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Paper Information

Journal:   INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT   2018 , Volume 7 , Number 11; Page(s) 1024 To 1039.

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



Author(s):  CANCEDDA CORRADO*, Cotton Phil, Shema Joseph, Rulisa Stephen, Riviello Robert, Adams Lisa V., Farmer Paul E., Kagwiza Jeanne N., KYAMANYWA PATRICK, Mukamana Donatilla, Mumena Chrispinus, Tumusiime David K., Mukashyaka Lydie, Twagirumugabe Theogene, Mukara Kaitesi B., Dusabejambo Vincent, Nkusi Emmy, Bazzett Matabele Lisa, Butera Alex, Rugwizangoga Belson, Kabayiza Jean Claude, Kanyandekwe Simon, Kalisa Louise, Ntirenganya Faustin, Dixson Jeffrey, Rogo Tanya, McCall Natalie, Corden Mark, Wong Rex, Mukeshimana Madeleine, Ntagungira Egide Kayonga, Yaman Attila, Musabeyezu Juliet, Sliney Anne, Nuthulaganti Tej, Kernan Meredith, Okwi Peter, Rhatigan Joseph, Barrow Jane, Wilson Kim, Levine Adam C., Reece Rebecca, Koster Michael, O Flaherty Jennifer E., Palumbo Paul E., Ginwalla Rashna, Binanay Cynthia A., Thielman Nathan, Relf Michael, Wright Rodney, Hill Mary, Chyun Deborah, Klar Robin T., McCreary Linda L., Hughes Tonda L., Moen Marik, Meeks Valli, Barrows Beth, Durieux Marcel E., McClain Craig D., Bunts Amy, Calland Forrest J., Hedt Gauthier Bethany, Milner Danny, Raviola Giuseppe, Smith Stacy E., Tuteja Meenu, Magriples Urania, RASTEGAR ASGHAR, Arnold Linda, Magaziner Ira
* Center for Global Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
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.
Keyword(s): Health Professional Training,Human Resource for Health,Institutional Capacity,Strengthening,Academic Partnerships,Rwanda
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