Enhancing Formal Educational and In-Service Training Programs in Rural Rwanda: A Partnership Among the Public Sector, a Nongovernmental Organization, and Academia
Enhancing Formal Educational and In-Service Training Programs in Rural Rwanda: A Partnership Among the Public Sector, a Nongovernmental Organization, and Academia
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DOI：
10.1097/acm.0000000000000376
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发表时间：
2014-08-01
影响因子：
7.4
通讯作者：
Binagwaho, Agnes
中科院分区：
文献类型：
--
作者：
Cancedda, Corrado;Farmer, Paul E.;Binagwaho, Agnes
全球卫生工作者的分布、专业化、多样性和能力差异惊人。与卫生专业人员较多的国家相比，卫生专业人员较少的国家的卫生成果较差。尽管在健康指标方面取得了重大进展，但卢旺达仍然严重缺乏卫生专业人员。本文介绍了2005年卢旺达卫生部与美国非政府组织“健康伙伴”、哈佛医学院和布里格姆妇女医院建立的伙伴关系。这种伙伴关系已经扩大到包括卢旺达国立大学医学院和公共卫生学院以及其他哈佛附属学术医疗中心。该伙伴关系优先重视地方自主权，并以加强卫生服务提供和实现贫困和服务不足人口的卫生公平为最终目标，帮助建立新的或加强现有的正规教育计划（授予高级学位）和在职培训计划（促进持续的专业发展），针对当地卫生工作者。哈佛医学院和布里格姆妇女医院也受益于这一伙伴关系，扩大了其教师和学员在全球卫生方面的培训和研究机会，这一伙伴关系使卢旺达在伙伴关系支持的地区医院的卫生专业人员获得了新的能力，并通过利用资源、专业知识、参与的美国学术机构对全球健康的兴趣日益浓厚。在伙伴关系的头九年中实施的最佳做法可以为其他低收入国家的类似正规教育和在职培训方案提供信息。
Global disparities in the distribution, specialization, diversity, and competency of the health workforce are striking. Countries with fewer health professionals have poorer health outcomes compared with countries that have more. Despite major gains in health indicators, Rwanda still suffers from a severe shortage of health professionals.This article describes a partnership launched in 2005 by Rwanda's Ministry of Health with the U.S. nongovernmental organization Partners In Health and with Harvard Medical School and Brigham and Women's Hospital. The partnership has expanded to include the Faculty of Medicine and the School of Public Health at the National University of Rwanda and other Harvard-affiliated academic medical centers. The partnership prioritizes local ownership and-with the ultimate goals of strengthening health service delivery and achieving health equity for poor and underserved populations-it has helped establish new or strengthen existing formal educational programs (conferring advanced degrees) and in-service training programs (fostering continuing professional development) targeting the local health workforce. Harvard Medical School and Brigham and Women's Hospital have also benefited from the partnership, expanding the opportunities for training and research in global health available to their faculty and trainees.The partnership has enabled Rwandan health professionals at partnership-supported district hospitals to acquire new competencies and deliver better health services to rural and underserved populations by leveraging resources, expertise, and growing interest in global health within the participating U.S. academic institutions. Best practices implemented during the partnership's first nine years can inform similar formal educational and in-service training programs in other low-income countries.