA | Duke University School of Nursing, Durham, NC, USA
  • Natalie McCall Department of Pediatrics, Yale School of Medicine, New Haven, CT, USA
  • Nathan Thielman Department of Medicine, Duke University School of Medicine, Durham, NC, USA | Duke Global Health Institute, Durham, NC, USA | Duke University Medical Center, Durham, NC, USA
  • Patrick Kyamanywa Department of Surgery, Faculty of Clinical Medicine and Dentistry, Kampala International University - Western Campus, Ishaka, Uganda
  • Paul E. Farmer Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA | Division of Global Health Equity, Department of Medicine, Brigham and Women’s Hospital, Boston, MA, USA
  • Paul E. Palumbo Department of Medicine, Geisel School of Medicine, Dartmouth College, Hanover, NH, USA | Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA | Department of Pediatrics, Geisel School of Medicine, Dartmouth College, Hanover, NH, USA
  • Peter Okwi Clinton Health Access Initiative, Kigali, Rwanda
  • Philip Cotton Office of the Vice-Chancellor, University of Rwanda, Kigali, Rwanda
  • Rachel T. Moresky sidHARTe Program, Heilbrunn Department of Population and Family Health, Mailman School of Public Health, Columbia University, New York City, NY, USA | Department of Emergency Medicine, Columbia University College of Physicians and Surgeons, New York City, NY, USA
  • Rashna Ginwalla Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA | Department of Surgery, Geisel School of Medicine, Dartmouth College, Hanover, NH, USA
  • Rebecca Reece Department of Medicine, Warren Alpert Medical School of Brown University, Providence, RI, USA
  • Rex Wong Global Health Leadership Institute, Yale School of Public Health, New Haven, CT, USA
  • Robert Riviello Center for Surgery and Public Health, Brigham and Women’s Hospital, Boston, MA, USA | Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA
  • Robin T. Klar New York University Rory Meyers College of Nursing, New York City, NY, USA
  • Rodney Wright Department of Obstetrics & Gynecology and Women’s Health, Albert Einstein College of Medicine, New York City, NY, USA | Obstetrics & Gynecology and Women’s Health, Montefiore Medical Center, New York City, NY, USA
  • Simon Kanyandekwe Department of Mental Health, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda
  • Stacy E. Smith Department of Radiology, Brigham and Women’s Hospital, Boston, MA, USA
  • Stephen Rulisa Office of the Dean, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda
  • Tanya Rogo Department of Pediatrics, Icahn School of Medicine at Mount Sinai, New York City, NY, USA | Department of Pediatrics, BronxCare Health System, Bronx, NY, USA
  • Theogene Twagirumugabe Department of Anesthesiology, 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 | School of Medicine and Public Health, Faculty of Health and Medicine, University of Newcastle, Newcastle, NSW, Australia | Department of General Medicine, Calvary Mater Hospital, Newcastle, NSW, Australia
  • Urania Magriples Department of Obstetrics, Gynecology, and Reproductive Sciences, Yale School of Medicine, New Haven, CT, USA
  • Valli Meeks Department of Oncology & Diagnostic Sciences, University of Maryland School of Dentistry, Baltimore, MD, USA
  • Vincent Dusabejambo Department of Internal Medicine, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda
چکیده مقاله:

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.

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عنوان ژورنال

دوره 7  شماره 11

صفحات  1024- 1039

تاریخ انتشار 2018-11-01

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